Keywords : assessment


Assessment Self-Care Knowledge of Patients with Colostomy

Noor Hussein Atta; Souad Jassim Mohammed

Mosul Journal of Nursing, 2022, Volume 10, Issue 3, Pages 63-68
DOI: 10.33899/mjn.2022.175397

Background: Stoma can be performed as either an urgent situation or optional surgical technique for the treatment of a wide variety of conditions affecting the bowel. These conditions involve colon cancer, bowel obstructions, colon trauma, diverticulitis, bowel necrosis, and ulcerative colitis.  This procedure is performed for one of two primary reasons: either to redirect the colon or to decompress the colon.
Objectives: The aim of this study is to assess Self-Care Knowledge of Patients with Colostomy at Al Nasiriyah Teaching Hospital.
Methodology: The study was conducted using a quasi-experimental technique. The number of participants in the sample is thirty. The researcher devised a questionnaire in assess patients' levels of self-care knowledge after they had had colostomies. This was done in order to achieve the objectives of the study. The researcher created a questionnaire format in order to meet the goals of the study. The study was carried out at Al Nasiriyah teaching hospital. Both intra examiner (test and retest) and inter examiner (alpha Cronbach) tests were used to validate the instrument's validity, and the reliability of the instrument was determined by utilizing intra examiner (test and retest) and inter examiner (alpha Cronbach) tests. The data was analyzed utilizing descriptive statistical data (frequency, percent, Mean of Score (MS), Variations among both pre / post Mean of Score, Standard Deviation (SD), and (RS percent) Relative Sufficiency), in addition to inferential analysis (Chi-Square test, and Contingency Coefficients (C.C.) test, t-test).
Results: According to the results of the research, the patients' level of knowledge on colostomy was rather poor.
Conclusion: According to the findings of this research, patients who had had colostomies did not have enough understanding about colostomy self-care.

Recommendations: According to the findings of the research, patients who had colostomies should have attentive care in the form of consultations and telephone talks to help identify and manage any problems they may be experiencing. Establish instructional special units within surgical departments, particularly in colon operations, with experienced enter-stomal caregivers and all essential reference resources, such as technical manuals and multimedia components. These instructional special units should also be located within surgical departments.

Assessment of Diabetic Patient's Knowledge about Early Complications of Type I and Type II Diabetes Mellitus

Mohammed Jaber hamdi; Aqeel Habeeb Jasim

Mosul Journal of Nursing, 2022, Volume 10, Issue 3, Pages 112-119
DOI: 10.33899/mjn.2022.175407

Background: Diabetes mellitus may be a serious, incessant condition that happens when there are lifted levels of blood glucose since the body cannot convey any or adequate of insulin or cannot effectively utilize the insulin it produces.
Objective(s): The aim of this study is toassess diabetic patient's knowledge about early complications of type I and type II diabetes mellitus.
Methodology: This paper is the published part of a larger study in which a quasi- experimental design used with the application of a pre-test/ post-test approach for the study group and control group after implementation of educational program. Data collection was done at two times: baseline data (before any intervention was provided to the study group) and 21 days after giving the educational program (in the study group). The study started December at 30th 2021.
Results: Findings of the study revealed that the participants have poor level of knowledge about Diabetes mellitus.
Conclusion: The study results demonstrate that most of the study participants were not attended any previous educational programs, have type I diabetes mellitus, for more than ten years, with a family history of diabetes mellitus, hypertensive in their chronic diseases, taking insulin injections as a treatment, not smokers, practicing mild exercise, and have no information about diabetes mellitus according to their clinical manifestations.

Recommendations: Using pictures and educational booklets about diabetes mellitus, with instructional tips regarding treatment, and focusing on how to control and prevent early complications of diabetes should be provided to all diabetic patients visiting endocrinology center.

