About Journal

Mosul Journal of Nursing is an international,quarterly, peer reviewed,open access scientific journal that seeks to promote the development and exchange of knowledge that is directly relevant to all spheres of nursing practice. Journal content includes clinical topics, integrative or systematic literature reviews, research, and practice improvement initiatives that provide nurses globally with implications for translation of new knowledge into practice. The journal welcomes studies that aim to evaluate and understand complex health care interventions and health policies and which employ the...
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Cost –Effectiveness of the nurses role in antenatal care programmer Implementation in Mosul city

Yusra Mohammed Isma'el; Mohammed Ataallah Ahmed

Mosul Journal of Nursing, 2021, Volume 9, Issue 2, Pages 138-153
DOI: 10.33899/mjn.2021.168460

Pregnancy is not a disease, but it is a normal  physiological  process , it is associated with certain  risks to health . Healthy survival of both the woman and the infant she bears is the aim of good antenatal care.
Antenatal care is a preventive method of care it has been shown to be beneficial and cost effective for a pregnant woman who receives in an adequate antenatal care otherwise more complications and poorer  outcomes of pregnancy will appear. The cost of no A.N.C provided  to a pregnant woman is substantially high with increased  rates of complena complications like pre-eclampsia  low birth weight infants both premature and growth retarded and prenatal deaths.
The present study aims to evaluate the cost–effectiveness of the current antenatal care provided by the nurse . A descriptive  observational study was conducted  in AL-Hadba primary health care center Mosul city from 1st of March to 30 April 2004, The study include 2 groups first (group A) examine by the doctor only ( antenatal care without nursel . The doctor completed all information on the pregnant assessment card and physical examination for (100 women) measuring the time need by the doctor to complete this information in first and follow up visit .While was (2-7) min second (Group B) in antenatal care unit the investigator completed the information of pregnant card, gave advice and prepared (50 pregnant women)  for physical examination. The time needed for the nurse to complete the information of pregnant card was (2-7) min.
Analysis of the information in (pregnancy assessment card) indicate non-significant differences in the information gained by both the doctor and the nurse , but the time spend by nurse could  compensate that needed by the doctors for better services and (full pregnant assessment and healthily education). Aiming at reducing the complications such as hypertension which is most prevalent is one example of the cost –effectiveness of the squeal for missing a case of hypertension that will may be end in caesarean section is presented as (a case study).
In conclusion antenatal care should be appointed to a specialized nursing college  graduate Nurse should be appointed in every antenatal care clinic to fulfill their nursing role during the reception & follow up of pregnant  women who consulted the antenatal care the investigator thinks that it is very cost effectiveness to fulfill

Study of Women's Knowledge and Information about Family Planning at Al-Kansaa and Al-Salam Hospital In Mosul City

Yusra Mohammed Isma'el; Mohammed Ataallah Ahmed

Mosul Journal of Nursing, 2021, Volume 9, Issue 2, Pages 154-166
DOI: 10.33899/mjn.2021.168518

Family planning services have potential in China to improve people's lives and economic well-being. Family planning methods have a temporary effect after which the ability to conceive and give birth returns to normal.  Contraception can be used based on the desire of both spouses to delay childbearing and to ensure the health of the mother and the fetus, (2013.http://alghad.com).  The aim of the study was to assess the level of knowledge of women's perceptions about family planning, and a descriptive study was conducted of (100) married women of childbearing at Al-Khansa Hospital and Al-Salam Teaching Hospital in the city of Mosul, the study results were that most of the Tamm were aged 35 years or more.  They forgot about (40%), and female employees the most use of family planning methods by (8%).  The study showed that women's knowledge about the female condom was Btseh (19%) and the condom with ballast (27%) by the official intrauterine device, intramuscular injection and the contraceptive pill got the same percentage (41 96), and this indicates that women do not have information about these  Means and accordingly, the researchers recommend increasing the eastern revolutions for women and the feature of housewives about the importance of family planning, educating women about family planning methods and the importance of each method and the urge to call, and from the periodic review to the Ummah Planning Center and from the scheduled appointments, with the aim of rationing the health risks for mothers that occur in the timetable and frequent work of the bile  Characteristic of very young and old age groups, planning the mortality rate of newborns and providing more opportunity for the mother to remain and breastfeed for a long time

