Keywords : practice


Nurses’ Practices toward Aseptic Techniques at Kidney Transplant Center in Baghdad City

Anmar Hadi Abbas; Hussein Hadi Atiyah

Mosul Journal of Nursing, 2021, Volume 9, Issue 1, Pages 62-69
DOI: 10.33899/mjn.2021.168084

The study aims to evaluate nurses’ practices toward using Aseptic Techniques, and to identify the relationships between nurses' demographics including (age, gender, education level, and years of experiences in kidney transplantation units) and their practices toward aseptic techniques.  A quasi-experimental study, quantitative design (One-group) was conducted on nurse’s practice toward aseptic techniques in kidney transplant units. It was carried out in order to achieve the early stated objectives with the application of pretest and posttest. A non-probability (purposive) sample of (30) nurses who are working in kidney transplant unit, that’s selected based on the study criterion, and after obtaining oral consent from them, those nurses were distributed in kidney transplant units at  Medical City complex. The study Instrument was composed of two Parts: The First Part is concerned with the socio-demographic characteristics, and the second Part includes Nurses' Practices. Content validity of the instrument was established through a penal of (12) experts.  Reliability of the instrument scales determined the internal consistency by using test-retest approach through the computation of Pearson correlation coefficient of the scale which was r=0.83 for nurse' practices. Results have been analyzed through the use of SPSS "Statistical Package for Social Sciences" model 24.0 by using descriptive and inferential statistical methods.  Findings of the present study revealed that most of the samples were within the age of (40 - 49) years who were accounted (40%).  It has been presented that there were significant differences in the mean of the study sample between the pre and post test procedures, revealing a significant improvement in nurses' practices regarding using of Aseptic Techniques. Moreover, a high significant difference was also presented among the whole study sample at pre and post-test practices, t-test value (8.462) at p value (.000).  The study recommended that nurses should be committed to follow and apply standards of using the personal protective equipment, sharing in training sessions, improve practices through self-learning and training, and establishing future studies to measure nurses’ practices toward using personal protective equipment at all healthcare settings in Iraq

Practicing Breast Self-Examination Related Knowledge among Women at General Hospitals in Duhok City

Kawther Mahmood Galary; Rebar Yahya Abdullah; Robar Anwar Majid

Mosul Journal of Nursing, 2020, Volume 8, Issue 1, Pages 89-97
DOI: 10.33899/mjn.2020.164725

Background and aims: Despite the consideration that the Breast Cancer is a preventable cancer, it's still known as the most common cancer among women worldwide. Early detection of it is performed by a medical and self-screening procedure which is Breast Self-Examination (BSE). It makes women more "breast aware", which in turn may lead to an earlier diagnosis of BC. The aims of the study are to assess the level of women’s knowledge regarding practicing BSE, and identify the main reasons regarding practicing BSE.

Methods: A cross sectional descriptive study was conducted among 200 women attending General Hospitals in Duhok city at the time of data collection 28 January to 10 March 2020. A structured questionnaire was used by researchers to gather the data related to socio-demographic, the knowledge of practicing BSE, the reasons for practicing BSE.

Results: Among all women who were interviewed, about (28.5%) practiced BSE , among those women who had practiced  BSE, (16.5%) of them had irregular BSE, 6.5% of the woman who had practiced it monthly, about (82.5%) of women had a poor knowledge regarding practicing BSE correctly, very little of them had good practicing BSE knowledge (2%). The main reason for doing it was getting information from mass media in (14%).

Conclusions: The majority of women had low knowledge level about practicing BSE. Effective media and providing health education are required to improve the level of awareness toward it. The professional healthcare provider should be contributing to knowledge transfer whenever the opportunity arises.
Keywords: breast self-examination, Breast Cancer, Knowledge, Practice

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.