Assessment of Techers' Knowledge about Hemophilic Students in Primary Schools

Zahraa Shammam Redan; Zaid W. Ajil Ajil

Mosul Journal of Nursing, 2022, Volume 10, Issue 3, Pages 147-153
DOI: 10.33899/mjn.2022.175417

Back ground: Hemophilia with bleeding symptoms that are roughly proportional to the degree of plasma factor deficiency. Joints and muscles are the most common locations of spontaneous bleeding, which, if not treated properly, can cause persistent injury to the musculoskeletal system, culminating in severe handicaps and impairment. Furthermore, uncontrolled bleeding occurs as a result of trauma and surgical treatments and they are usually diagnosed before the age of five to six years. 
Objectives: To assess the level of teachers' knowledge about students with hemophilia, and to find out relationships between teachers’ knowledge and their demographic characteristics.
Methodology: Using the pre-experimental design of the current study, for one group of 100 teachers working at the primary schools in Baghdad, data was collected from 16th February 2022 to 20th May 2022. Using non-probability samples (convenient samples), self-management technology in which trainers fill out the questionnaire form themselves was used in the data collection process; it was analyzed through descriptive and inference statistics.
Conclusion: The study concluded that there was no significant or weak correlation between the teacher's knowledge and socio-demographic characteristics. The knowledge of the teachers ranged from low to medium in various dialogues.

Assessment of Parents' Knowledge about Home Health Care Management to Children with Beta Thalassemia Major

Riyadh Saad Atshan; Afifa Radha Aziz

Mosul Journal of Nursing, 2022, Volume 10, Issue 2, Pages 311-318
DOI: 10.33899/mjn.2022.175756

Thalassemia is a hereditary condition that affects the formation of globin chains. Beta thalassemia is characterized by either a total loss of manufacture globin (β-thalassemia major) or a partial loss of globin manufacture (β-thalassemia minor). This type of inherited anemias is found in Mediterranean and Southeast Asian communities. Objective: Assessment of parents' knowledge regarding home health care management related to children with β-Thalassemia Major. Methodology: A descriptive study design was carried out at Thalassemia Center in Al-Najaf City during the periods 25 ͭͪ February 2021 to 15 ͭͪ March 2022. Non-probability (purposive) sample of (35) parents were selected from thalassemia center (22 mothers and 13 fathers). Results: The finding shows that 77.1% of parents are resident in urban. The monthly income, over than half (54.3%) of parents consider their income to be barely sufficient. The sources of information about disease among parents; (88.6%) of parents are getting information from medical team. The parents are demonstrating poor knowledge level in most domains about home health care management of child with beta thalassemia major. Conclusion: The current study shows that there is a significant inadequacy in the parents' knowledge of the child with beta thalassemia major. Recommendation: Providing educational guidelines, posters, pamphlets and manuals about thalassemia and should be available at each parents in wards and encourage parents to get use from them.

Assessment of Physical Activity and Sedentary Behaviour among Children's during the COVID-19 Pandemic in Mosul City

sinan samer; Eqbal Ghanian Ali

Mosul Journal of Nursing, 2022, Volume 10, Issue 2, Pages 302-310
DOI: 10.33899/mjn.2022.175747

The study aimed to assess physical activity, sedentary behaviour and to find association between the total difficulties behaviours score with physical activity and sedentary behaviour during the COVID-19 Pandemic in Mosul City, a descriptive study design was carried out from the data extends from the 11th of May until the 2nd of November 2021. The study conducted during the lockdown period due to the Corona pandemic outbreak. The setting of the study done in the hospitals of Mosul City, Paediatric Consultation Clinics, which included three Hospitals, Ibn-sina teaching Hospital, Al-salam teaching Hospital and general Mosul Hospital. A non-probability (Purposive) sample technique is chosen for the current study. The sample of the study involved of (620) children. The result of the present study  shows highest percentage of the study sample in sedentary behaviours which represented (76.0%) of children's watching TV at [1 h], while  children uses mobile cell or ipad (53.1%) at [4≥ h.],  represent (50.6%) of children with video games at time [2 h], while of physical activity  by playing outdoor  recorded (52.7) at [1 h.]  and  Sports spend of time recorded  (54.2%) in [1 h].  the results show increased of sedentary behaviours children's spent time instead of  physical activity, in addition to that there are  significant relationships between children sedentary behaviours and the total difficulties behaviours score during lockdown in pandemic. the study concluded that was many children using mobiles phone or iPads and video games for long hours, that is increased sedentary behaviour rather than physical activity because outbreak of pandemic. The study recommendation: Advise parents to reduce or forbidding using their children from mobile phone, IPad devices and video games where it is reflected in the behaviours of children and Encouraging children to engage in sports and physical activities during a lockdown or any epidemic that may occur in the future.