Health Beliefs about Cardiovascular Disease among Elementary School Teachers at AL-Rusafa Side in Baghdad City

Faris Tareq Ahmed; Arkan Bahlol Naji

Mosul Journal of Nursing, 2021, Volume 9, Issue 2, Pages 167-174
DOI: 10.33899/mjn.2021.168519

Aims: This study aimed at assess health beliefs about cardiovascular disease among elementary school teachers at AL-Rusafa Side in Baghdad City.
Methods: A quantitative descriptive research used to test the approach to questionnaire items was conducted on teachers at elementary schools in Baghdad city from September 26th  2020 to May 30th  2021 to examine their health belief model related cardio vascular diseases. A total of 350 primary school instructors were included in the study. They are chosen using non-probability sampling (convenience sample). Data was collection through the use of a questionnaire and self report. Through the application the descriptive statistic, data were analyzed.
Results: Findings reveals that 233(66.6%) of teachers have unhealthy belief about cardiovascular diseases.
Conclusion: Two third of teachers have unhealthy belief Models regarding cardiovascular diseases, unhealthy belief in susceptibility, severity & barriers domain. Initiate training sessions to educate teachers about risk factors, signs and symptoms of CVD.
Key-wards: Health Beliefs, Cardiovascular Disease, Teachers.

Female Sexual Events Referred To Medico-Legal Institute in Erbil

Yasin Kareem Amin; Dilman Azad Hassan

Mosul Journal of Nursing, 2021, Volume 9, Issue 2, Pages 175-187
DOI: 10.33899/mjn.2021.168544

Background and Objective:Sexual abuse is a major global problem that impacts millions of women and claims one survivor every 45 seconds, according to the American Medical Association. It is a significant public health issue, and the societal crisis has grown beyond the limits of social and cultural freedom. Indeed, SA survivors live with the aftereffects of the attack for the rest of their lives. This study aimed to look into Female Sexual Events Referred to Medico-Legal Institutes in Erbil.
Methods:The prospective research is conducted; it covers rape, newly-married, and trauma cases (fall from height or on sharp objects, and traffic accidents). The medico-legal institute received the cases at Rizgary teaching hospital in Erbil governorate between 1st December 2013 and 1st July 2014. It includes a total of 110 cases.
Results: These cases were classified as raped in 50 45%% of cases, traumatic in 30 27% of cases, and married in 30 27% of cases. In raped cases, the age ranged from (2-35) years old, with a mean of (17.446.42), among raped group majority of them have no trauma in the body years (76 % ),  and (64%) in non-use of force and weapon, with the consensual sexual act but regarded as a raped case because they are under 18 years old. And the most common site for the tear in the hymen is at 6 o’clock (i.e.) the posteroinferior area of the vagina. Regarding the duration of the tear in raped cases (32%) is new tear while for traumatic is (70%), and for married is (60%). For the type of sexual act, the most common route is both anal and vaginal, which is (58%). Regarding the frequency of anal injury in sodomy cases (56%), of them have an anal injury (dilated or funnel shape), but dilation with tear is about (2%).
Conclusion:We concluded from our investigation that the presence and extent of the tear in the hymen are critical factors in diagnosing cases of rape and trauma.
Keywords: Sexual Violence, Abuse, Female, Erbil

Morphological and Immunohistochemical Changes in Thyroid Gland Due to Exposure of Formalin in Albino Rats

Paiman Jamal Muhammed Ameen; Nali AbdulQader Ma’aroof

Mosul Journal of Nursing, 2021, Volume 9, Issue 2, Pages 188-198
DOI: 10.33899/mjn.2021.168545