Assessment of Female Nursing Students knowledge and practice about Breast Self-Examination in Mosul University

Suha J. Abdul- Lateef; Marwa Shabaan

Mosul Journal of Nursing, 2019, Volume 7, Issue 1, Pages 30-36
DOI: 10.33899/mjn.2019.162123

Background and aim: Breast self-examination is a screening method and valuable tool used in an attempt to detect early breast cancer among women.The study aimed to assess the level of knowledge and practice  of nursing female students about breast self-examination in Mosul university.
Materials and method: A descriptive study design was adopted in the study. A systemic random sample of 100 female nursing student were selected in this descriptive study, they  collected  as25 student from each of the under graduated  teaching classes , the study conducted  in a period  from  October 2017 to the  end of march  2018. Data  were collected by using a questionnaire constructed to meet the study objective, it is consisted from five parts, the first one concerned with socio demographic data, second part represent personal history of the participants, third part reflect knowledge and practice of them about breast self-examination that reflect their awareness toward this subjectfourth part identify the source of their knowledge and practice, last part demonstrate the main barriers and limitations caused failure in conducting this examination.
Results: The study founded that 46% of the sample were at 20- 21years old,  91% of them from urban residence, about 66% of the sample having healthy nutritional habits, history of hormonal and menstrual disturbance was found among 30% of the sample, about 73% of female nursing students aware of breast cancer risk that represented by their knowledge  about breast self-examination, but only 23% of them conducting the examination regularly, this is due to their feeling  of wellness and also because of absence of obligation in conducting the examination.
Conclusion: the majority of study sample were  from (20-21) age group, with urban residence Two third of the sample having healthy balance diet, while about one third of sample experience hormonal and menstrual disturbance.   
Recommendation The study recommend for improvement of the practical aspects of breast self-examination via improvement of the teaching curriculum and through mass media
 Key Words : Breast self-examination,  knowledge ,practice  , Breast cancer 

Assessment of Injection Safety Practice among nurses at Primary Health Care Centers in Mosul

Suha jaber Abdul- Lateef; Mahmood hazim Sulaiman; Mohamed salih Jasim

Mosul Journal of Nursing, 2018, Volume 6, Issue 1, Pages 51-59
DOI: 10.33899/mjn.2018.160082

Background: safe injection practice is the practice that does not harm both health workers and recipient and not produce harmful waste products.
Aim: To determine the injection safety practice among nurses at primary health care centers in Mosul city.
Materials and method: a descriptive study was carried out to include a random sample of 45 nurses selected from 12 primary health care centers of both sides of the city left and right, tool of study depend on observational check list and interview questionnaire.
Results: The study diagnosed both safe and unsafe injection practices which were performed by nurses at their setting of work. Safe practice significantly performed as single use of syringes, using a lot of sizes of syringes, dispose syringes to safety box, close safety box tightly, send safety boxes to buried and incinerated safety boxes, avoid changing safety boxes, specify a team to follow up safety injection measures, continuing education and training on safety injection. Unsafe practice also diagnosed as: don`t washing hands after injection, don`t using gloves when they have skin lesion, filling safety boxes to the top, dispose vials and ampoules to safety box. Poor vaccination coverage with hepatitis (B) vaccine among nurses. The study also found the only significant measures after exposure to needle stick injury were washing hands and notify about the exposure.
Conclusion: The distribution of the nurses in the sample according to age, shows that the majority of them in 40-49 years of age. Presence of male nurses more evident than female, most of them have long work period of twenty-one years and more, the majority of the participant were graduated from nursing school. The study diagnosed both safe and unsafe practices.
Recommendation The study recommends for: improving awareness of both patients and nurses to decrease over use of injection and on achievement of safety, improve vaccination coverage with hepatitis B vaccine and make it obligatory for all health care workers.

Knowledge, Attitude, and Practice (KAP) of Voluntary Blood Donation among Nurses in Mosul Teaching Hospital

Mahmoud Mohammed Ahmed; Ahmed Ali Hussein; Nasir Mufaq Youns

Mosul Journal of Nursing, 2017, Volume 5, Issue 1, Pages 24-32
DOI: 10.33899/mjn.2017.160047

Background and aim : blood can save millions of lives. The requirement of blood and blood products in a country depends on the population, health care structure, prevalence of conditions requiring regular transfusions, such as hemophilia and thalassemia etc., availability of surgical centers using modern sophisticated techniques, and awareness amongst clinicians regarding the judicious use of blood. The study aimed to assess of Knowledge, Attitude, and Practice (KAP) of Voluntary Blood Donation among nurses at the Mosul Teaching Hospital.
Materials and Method: Cross-sectional design was applied in this study that aimed to assessment of knowledge, Attitude, and practice of voluntary blood donation among nurses in Mosul Teaching Hospital. Random sample consists of (152) nurses (99 )Male , ( 53) Female , and the sample age range (median age) 18–60 (26.3±) years. Data were collected from first December 2013 extended from First February 2014.Data were collected from all Mosul Teaching Hospital (Ibn-Sena Teaching Hospital, AL-ZahraweeTeahing Hospital, AL-Salm Teaching Hospital,Ibn-AtherTeahing Hospital and Al-KhansaTeahing Hospital). An interview technique, method was used for data collection and data were analyzed as Frequency, percentage and Chi-Squire.
Results: The results of the study show that the Knowledge, Attitude, and Practice(KAP) of Voluntary Blood Donation among nurses in Mosul Teaching Hospital is good knowledge toward blood donation (81.4%), positive attitude about (78.2%),but there were practices of blood donation correct (56.7%)
Conclusion: The study concluded that the Nurses in hospitals have good knowledge of voluntary donation and a positive attitude towards donation, but there were disparities in their practices of blood donation.
Recommendation: The study recommended there is an urgent need to create and strengthen programs for motivation, recruitment and retention of voluntary blood Donors in our country.