Assessment of Elementary Schools Teachers' Knowledge about Autism Spectrum Disorders

Asmaa Hammoz Hawas; Wisam Jabbar Qasim

Mosul Journal of Nursing, 2022, Volume 10, Issue 2, Pages 362-368
DOI: 10.33899/mjn.2022.175782

Background: ASDs have become a serious public health concern in Iraq. Cambridge University published a special study in 2011, which revealed that 75 out of every 10,000 Iraqi children were autistic and University of Guilford in 2012 revealed that more than 5,000 Iraqi children are autistic.
Objective(s): This study aims to assess elementary schools’ teachers' knowledge about autism spectrum disorders.
Methodology: A quasi-experimental design (purposive study) used to guide this study, it was applied by the use of pre-post- test approach for two groups of samples (case and control) to determine the effectiveness of an educational program on elementary schools’ teachers' knowledge about autism spectrum disorder in Al-Diwaniyah Educational Directorate during the period from (25th September, 2021) to (1st April, 2022). A non-probability purposive sample was selected from all the schools’ teachers. The total number of teachers who attended to the chosen place during the study period and who fulfilled the study criteria was (50). These (50) teachers were divided into two groups (25) teachers as a group of cases who are exposed to the educational program and (25) teachers who were not exposed to the educational program as a control group.
Results of the study: The results shows that teachers are showing poor level of knowledge during the pre-test time (76%).
Conclusion: The researcher concludes that the teacher’s knowledge about Autism spectrum disorders is under the estimated levels.
Recommendations: Educational lectures and workshops should be conducted regularly, updated, and circulated to all teaching staff in elementary schools. Providing elementary schools with an educational booklet prepared by the researcher.

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).

Assessment of Nurses’ Practices toward Enteral Feeding Tube for Premature Neonates

Huyam Adnan Jabbar; Khatam AL-Mosawi AL-Mosawi

Mosul Journal of Nursing, 2022, Volume 10, Issue 2, Pages 285-289
DOI: 10.33899/mjn.2022.175601

Background: To ensure safe and successful enteral feeding, precise tube insertion in the stomach's body is critical. In fact, feeding tube malposition has been linked to gastric bleeding, aspiration, and gastro-oesophageal reflux problems. Mechanical complications such as tube obstruction, displacement, or dislodgement, as well as infection-related complications, occur infrequently as a result of formula handling, storage, and administration.
Objective: This study aims to assess nurses’ practices toward enteral feeding tube for premature neonates.
Methodology: This study is a complementary section of a larger study, where a quasi-experimental design using test-retest approach for study group and control group participants employed in Kirkuk City Hospitals being, evaluated in several periods, in this pare the focus is only upon the pre-test period. Data collection is done by self-administrated questionnaire form, and it was given for nurses to answer after taking their agreement. A non - probability purposive sample selected from nurses who were working at the neonatal intensive critical care units. The sample was forty nurses, (20) nurses enrolled as a control group and (20) nurses enrolled as a study group. The study group participants were exposed to an interventional program. The selection criteria included Only pediatric' nurses who have from (1-15) years of experience at critical care units.
Results: The finding of this study revealed that nurses have low level of practice regarding the insertion and initiating continuous enteral feeding at the pretest.
Conclusion: This study concluded that nurses at the NICU have middle to low level of practice concerning the standard procedures of insertion enteral feeding tube, and initiating enteral feeding.