Background: Formaldehyde is the most widely used chemical in daily life; thus, chronic exposure to formaldehyde has been revealed to have negative effects on different organs in humans and animals.
Objective: This research was designed to investigate variable thyroid changes arising from chronic formaldehyde exposure by measuring different histomorphometry parameters in accordance with estrogen receptor and S-100 protein expression.
Materials & Methods: In this experiment, two hundred (200) rats were used and divided into two groups (100 male and 100 female), each group was subdivided into control and experimental groups each with 50 rats. The rats were exposed to formaldehyde using (20 ml =92.6ppm formaldehyde), 5hrs / d, for 21 days. Animals were sacrificed,  and thyroid sections were examined for histomorphometry using H&E stain and immunohistochemistry for localization of estrogen receptor and S-100 protein Results: Significant decrease obtained in histomorphometrical measurements in the area of the colloids, area of follicles and width, height and number of the follicles in the cells of both experimental groups with no significant effect of gender in both control and experimental groups except in the height of the cells which showed significant decrease in female more than male.  Formaldehyde exposure showed no significant effect on localization of estrogen receptor but significant increase of S-100 protein localization in both male and female groups. Conclusion: Formaldehyde had similar effect on histological structure of thyroid gland in both sexes causing disruption of thyroid follicles. Exposure of Formaldehyde had no effect on estrogen receptor but caused an increase in S-100 protein localization in both sexes.      
 Key words: Formaldehyde, Rat, Estrogen receptor, S-100 protein

Breast Cancer Risk Factors among Women Getting Mammogram Screening at Azadi Hospital and Private Mammographic Clinics in Kirkuk City

Safiya Ibrahim Mohammed; Ala’a Hassan Mirza Hussain

Mosul Journal of Nursing, 2021, Volume 9, Issue 2, Pages 199-206
DOI: 10.33899/mjn.2021.168564

Background: Breast lesions form a heterogeneous group of illnesses that affect epithelial and stromal tissues of breast. There are many factors such as demographic, social and biomedical hazard act as breast lesion development; generally, these factors can be grouped into hazard factors that can be altered (modifiable) and hazard factors that cannot be altered (non-modifiable).
Objectives: To identify breast cancer risk factors of breast among women attending to mammographic clinics in Kirkuk City.
Methods: A descriptive study design carried out in Kirkuk City among (100) women getting mammogram screening, selected by purposive (non-probability) sample. The study initiated from (September 26 th , 2020 –June 27th , 2021).
Results: Fifty-one percent of women who visited the mammogram clinics were belong 40-49 years old with average age 44±9 years. Only 9% of women were smoking. While 21% of them were reporting that they were ex-smokers and 55% of them were some one smoked around. Only 6% of women were playing sport as running (3%) and daily walk (3%) that showed significant difference at p-value= 0.041.And the findings showed that 38% of them were eating a lot of sweet, but that was statistically insignificant. Most of women were eating a lot of fat and carbohydrate (84%) that showed significant difference at p-value = 0.029. Meanwhile only 34% of women were eating red meat, 56%, eating white meat, and 71% eating fresh fruit and vegetable but all that were statistically insignificant appeared.
Conclusion: Age and unhealthy physical and dietary behaviour may associate with breast health problems.
 Key words: Risk Factors, Breast Lesions, Women.

ASSESSMENTS 0F THE APPLICATION OF NURSING PROCESS IN SURGICAL WARDS

Munther Natheer AL-Fattah

Mosul Journal of Nursing, 2019, Volume 7, Issue 1, Pages 50-59
DOI: 10.33899/mjn.2019.162875

