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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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Nutritional Habits of High School Students in Al-Nasiryia City

Sarah Habbas khudair Al- Al- zaidy; Wasna jumma Mohammed

Mosul Journal of Nursing, 2022, Volume 10, Issue 2, Pages 146-152
DOI: 10.33899/mjn.2022.174921

Objective(s): The purpose of this study is to ascertain high school students' nutritional habits.
Methodology: The design is carried out cross-sectionally. The study began on November 3rd, 2021 and will conclude on March 10th, 2022.  The study is being conducted in Al-Nasiryia City's male and female high schools. We select a random sample of (60) middle school students. All students who agreed to participate in the study signed a consent form. The study will use a self-report questionnaire that is divided into two sections: part I will examine the sociodemographic characteristics of high school students and part II will examine the nutritional habits of high school students. A pilot study is used to determine the content validity and internal consistency reliability. The study instrument is used to collect data. The descriptive statistical data analysis approach is used to analyze the data, while the inferential statistical data analysis approach is used to analyze the data.
Results show that the majority of the female and male students have fair dietary habits (75.0%).
Conclusion:  High school students' dietary habits are unaffected by sociodemographic characteristics, with explanations suggesting that dietary habits are not affected by their age. This finding underscores the fact that the dietary habits of these students cannot improve as they get older.

Recommendations:  It is recommended to provide the Ministry of Education with a booklet outlining the importance of adhering to a healthy diet for female intermediate school students.

Assessment of Old Age Nutritional Status at Home in Al-Diwaniyah City

Fatima Raheem Mohammad; hala s abdulwahid

Mosul Journal of Nursing, 2022, Volume 10, Issue 2, Pages 153-159
DOI: 10.33899/mjn.2022.174923

Background: The elderly's health is critical in determining a population's health status. Nutritional problems, as well as malnutrition as a result of insufficient food consumption, are among the most common disorders related with aging. Undiagnosed malnutrition can result in infections and death. The quality of life of the elderly, as well as their risk of morbidity and death, is influenced by nutrition.
Objective: Assess the old ages’ nutritional status at home in Al-Diwaniyah City.
Methodology: From September 20, 2021, to May 1, 2022, a cross-sectional study design utilizing the assessment approach is used to assess the nutritional status of the old ages at Home in AL-Diwaniyah City. The present study is conducted at Home at AL-Daghara District in Al-Diwaniyah City. Non-probability (convenient) sample approach was used to select a sample of (24) old age at Home. These old age are distributed with respect to their age as early old age of (65-74) year, middle age of (75-84) year and old-old age of (85 and more) year. Under the supervision of the supervisor and the panel of experts, the instrument was modified and implemented in a questionnaire form and used for data collection and measured the variable the nutritional status for old age.
Results: Findings demonstrated that the (66.7%) out of 24 participants from old age at home exhibited good nutritional status as described by higher mean scores 33.45 (±5.461).

Conclusion: Marital status (Old age who are widower significantly improved nutritional status because they live with their families). Education level (Old age who are high school graduated and above is significantly increased nutritional status). Monthly income (Old age who make more than 600 thousand dinars were significantly improved nutritional status). Occupation (Old age who are retired is significantly increased nutritional status). BMI (Old age who are ≥23 is significantly higher nutritional status).

Educational Program for Nurses about Pain-Related Management for Children with Burns Injuries

Najat kaittan lafta albazoni; Khatam Mohammed AL-Mosawi

Mosul Journal of Nursing, 2022, Volume 10, Issue 2, Pages 160-168
DOI: 10.33899/mjn.2022.174930