Assessment of Nurse’s Knowledge and Practices Regarding Pediatric Cardiac Catheterization at Sulaimani Cardiac Hospital

SABAH QADIR AZIZ; PARY M AZIZE

Mosul Journal of Nursing, 2022, Volume 10, Issue 1, Pages 111-123
DOI: 10.33899/mjn.2022.171435

Pediatric Cardiac catheterization is considered one of the most diagnostic and interventional procedures available to the cardiologist. Pediatric Cardiac Catheterization has decreased morbidity and mortality for cardiovascular defects, and this invasive process is not free of complications. The study's objective is to assess the nurse's knowledge and practices regarding pediatric cardiac catheterization. Descriptive -analytical designs are used in the current study. A purposive non-probability sample of ( 30 ) Nurses were recruited who worked in Sulaimani Cardiac Hospital. The present study shows that most participants were males aged between (45-49). years. The study demonstrated that nurses' knowledge in pediatric cardiac catheterization was satisfied, and more than half of them worked with "good practice." Further, the study's result indicates a significant positive statistical correlation between (nurses' knowledge and Nurses' practice at Pre-cardiac, Intra-cardiac, Post-cardiac). The study recommends specific special training courses for all the nurses working with children undergoing pediatric cardiac catheterization to reinforce their skills and promote their experience, and further studies are also recommended.

Assessment of Nursing Care through Intravenous Solution Therapy among Children

Rifaie yassin Hameed; Abdulkhaliq shakir Yousif

Mosul Journal of Nursing, 2018, Volume 6, Issue 2, Pages 89-99
DOI: 10.33899/mjn.2018.162886

Intravenous (IV) solution is a scarce human resource and ensuring its safety and clinical effectiveness requires investment – both human and financial. IV solution therapy is an essential part of patient care. When used correctly, it saves life and improves health. The nurse has an important and effective role in implementation and monitoring of care while IV solution infusion. Methods and Materials: This descriptive study was carried out in internal medicine wards and emergency departments in Ibn-AL-Atheer teaching hospital, Ibn-Sina teaching hospital and AL-Khansa'a teaching hospital in Mousl city for the period from 15th October / 2012 to 10th September / 2013 to assess the nursing care throughout procedure of  IV solution infusion therapy for children. The sample of the study were convenience composed of (104) nurses while performing intravenous solution infusion in the above hospitals' wards. A special observational tool was prepared utilizing available related literatures . Content Validity of the tool was done through opinions of a panel of (24) experts, while the reliability of tool was done through a pilot study that were r(Pre) = 0.77 , r(Intra) = 0.71 , r(Post) = 0.78 , and r(Total) = 0.74. Results: The acceptable levels of the three stages of procedure as a results of the study were as; Pre-procedure=98.4%, Intra-procedure=70.6% and Post-procedure=52.6%. Conclusion: The study concluded negligence in some activities are dangerous and can be fatal, heedlessness in case the solution is suitable to be infused or not, and heedlessness or ignorance of sterilization and disinfection. The study recommended that the nurses working in Intravenous solution infusion must be highly qualified and efficient in regard to IV therapy. Standardized guidelines in respect to sterilization and disinfection throughout each procedure.
Key words: assessment, nursing care, intravenous solution therapy, children.

Assessment of internal fixation outcomes among fractured patient in Mosul City

Mohammed Tariq Ali

Mosul Journal of Nursing, 2018, Volume 6, Issue 1, Pages 9-16
DOI: 10.33899/mjn.2018.160077