The nursing process is a  problem-solving framework that enables the nursing staff to plan their care for a patents and clients as an individual  or  group basis . This requires nurses to be accountable for the care that they prescribe with care deliver and to keep clear and accurate records of the discussions .Today, one’s ability to use the nursing process is governed by the standards for pre-registration  for any nursing education as outline.
The present study aimed at utilize the nursing process in Mosul teaching hospitals
The initial sample consisted of  (42) nurses  whose were   selected randomly  from surgical and emergency  units at Mosul teaching Hospitals .
the period of data collection for this  study was carried out  from 20-1-2019 until  20-2-2019 . in Ibn-Sina and AL-Jamhuori teaching hospitals.
The results shows a highly significant of all assessment for applications of nursing process at p. value (0.05) 
In conclusions of this study The nursing process it's very important to enhancing the quality of care especially at surgical field and The highly significant number for all elements of nursing process. Furthermore, the nursing staff cant not be able to make any management without nursing process.
Thus the researcher put some recommendations for the current study such as ;the nursing process case sheet should be putting in patient case folder  , to evaluate the patient and his health status systematically, the nursing staff  and health care team  must be educating to how could they using  nursing process and updating, surgical wards should be formulate a time table for all clients to guide them about their care as a schedules .The head of nursing staff  as a adviser must be enrolled with conferences and educations centers to discuss the implementation of nursing process .
Keywords: nursing care plan, recommender system, data mining.

Assessment of Nursing staff’s Knowledge and Practice regarding Care of Premature Babies in Mosul Teaching Hospitals

Qusay Norry Mohammed; Bakir Faris Alsawaf

Mosul Journal of Nursing, 2016, Volume 4, Issue 2, Pages 70-73
DOI: 10.33899/mjn.2016.160039

Background and aim: Premature is a live born infant delivered before 37 weeks from the first day of last menstrual period .It accounts for the largest number of admissions to neonatal intensive care unit (NICU) . Premature infants can develop a range of problems because their organs are not mature enough. The proper nursing care of premature baby should be established by good nursing performances . The purpose of this study is to assess of nursing staff knowledge and practice regarding care of premature babies in Mosul Hospitals in the (Premature babies units).
Materials and method: A descriptive design carried throughout the period 2nd of December 2013 to March 2nd 2014 employing quantitative research methods to attain the results. The sample of the study was a non-probability purposive sampling which included all the nurses working in the premature units in these four Hospitals the sample consisted of (60) nurses (females).The data were analyzed using the statistical package for social science (SPSS) program version 17 throughout the application of descriptive statistic (frequency, mean, standard deviation and percentage) and inferential statistics (t-test and ANOVA-one way test).
Results: The findings of the study the Having diploma degree, being 40-49 years old, and more clinical experience Nurses in the Premature babies units increase neonatal nursing knowledge and practices.
Conclusions: There are significant differences between knowledge and practice of nursing staff about nursing care for premature babies with regard to age, level of education, and duration of work. Having diploma degree, being 40-49 years old, and more clinical experience in premature babies units increase neonatal nursing knowledge and practices. Recommendation: The study recommends preparing, Nurses should update their knowledge and practice through training courses and training programs for nursing care for premature baby in order to improve their skills and performing statistics by ministry of health of Iraq on the number of premature births in the country in order to reduce this phenomenon and finding appropriate solutions to the problems.

BLOOD TRANSFUSION KNOWLEDGE AND PRACTICES AMONG NURSES IN KIRKUK CITY HOSPITALS

Shelan Qahraman Shakor; Hewa Sattar Salih

Mosul Journal of Nursing, 2020, Volume 8, Issue 1, Pages 14-24
DOI: 10.33899/mjn.2020.164622