Pain management is a very important aspect of nursing care. However, due to a lack of overall understanding, it is not uncommon to see inadequate pain management by health workers. Therefore, the knowledge of nurses are important factors for the effective management of pain in children. Therefore, the purpose of the study is to evaluate the effectiveness of an educational program for nurses about pain-related management for children with burns injuries.  This study adopted a pretest–posttest I and II a pre - experimental design. The sample consisted of 30 participants. The reliability of the questionnaire was achieved through a pilot study and then presented to experts to prove its validity. The total number of items included in the questionnaire was 45-items for knowledge. The data was collected by using the self-report method; and analysed by applying a descriptive and inferential statistical data analysis approach. The results of the study indicated that the nurses expressed a good level of knowledge with regard pain management at the post-test period of measurement (M± SD= 4.27±0.720) after application of educational program as compared pre-test period of measurement (M± SD= 2.57± 0.568) were unsatisfactory knowledge. There were significant differences in nurse’s knowledge between pre-test and post-test I scores (P <0.05); and there were no significant differences in nurse’s knowledge between post-test I and post-test II (P > 0.05).  An educational training program is effective in improving nurses' knowledge about pain-related management for children with burns injuries. Findings from this study showed that after the training, nurses' knowledge toward pain management were enhanced and not affected by time. There is a need for burn training program that should be provided to nurses in order to improve their knowledge regarding burn management is recommended, and all nurses should be exposed to pain management training to equip them with necessary knowledge with which to provide better quality of nursing care in the health-care setting. Further research need to be under taken to involve national level and investigate the influencing factors of knowledge of pain management in paediatric hospitals.

The effect of age and gender on the severity of coronavirus infection

Bayda abdulrazaq Yahya; doha nidhal saad; shahad hazim ali

Mosul Journal of Nursing, 2022, Volume 10, Issue 2, Pages 169-174
DOI: 10.33899/mjn.2022.174938

Background: One of the most noticeable differences in infection patterns was the large disparity in death rates from the coronavirus between men and women , with the number of deaths among men twice the number of women in the United states and Europe , and it was most common among middle - aged people and older adults .
Objective: To identify the effect of age and gender on the severity of coronavirus infection with the corona virus.
Methods: A study was conducted on (260) patients infected with coronavirus (134) males and (126) females, their ages ranged between 15 to 75 years in a private  laboratory in the City of Mosul, in order to find out the effect of age and gender on the severity of infection with corona virus by measuring their biomarker (C- Reactive protein, Ferritin and D - dimer). The samples were divided based on the values of biomarker into two cases, the mild case and the severe case.
Results: The results showed that the age group (31-45) years is the most susceptible to infection compared to the rest of the age groups for both cases. The results also showed that the incidence of males in the mild case was higher than females and amounted to (51.42%), (48.57 %) respectively , and all values of vital indicators were recorded within the normal range , while in the severe case , it reached (51.65 %) for males , (48-32 % ) for females , and all values of vital indicators were higher than the normal range which increases age with for both sexes.
Conclusions and Recommendations: We conclude from this study that males were more susceptible to infection with the Coronavirus and its complications than women, and that the severity of infection increased with age. Therefore, we recommend and emphasize the adult category to receive vaccinations, reduce contact and take all necessary health and preventive measures to avoid infection and transmission. 

EVALUATION OF QUALITY ASSURANCE AT MAIN PRIMARY HEALTH CARE CENTER IN BASRA CITY

huda shallal jumaah Hamdaoui; Hala Abdulwahid Abdulwahid

Mosul Journal of Nursing, 2022, Volume 10, Issue 2, Pages 175-179
DOI: 10.33899/mjn.2022.174966

a descriptive study methodology was used. employed to evaluate the quality of primary healthcare concerning structure, process, and consumer satisfaction, involving (60) consumers and (10) main primary health care in Basra city for the period of October 15th, 2021 through May 1st, 2022. Non-probability “convenient” sample of (10) primary health care centers; A constructed questionnaire is composed of (71) items Structure (25) items, process (24) items, and the outcome (22) items were assessed by observation of available items and comparing them with a checklist of standards recommended by the Ministry of Health for PHC centers. The validity and reliability of the questionnaire are established through the use of a preliminary pilot study. Data Collection is an important part of every project. The information has been gathered through the use of a questionnaire and the interview technique. Analyze the data. Through the use of a descriptive statistical data analysis technique based on frequency, percentage, mean, range, and total scores, as well as an inferential statistical data analysis strategy based on correlation and regression analysis. Results: Findings of the study indicate that the primary health care most of the primary healthcare centers in Basra city have high quality the (70%) quality assurance related to the structure, the process (80%) of quality assurance related to services provided by the main primary healthcare centers, and the outcome (68.3%) of consumers were satisfied with primary health care services is no difference between the primary healthcare centers based on such quality 