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.

Nurses' Knowledge and Practice Regarding Gynecological Laparoscopy in Maternity Teaching Hospital in Mosul City

Rana Mohammed Jasim AL-Taee; Salwa Hazim Al –Mukhtar

Mosul Journal of Nursing, 2015, Volume 3, Issue 2, Pages 73-80
DOI: 10.33899/mjn.2019.160024

Background and aim: Over the past decade, laparoscopy has become the standard surgical approach for a majority of gynecologic procedures, such as ectopic pregnancy management, fallopian tube and ovarian operations, management of cysts, staging of gynecologic cancers, and laparoscopically assisted vaginal hysterectomy. The study aim to assess nurses level of knowledge and practices regarding gynecological laparoscopy, To determine the knowledge defect during gynecological laparoscopy, and to determine the difference between demographic characteristics such as (age, level of education, and training courses) with their knowledge and practices.
Materials and Method: The researcher adopted a quantitative design where structured closed-ended questions were formulated for both questionnaires. A questionnaire was administered to the Ward and Theatre Nurses using the convenience sampling technique. The study was conducted in two hospitals ( Al Batool and AL-Khansaa Teaching Hospitals ) located in Mosul city. Statistical Package for Social Sciences (SPSS) version 15 for Windows was used by the Statistician to analyze the data.
Results: The findings shows the demographic characteristics of the study sample. The table shows that most of the study sample are from AL-Khansaa Hospital (50.9%). According to the age, the highest percentage was in the age group (18-27 years) (43.6%), and the lowest group are of age (more than 47 years) (8%). According to level of education the highest percentage is of High school (56.4%) (62), and the lowest is (12.7%) (14). In the relation to their Experience, the highest percentage is (74.5%) for the group of (1-10 years), and the lowest percentage is (6.4%) for the group of (more than 30 years).
Conclusions: The nurses’ had good knowledge about the specific laparoscopic .
Recommendation: Ward and theatre nurses should be learn about informed consent taking and the legal implications if not taken correctly and the emphasis on their role and responsibilities during consent taking. This could be done during in-service education.

Evaluation of Knowledge and Practice of Nursing Staff Regarding Immediate Care after Birth in Kirkuk City Hospitals

Darya Y.Mustafa; Salwa Hazim Al –Mukhtar

Mosul Journal of Nursing, 2015, Volume 3, Issue 2, Pages 81-86
DOI: 10.33899/mjn.2019.160025

Background and aim: The first hours days and weeks after child birth are a dangerous time for mother and newborn most death occur during or immediately after childbirth. This study aimed to evaluate knowledge and practices of nursing staff regarding immediate care after birth in Kirkuk city hospitals
Materials and method: A descriptive study was carried out from first October 2013 to first October 2014. The study carried out at two hospitals in Kirkuk city. The study sample consists of (50) midwives and nurses. A questionnaire was comprised of two parts: demographic data and questionnaire to evaluate the midwives knowledge regarding mother and newborn baby care immediately after birth and observational checklist to evaluate the midwives and nurses practice. Content validity was determined by presenting the items to panel of. Reliability of the questionnaire (tool)
Results: the study finding indicates that there was adequate knowledge of midwives –nurse immediately after birth and accepted practice.
Conclusion: the study concludes that midwives and nurses have adequate knowledge regarding mother and newborn baby immediately after birth. Midwives and nurses have accepted practice during providing care for mother and newborn baby immediately after birth.
Recommendation: training courses inside and outside country for midwives and nurses about giving care to mother and newborn baby to improve the quality of nursing care that provided to mothers and newborn immediately after birth.