Background: Red blood cell transfusions are commonly used in palliative care to treat anemia or symptoms caused by anemia. In patients with advanced disease, there is little evidence of benefit to guide treatment decisions in the face of increased risk of harms. Objectives: To assess the level of knowledge and practices of nurses about blood transfusion for adult patients in Kirkuk city hospitals.
Methods: A purposive study design was conducted in the period from 1st June 2019 to 15th November 2019. the sample includes (80) nurses who were working at (Gynecology and obstetrics, General medicine, General surgery, intensive care unit, Oncology at Azadi teaching hospital, and Kirkuk general hospital.
Results: The number of nurses’ who included in the study was (35%) worked in Gynecology and obstetrics, (25%) worked in General medicine, General surgery, (10%) worked in the intensive care unit, (5%) Oncology, generally nurses had a low level of knowledge but showed best practice level.
Conclusions: The findings showed that the nurses' knowledge of blood transfusion was insufficient which could be detrimental to patient safety, also practice Was optimal in Kirkuk city hospitals
Recommendation: Nurses have the responsibility to update their knowledge and skills in carrying out blood transfusion. The tool developed in this study may be useful for educators and managers to identify gaps in knowledge and inform decisions to address them.
Keywords: Blood transfusion, Knowledge, Practice.

Nurses’ Knowledge about Cardio-Pulmonary Resuscitation in Mosul City

Mahmoud Mohammed Ahmed; Nasir Mufaq Youns; Ahmed Ali Hussein

Mosul Journal of Nursing, 2017, Volume 5, Issue 1, Pages 49-53
DOI: 10.33899/mjn.2017.160051

Background and Objectives: Resuscitation in hospitals and health care facilities, refers to prompt actions aimed to prevent death and providing the best possible chances for human survival. The study aims to assess the nurses' knowledge towards cardiopulmonary resuscitation and to identify the relationship between nurses' knowledge about cardiopulmonary resuscitation and some demographic variables (age, gender, educational level, work place and years of experience).
Material and method: A descriptive study design was adapted to assess the knowledge of the nurses regarding CPR. The sample of the study consist of (122) nurses, (26) female, and (96) male who works in Iben-Sena and Al-Zahrawe teaching hospitals in Mosul City. The sample of the study was selected in the simple random method. Data were collected by using a questionnaire throughout an interview technique. The questionnaire consists of two parts, Part one consists of (5 items) includes some demographic data including age, gender, educational level, work place and previous experience. Part two consists of (23 items) include questions that assess the nurses' knowledge towards cardiopulmonary resuscitation. Data were analyzed and calculated by using SPSS program.
Results: The nurses' knowledge score regarding cardiopulmonary resuscitation record low, (27.942%), and standard deviation (0.609).
Conclusion: The present study reveals that the nurses have poor knowledge regarding the CPR techniques and there are no significant difference between nurses' knowledge about cardio pulmonary resuscitation with demographic characteristics except work place and gender.

Effect Of Job Stress On Job Satisfaction Among Nursing Staff In Sulimani Mental Health Hospitals

Kamal Jummah Ameen; Saman Anwar Faraj

Mosul Journal of Nursing, 2019, Volume 7, Issue 2, Pages 109-119
DOI: 10.33899/mjn.2019.164132

Background: Job stress is regarded as a harmful factor for both employees and organizations, which negatively affects the effectiveness of employees and the efficiency of organizational performance.
Many occupations are exposed to different types of stress in the workplace environment. One of these occupations is nursing, which occupies essential roles and vital parts of the effectiveness of the health care system.
Objective: To investigate the relationship between the effect of job stress on job satisfaction for nurses.
Method: A descriptive study was conducted among nursing staff in mental health hospitals in Sulaimani. The process of the necessary data collection began from 25th May - 10th July 2016 and was obtained through a self-report convenient sample of (75) nurses. They distributed in three hospitals Soz Mental Hospital, Shahid Salahi Muhandis Hospital, and Mental Health Center / Teaching Hospital by using questionnaires were divided into three parts: First, socio-demographic characteristics consisted of eight items. Second, Expanded Nursing Stress Scale (ENSS). This consisted of (57) items ranged in nine subscales. Third, Job Satisfaction Survey (JSS), which included 36 items in nine subscales. Descriptive data and inferential data were used for analysis. the validity of the questionnaire was determined through a panel of (11) experts in the different fields and work settings.
Results: The analysis of the data figured out that total average job stress among nursing staff at the mental hospitals was "Occasionally stressful- frequently stressful". The subscale death and dying from job stress took the highest level. Nursing staff had job satisfaction, subscale payment (salary) from job satisfaction took the lowest level. There were significant statistical relationships between the level of job stress subscales and demographic characteristics except for the training course dimension. There was no statistically significant correlation between total ENSS and total JSS.
Conclusions: The death of the patients played an important role in perceiving job stress. The lack and delay in salary were a major factor in decreasing job satisfaction, although the level of job stress among nurses does not highly record. Also, most of the nurses were satisfied with their work.
Keywords: Stress level, Job Satisfaction, Nursing Staff In Mental Health center