Evaluation of High School Females Students’ Knowledge about Coronavirus Disease in Al-Diwanyia City

Sarra M. Agmoush; Aysin Noori Noori

Mosul Journal of Nursing, 2022, Volume 10, Issue 2, Pages 180-185
DOI: 10.33899/mjn.2022.174967

Objective(s): A descriptive design, using the evaluation approach, is employed to evaluate high school female students’ knowledge about coronavirus disease in Al-Diwanyia City from October10th 2021 to April 2nd 2022.
Methodology: A non-probability, purposive sample of (30) high school female student, is selected for the purpose of the study. All subjects have signed consent form to present their agreement for participation in the study. The confidentiality of the data is also safeguard and they will be securely maintained during and after conducting the study. A self-report questionnaire is constructed for the purpose of the study through review of related literature. The questionnaire is consisted of (2) main parts; the high school female students’ demographic characteristics and high school female students’ knowledge about coronavirus disease questionnaire. Content validity is determined for the study instrument through panel of experts and test-retest reliability is obtained for the study instrument in a pilot study. Data are gathered through the use of the study instrument as mean of data collection and analyzed through the application of descriptive statistical data analysis and inferential statistical data analysis approaches.
Results: The study results depict that all of the high school female students experience deficiencies relative to all aspects of their knowledge about coronavirus disease.
Conclusion: The study concludes that all high school female students have experienced lack of understanding and knowledge-oriented limitations about coronavirus disease.
Recommendations: The study recommends that an education program can be utilized as an educational mean for enhancing the high school female students’ knowledge about coronavirus disease and Further and a nation-wide research can be conducted with large sample size and wide-range scale of variables.

ASSESSMENTS 0F THE APPLICATION OF NURSING PROCESS IN SURGICAL WARDS

Munther Natheer AL-Fattah

Mosul Journal of Nursing, 2019, Volume 7, Issue 1, Pages 53-62
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.

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 53-62
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.

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.

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 92-99
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.

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.

ASSESSMENTS 0F THE APPLICATION OF NURSING PROCESS IN SURGICAL WARDS

Munther Natheer AL-Fattah

Mosul Journal of Nursing, 2019, Volume 7, Issue 1, Pages 53-62
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 Job Stress among Nurses Working in Akre Teaching Hospitals

Mohanned Khaleel Abdullah; Zikri Mahmood Mirza; Shevan Younis Othman

Mosul Journal of Nursing, 2018, Volume 6, Issue 1, Pages 23-33
DOI: 10.33899/mjn.2018.160079

Background and Aim: The phenomenon of Job Stress remains a reality that touches on different areas of work with inequality. Sources and levels of pressure from one field to another, particularly affecting the humanitarian field as it has proved. Many studies compare careers, under the study of job stress in particular the fields of teaching and nursing as they involve a number of tasks and responsibilities relationships.The study aimed to identify the relationship between job stress and nurses’ demographical characteristics.
Materials and Method: Aquantives descriptive study was applied study to determine job stress for nurses in Akre teaching hospitals in Dohuk city. About 75 nurses participants from two hospitals, Gulan General Teaching Hospital and from Akre General Emergency Teaching Hospital were chosen randomly. A questionnaire is constructed by researchers is divided into two sections, the 1st section is the demographical characteristics of nurses and the 2nd section consists of 23 items about job stress.
Results: The study shows that high percentage of the study population where less than 30 years old and most of them married and male the findings show that 61.3% of nurses where graduated from medical instituted. the study revealed that 61.3% of the sample had less than seven years of experience. The finding displayed that there is a significant difference between job stress among nurs’s age, years experience, Position, Marital status and Salary, While there is no significant difference in relation to Education levels ,Setting, Gender and Hospital..
Conclusion: The results revealed that the young, single and new employed with low salaries nurses suffer from job stress more than the older, married, wide experienced senior nurses. And all the sample have follow almost the same curriculum and instructions to deal with stress in the hospitals.
Recommendations: The researchers reommnded for improving the working conditions of workers in sectors of a humanitarian nature, including a sector education and nursing sector so that their employees can provide better services .