Background and Aim: Internal fixation is a surgical intervention  in orthopedics that involves the surgical implementation of doing a manegments  and  repairing for bone,  this concept starting in  the mid of 19th century and was made a doable as  routine surgical treatment   in the mid of20th century , that operation  may be made by special equpment like  stainless steel or titanium, the study assessed outcome of internal fixation.
Material and method: cross-sectional (descriptive) design, 110 patients were participate in this study which conducted at Al – Salam Hospital Teaching and Al- Jumhory Teaching Hospital from 10th December 2013 to 7th April 2014, The study tool composed of three parts; part one demographic characteristics of the patients including age, gender, residence, past history (family history, medical history) and economic status, Part Two; Fractures classification consist of  five items; types of fractures location of fracture mechanism of trauma, duration of internal fixation and Part Three(Internal fixation outcome)consist of three items (complete healing without complication, failure of internal fixation, delayed definitive fixation).
Results:80.9 of patients was suffering from complete fracture, Femur was the most commonly location of fracture which constitute 56.3% of patients, the majority of fractures were caused by blunt and motor vehicle collisions constitute 40.9% and 31.8% respectively. More than half of the patients were achieved internal fixation without complications while 43.8% of patients were suffered from joint stiffness more than one month post-operatively.
Conclusion: rigged internal fixation lead to good healing therefore more than half of patients was completely healing with variation in time, while failure of internal fixation was about quarter of study sample caused by complication.
Recommendation: Encourage to use internal fixation procedure less than 30 days after fractures and applying internal fixation for more than one year to avoid nonunion complication.
Keyword : Internal fixation , Outcome , Assessment , Fracture .

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 .

Assessment nurses’ knowledge level about procedure of blood transfusion

Hana’a Hussein Mukhlif; Noor Saad Khalil

Mosul Journal of Nursing, 2017, Volume 5, Issue 2, Pages 65-69
DOI: 10.33899/mjn.2017.160054

Background: Nurses' role is warned to view blood transfusion responsibilities, and able to identify the nursing required to care for patients receiving a blood transfusion so that they can develop their skills. The aimed of the study to assess nurses’ knowledge level procedure of blood transfusion.
Materials and method: A descriptive study approach was carried out at Al-Salam teaching hospital in Mosul city. A random sample consists of (130) nurses, the questionnaire was used for data collection, it include two parts. Part one was demographic data, and Part two including (16) questions for nurses’ knowledge of blood transfusion. Content validity was determined by presenting the items to a panel of (10) experts, and used the Coefficient Correlation for questionnaire items showed that the reliability of the questionnaire which was (r = 0.90).
Results: The study finding that there average of true answers (64%), while (36%) false answers of nurses’ knowledge of blood transfusion procedure for the patient. Also the present study indicates (65%) of nurses have good knowledge and (35%) of nurses has poor knowledge about procedure of blood transfusion.
Conclusions: The present study showed that a third of nurses’ have poor knowledge of blood transfusion, and finding a significant relationship between the nurses knowledge and level of education, also a significant relationship between the nurses’ knowledge and course trainings

Assessment of Nurses' Knowledge Concerning Protein Energy Malnutrition for Children under Age Five Years at Medical Wards in Baghdad City

Asmahan Qasim Mohammed; Mohammed Ahmed Sultan; Suzan Ali Abdulhassan

Mosul Journal of Nursing, 2017, Volume 5, Issue 2, Pages 87-91
DOI: 10.33899/mjn.2017.160058

Background and objective: The protein energy malnutrition represents as a major health problem in the Iraq. It occurs particularly in weaklings and children in the first year. This study aims to identify the nurses' knowledge regarding protein energy malnutrition for children under age five years at medical pediatric wards in Baghdad city
Materials and method: A descriptive study was carried out in the pediatric ward of teaching hospitals in Baghdad City to assessment of nurses' knowledge concerning protein energy malnutrition for children under age five years from 2ed of May till 20ed of December 2016. A non- probability (purposive) sample. This sample consisted of (33) nurses. The questionnaire was constructed and provided for nurses which consists of four parts. The validity of the questionnaire tool was established through a panel of experts. The reliability of evaluating statistically, a pilot study was carried out for (6) nurses selected randomly (excluded from study results).
Results: The socio-demographic characteristic of the study presents that 84.8 % of them females, 54.5% of them Single, 39.4 % at age (26-35) years old, 75.8 % of them have (1-7) years of general experience, 39.4% graduated from Junior Nursing.
Conclusions: Majority of nurses have poor knowledge about Kwashiorkor, miasmas, and nursing management. There is significant differences between demographic characteristics such as age, level of education, and years of general employments with nurses Knowledge.
Recommendations: A extensive programs, training and workshops about protein energy malnutrition for children under age five years should be designed and implement.