ASSESSMENTS 0F THE APPLICATION OF NURSING PROCESS IN SURGICAL WARDS

Munther Natheer AL-Fattah

Mosul Journal of Nursing, 2019, Volume 7, Issue 1, Pages 50-59
DOI: 10.33899/mjn.2019.162875

The nursing process is a  problem-solving framework that enables the nursing staff to plan their care for a patents and clients as an individual  or  group basis . This requires nurses to be accountable for the care that they prescribe with care deliver and to keep clear and accurate records of the discussions .Today, one’s ability to use the nursing process is governed by the standards for pre-registration  for any nursing education as outline.
The present study aimed at utilize the nursing process in Mosul teaching hospitals
The initial sample consisted of  (42) nurses  whose were   selected randomly  from surgical and emergency  units at Mosul teaching Hospitals .
the period of data collection for this  study was carried out  from 20-1-2019 until  20-2-2019 . in Ibn-Sina and AL-Jamhuori teaching hospitals.
The results shows a highly significant of all assessment for applications of nursing process at p. value (0.05) 
In conclusions of this study The nursing process it's very important to enhancing the quality of care especially at surgical field and The highly significant number for all elements of nursing process. Furthermore, the nursing staff cant not be able to make any management without nursing process.
Thus the researcher put some recommendations for the current study such as ;the nursing process case sheet should be putting in patient case folder  , to evaluate the patient and his health status systematically, the nursing staff  and health care team  must be educating to how could they using  nursing process and updating, surgical wards should be formulate a time table for all clients to guide them about their care as a schedules .The head of nursing staff  as a adviser must be enrolled with conferences and educations centers to discuss the implementation of nursing process .
Keywords: nursing care plan, recommender system, data mining.

Knowledge, attitudes and practices for dialysis nursing staff regarding personal protection means from hospital acquired in Mousl hospital

Aayed ali Bny Uoda

Mosul Journal of Nursing, 2019, Volume 7, Issue 2, Pages 91-99
DOI: 10.33899/mjn.2019.163661

Background: This study intended to assess knowledge, attitudes, and practices regarding standard precautions concerning Hospital acquired protection (HAIs) among hemodialysis nurses in hemodialysis centers in Mosul
Methods: A descriptive study was carried out during the period from 18th  of February 2019until 14th of February 2019. A non – probability purposive sample consisting of 25 nurses.
Results: there were a total of 25 hemodialysis nurses in hemodialysis centers in Mosul. All agreed to participate in the study. Although72% of the nurses knew that their hands could be a source of infection associated with health care, only 36% of the nursing staff washed their hands before contacting another    used 92% by the nursing staff when contacting the patient in the dialysis unit and 40% of nursing staff also wore masks when contacting patient.
Gloves were actually used by 98% of the nurses. 46% of the nurses were usually wearing masks when contacting a patient. Books and journals were the main source of information about (HAI) among 52% of the nurses.
conclusions: The nurses' knowledge of healthcare-related illnesses did not fulfill this purpose because some of the nursing staff did not adhere to personal hygiene practices.
Recommendations: the necessary training programs for nurses in hemodialysis centers on the promotion of hygiene standards and optimal use of personal protection against hospital infection .
Keyword: Knowledge, attitude , practices , nursing staff, dialysis, hospital acquired, infections

Assessment of Patients Knowledge about Gastritis at General Kirkuk Hospital in Kirkuk City