Assessment of Public and Private Schools Physical Environment Standardized Features in Babylon overnorate: Comparative Study

Naji Yasser Saadoon

Mosul Journal of Nursing, 2017, Volume 5, Issue 1, Pages 1-12
DOI: 10.33899/mjn.2017.160038

Background and aim: creating a healthy school environment requires the involvement and participation of practically everyone in the school-students, administrators, teachers, school counselors, school nurses, nutrition services workers. The study aims to assess public and private schools physical environment standardized features in Babylon Governorate and to compare between public and private schools physical environment such features.
Materials and method: A descriptive study, using the assessment approach, is carried out from July 2016 to April 2017. Probability, simple random sample, of (44) school principal, science teacher, and physical sport teacher is selected from (34) primary schools in Babylon Governorate. A questionnaire, of (44) items, is constructed for the purpose of the present study. Data are collected through the use of the constructed questionnaire and the application of the structured interview technique as means of data collection. Data are analyzed through the application of the descriptive statistical data analysis approach of frequencies, percentage, mean, and standard deviation and the inferential statistical data analysis approach of t-test.
Results: The present study depicts that primary schools in Babylon Governorate experience deficiencies with respect to domains of the school environment standardized features, but private school have low deficiencies of such domains than public schools.
Conclusions: The study concludes that both public and private schools had major deficiencies identified in their environment standardized features. However, public schools have a much higher proportions of deficiencies and are in most urgent need of actions. Private schools are also in need of remediation of deficiencies.
Recommendations: The study recommends that further study with a large randomly selected sample of schools can be conducted to confirm the findings of this study and allow for greater generalizability. Advancement, in the measurement of standardized deficiencies, can take a place to advance the present study to the next level of rigor by eliminating redundant items and improving the reliability and validity of the questionnaire. Furthermore, evaluation of the improvement in deficiencies overtime using a longitudinal study design.
Keyword: Assessment, School Physical Environment, Standardized Features, Private
School, Public School.

The Risk Factors for Lumbar Disc Herniation in Mosul City

Ismail Hamad Alhaso; Radhwan Hussein Ibrahim

Mosul Journal of Nursing, 2016, Volume 4, Issue 2, Pages 93-99
DOI: 10.33899/mjn.2016.160043

Back ground and objectives: Lumbar disc herniation is one of the most important causes of lower back pain and is also one of the most important problems in orthopedic surgery in adults. The study aims to assessment the risk factors for lumbar disc herniation in the city of Mosul. Material and methods: - A retrospective study (a case control study) was conducted for a sample of adults consisting of (540) samples as all, divided into two groups of both sex (266) case and 274control, aged between 20 years and 70 years old and above. This study was carried out in the following hospitals: Al-Gomhouri Educational Hospital, Al-Salam General Hospital, and Ibn Sina Medical Center in Mosul. It was conducted for a period of three months from the first of January 2014 till the first of April 2014. The validity of the content was determined by presenting expert questionnaire forms consisting of (17) experts. The data were analyzed by applying the descriptive analysis, which included (frequency distribution, percentage) and deductive statistical analysis, which included patients and the control sample. The internal stability of the questionnaire was applying the Cronbach alpha correlation coefficient .
Results:- A number of factors were found to be significantly more effective in patients with lumbar disc herniation: gender, age, Residency, family history, increased working hours, back pain during work, working with big effort, psychosocial impact, washing the clothes both way, washing the dishes on the ground increasing the number of children, not doing sports weekly,. eating in sitting position, carrying heavy objects more than 15 kilos, sitting for long periods. Conclusion: LDH is more common in male than female group in a ratio of 1.74:1.
The age group most affected with LDH is 40-49 years. LDH is more common in urban areas. BMI has direct effect on LDH especially persons who are with overweight. Married and primary persons have more groups affected with LDH. Family history plays a great role in existing the LDH (63.2%). and the comorbidity diseases (DM.HT) also contributed to the LDH. Employee persons, Average of time work 7-10 hrs., Satisfaction of time work some of them, Addition work out org. work, Rest time during the work some of them, suffering Back pain during work, need speed during work and working with big effort have high significant in role the study whereas enough time to complete the work not significant .
Recommendation: the study recommended the establishment of educational programs for the community through all the media and the inclusion of the subject of disease to nursing students and health institutions aimed to reduce the disease and the study recommended also to reduce weight, doing regular exercises and improve physical activities.