Qasim Hussein Mohammed

Mosul Journal of Nursing, 2015, Volume 3, Issue 1, Pages 49-54
DOI: 10.33899/mjn.2015.160020

Background and aim: Gastritis (inflammation of the gastric or stomach mucosa) is a common GI problem. Gastritis may be acute, lasting several hours to a few days, or chronic, resulting from repeated exposure to irritating agents or recurring episodes of acute gastritis). The aim of the study to assessment of patient Knowledge regarding gastritis at General Kirkuk Hospital in Kirkuk city.
Materials and method: descriptive study was carried out on gastritis patients at General Kirkuk hospital in Kirkuk city from the beginning from (10th of June 2013 to5th May 2014) in order to assess knowledge concerning gastritis ,non- probability sampling convenience sample of (50) patients .The data was collected through the application of constructed questionnaire with consist of three parts and were used (SPSS). The Data were analyzed by using descriptive and inferential statistical the frequencies (F), percentage (%), and mean of score.
Results : (74%) of the samples (35>) years old, (76%) of them were male, (54%) of the samples were illiterate, (62%) of them were house wife, (88%) of the samples were married, 40%) of them were (4-6) Working hour per day , 32%) of them have history of hypertension,(72%) of the sample had no family history of gastritis, (66%) of them no smoker, (78%) of them had continuous stress.
Conclusion: type of the patients gender the highest age that having gastritis is (female), almost highest rate of the sample revealed illiterate of the patient. Majority of the sample show housewife occupational of patient. Almost majority of the sample showed that most of patient was married, The highest rate of patient who having gastritis was complain from chronic disease. The majority of samples were having continuous stress, The highest rate of patient was having good knowledge about medical treatment instruct the people about avoiding taking any medication without physician order.
Recommendation: Advice the people to take healthy diet and avoid irritant food, and decrease stress.

ASSESSMENTS 0F THE APPLICATION OF NURSING PROCESS IN SURGICAL WARDS

Munther Natheer AL-Fattah

Mosul Journal of Nursing, 2019, Volume 7, Issue 1, Pages 50-59
DOI: 10.33899/mjn.2019.162875

The nursing process is a  problem-solving framework that enables the nursing staff to plan their care for a patents and clients as an individual  or  group basis . This requires nurses to be accountable for the care that they prescribe with care deliver and to keep clear and accurate records of the discussions .Today, one’s ability to use the nursing process is governed by the standards for pre-registration  for any nursing education as outline.
The present study aimed at utilize the nursing process in Mosul teaching hospitals
The initial sample consisted of  (42) nurses  whose were   selected randomly  from surgical and emergency  units at Mosul teaching Hospitals .
the period of data collection for this  study was carried out  from 20-1-2019 until  20-2-2019 . in Ibn-Sina and AL-Jamhuori teaching hospitals.
The results shows a highly significant of all assessment for applications of nursing process at p. value (0.05) 
In conclusions of this study The nursing process it's very important to enhancing the quality of care especially at surgical field and The highly significant number for all elements of nursing process. Furthermore, the nursing staff cant not be able to make any management without nursing process.
Thus the researcher put some recommendations for the current study such as ;the nursing process case sheet should be putting in patient case folder  , to evaluate the patient and his health status systematically, the nursing staff  and health care team  must be educating to how could they using  nursing process and updating, surgical wards should be formulate a time table for all clients to guide them about their care as a schedules .The head of nursing staff  as a adviser must be enrolled with conferences and educations centers to discuss the implementation of nursing process .
Keywords: nursing care plan, recommender system, data mining.