Assessment of Patients Satisfaction towards Nursing Care in Mosul City Hospitals

Basher Mohamed Bunyan; Salah MS Hassan

Mosul Journal of Nursing, 2015, Volume 3, Issue 2, Pages 62-67
DOI: 10.33899/mjn.2019.160022

Background and aim: Patients' satisfaction has been used as a significant indicator of quality services provided by health care personnel. Consequently, the most important predictor of patients, overall satisfaction with hospital care is particularly related to their satisfaction with nursing care. Because nurses comprise the majority of health care providers. The aim of the current study is to assess the patients’ satisfaction toward nursing care provided in medical and surgical units in Mosul city hospitals.
Materials and method: A descriptive study represented in a purposive sample consisted of 1000 patients, the study was carried out at three different hospitals include Ibn Sina, Al Jumhory and Al Salam teaching hospitals. The study was conducted at medical and surgical Units; the data were collected through the use of constructing a questionnaire which consists of two parts, demographic characteristics and patients' satisfaction toward nursing care. Content validity was determined by presenting the questionnaire to a panel of 17 experts. The data were analyzed through the application of descriptive statisticas and inferential statistical analysis.
Results: Results of the current study revealed that more than half of patients were male 569(56.9%). The most of patients was married 785(78.5%).The majority of patients were from rural 562(56.2%), additionally, the male more satisfied than female and surgical patients’ satisfaction more than medical patients. the old age satisfaction more than another age groups, such as the lower level education high satisfied, the married patients more satisfied from other, the unemployed patients more satisfaction, the patients had not previous hospitalization more satisfaction. The patients are more satisfaction toward nursing skills from other domains. While there were a statistical significant difference between patient satisfaction toward nursing care provided and patients characteristics.
Conclusion: The current study concluded that patients were satisfied to nursing care
Recommendation: the study recommended that further studies should be conducted concerning patients satisfaction with nursing care provided in all hospitals.

Assessment of College of Nursing Students' Knowledge about Autism Disorder

Mohanned Khaleel Abdullah

Mosul Journal of Nursing, 2015, Volume 3, Issue 2, Pages 97-102
DOI: 10.33899/mjn.2019.160027

Background and aim: Knowledge and awareness about childhood autism is something essential for students at college of nursing. Poor knowledge about childhood autism among final year nursing students who would be child health care professionals can compromise early recognition and interventions that are known to improve prognosis in childhood autism. This study assesses the knowledge of undergraduate nursing students at College of Nursing University of Mosul about Autism.
Materials and method: The sample of the study consists of 110 undergraduate students in College of Nursing / University of Mosul. They were chosen randomly. They are (32) males and (78) females. A questionnaire presented by the researchers after comprehensive review.
Results: The results of the study showed that a high percentage (85.5%) of the students stated that they didnot study about this subject. It also showed that (87.3 %) of the participants answered that parents’ careless leads to Autistic disorder.
Conclusion: Depending on the results, the study showed that there is no care about this subject in studying curriculums of the college. It also showed that the lack of support and assistance given from parents to their children leads to autism. Most of the sample of this study donot know if there are any health care centers in Mosul city for Autistic disorder
Recommendations: More attention should be paid about this subject in studying curriculums at the college. Then awareness about Autistics disorder need to be improved among students and parents.