CAN LOW DOSE OF ISOTRETINOIN CAUSE DEPRESSION

Kasim S. Al-Chalabi; Haitham B. Fathi; Mohammed N. Al-Mallah

Mosul Journal of Nursing, 2020, Volume 8, Issue 1, Pages 60-67
DOI: 10.33899/mjn.2020.164621

Background: Depressive symptoms may associate with the daily recommended dose of Isotretinoin for nodulocystic acne. Does reduce the dose will reduce the incidence of depressive symptoms is still not clearly understood.
Study objective: To compare the types and frequency of depressive symptoms among patients with nodulocystic acne receiving three different low doses of isotretinoin (10mg daily, 20mg every other day, and 20mg daily).  
Study design: Open randomized clinical trial.
 Study setting: Dermatology clinic at Ibn Sina teaching hospital
Patients & methods: 169 patients with severe nodulocystic acne were randomly assigned to one of three isotretinoin regimen groups as follows: 10 mg daily (n=46), 20mg alternate day (n=58), and 20 mg daily (n=65). After a month of treatment, the patient assessed for degree of improvement of acne and incidence of depressive symptoms
Results: The frequencies of depressive symptoms irrespective to the group were as follows: crying in 36 (21.3%), anger in 35 (20.7%), sleep disturbance in 32 (18.9%), isolation in 29 (17.1%), and sadness in 20 (11.8%) of patients. The frequency of crying, anger, and sadness was significantly rose with an increased dose of isotretinoin from 10mg to 20mg daily (p-value equal to 0.02, 0.02, and 0.001 respectively). The summated depressive symptoms rose from (0.52 symptoms) in 10 mg daily to (1.19 symptoms) in 20 mg daily dose and the difference was statistically significant.
Conclusion: Depressive symptoms increased gradually with an increased dose of isotretinoin and reducing the dose to the least effective dose is mandatory.
Key Words: isotretinoin, dose regimen, depression, nodulocystic acne.

The relationship between biofilm formation and presence of fimH and mrkD genes among E. coli and K. pneumoniae isolated from patients in Mosul

Mohammed taha Mahmood; Basima ahmad Abdullah

Mosul Journal of Nursing, 2015, Volume 3, Issue 1, Pages 34-42
DOI: 10.33899/mjn.2015.160018

Background and objectives: Biofilms have a major medical significance as they decrease susceptibility to antimicrobial agents. The decreased susceptibility to microbial agents within a biofilm arises from multiple factors, including physical impairment of diffusion of antimicrobial agents, reduced bacterial growth rates, and local alterations of the microor-ganisms (M.O) that may impair activity of the antimicrobial agent. The aim of the study was to investigate the biofilm formation among coliforms and study the relationship between biofilm formation and the presence of fimH and mrkD genes among E. coli and K. pneumonia isolates respectively .
Materials and method: One hundred and seventy three clinical samples were collected from both gender who visited or admitted to AL- Salam General Teaching Hospital and AL- Wafa’a center for diabetic patients in Mosul city from April 2013 to February 2014, (110) urine samples from patients suffering from urinary tract infections (UTIs) and (63 ) from patients with diabetic foot infections (DFIs). All samples were cultured on selective media as MacConkey and blood agar aerobically. Coliform isolates are identified to species level depending on biochemical and physiological tests and using Rapid ™ ONE panel kit to be conformed to the diagnosis. The ability of coliforms spp. for biofilm formation was assessed using qualitative and quantitative assay. The Congo red agar (CRA) method was used in the qualitative biofilm assay.
Results: Out of (85) bacterial spp. , 44(51.8%) species were biofilm producers. The tissue culture plate (TCP) method was used in the quantitative biofilm formation assay. The results showed that 46(54.1%) spp. produced biofilm strongly. All biofilm producing E. coli and K. pneumoniae spp. which gives strong biofilm formation by CRA method and non-biofilm producer spp. were subjected to PCR for determining the relation between biofilm formation and the presence of fimH gene in E. coli isolates and mrkD gene in K. pneumoniae isolates. The results revealed that all biofilm producing E. coli 15(100%) isolated from UTI samples were positive for fimH gene. While all biofilm producing K. pneumoniae 9(100%) and 5(100%) isolated from UTIs and DFIs respectively were positive for mrkD gene.