Assessment of Primary School Teachers’ Knowledge regarding Child abuse in Kirkuk city Hewa

Hewa Salih

Mosul Journal of Nursing, 2015, Volume 3, Issue 1, Pages 43-48
DOI: 10.33899/mjn.2015.160019

Background and objective: Child abuse is most often due to the problems besetting families, which can elevate the risks to children. These problems are complex and interconnected, and require coordinated, holistic responses. Child abuse and neglect has begun to demonstrate linkages between maltreatment and long-term adverse effects and other social problems. The purpose of this study was to assess the Primary School Teacher Knowledge’s Regarding Child Abuse In Kirkuk City" and find out the relationship between Teacher Knowledge’s and some socio-demographic characteristic
Material and Method: A descriptive study was carried out from July 2013 to April 2014. Data are collected through using the constructed questionnaire for the purpose of the study with the use of interview technique. Simple probability random sample of (100) science, manger and physical sport teachers is selected from (34) primary schools in Kirkuk city. A questionnaire is designed of (44) items for data collection, Data are analyzed through the application of the descriptive statistical analysis approach and inferential statistical approach. Frequencies, Percentage, men of score and chi-square.
Results: The findings of the study indicated that majority of the teachers were between age (40-49 ) years and constitute (44.0% ) , (54 .0%) from teachers were female ,(54.0% )were graduate from Institute and (82.0%) from them were married .
Conclusion: The result of the study find that overall depicts assessment are significant difference between teacher's knowledge and their some demographic data.
Recommendations: The study recommended educational program should be designed to increase people knowledge and awareness about their child abuse. Striking up the center to solve the child's problem. Providing scientific booklet, publication and journal about child abuse and Providing the special law to protect the child for abuses.

Assessment of Patients Knowledge towards Angina Pectoris in Kirkuk City

Younis Khider Baez

Mosul Journal of Nursing, 2015, Volume 3, Issue 1, Pages 19-25
DOI: 10.33899/mjn.2015.160016

Background and aim: Angina pectoris is a clinical syndrome usually characterized by episodes or paroxysms of pain or pressure in the anterior chest. The cause is insufficient coronary blood flow, resulting in a decreased oxygen supply when there is increased myocardial demand for oxygen in response to physical exertion or emotional stress. The aim of the study is to assess patient’s knowledge toward angina pectoris in Kirkuk city as well as to find out the relation ship between patients knowledge and some Socio- demographic characteristic such as age, gender and level of education
Materials and method: A descriptive study of a quantitative design were carried out at Kirkuk general hospital and Azady teaching hospital in Kirkuk city for angina patients from 1st of July, 2012, up to the 16th of April, 2013. A non probability (purposive) sample of (100) definitely diagnosed with angina pectoris. Selected from patients who were attended to Kirkuk general hospital and Azady teaching hospital. Developed questionnaire was constructed for the purpose of the study which consisted of three parts: the demographic data of the respondent, medical data and angina patients knowledge. The data were collected through the use of interview. They were analyzed through the application of descriptive statistical analysis and inferential statistical data analysis.
Results: the findings of the study indicated that )(55%) of the samples were in age group (≥60)years, (53%) of them were female, (60%) of the sample were illiterate, (30%) of them were jobless, (68%) of the sample were married, (72%) of the sample had barely sufficient monthly income. Regarding the medical data, the result shows that (81%) of the samples has ( ≤ 5) years duration of the diseases, (70%) of them had no family history of angina, (56%) of them has no working hours, (62%) of the sample had no history of smoking and (40%) of them were over weight.
Conclusions: The study concluded that most of the samples have inadequate knowledge about the etiology of angina, most of the samples have adequate knowledge about the risk factors of angina, most of the samples have adequate knowledge about the Clinical manifestation of angina, most of the them have adequate knowledge about the medical treatment of angina and most of them had inadequate knowledge about the invasive treatment of angina.
Recommendations: The study recommended that the necessity of educational programs should be designed to increase people knowledge about etiology, signs and symptom and treatment of angina pectoris and Providing scientific booklet, publication and journal about angina.

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.

Assessment of Nurses' Perception about the Nursing Profession in Al-Jamhory Teaching Hospital

Hanaa Hussein Mukhlif; Ahmed Khazzal Saber

Mosul Journal of Nursing, 2014, Volume 2, Issue 2, Pages 63-69
DOI: 10.33899/mjn.2014.162930

Background and objectives: Nursing is a health care profession, which is focused on the care of
individuals, families, and communities; so that they can attain, maintain, or recover optimum health.
Nurses care for individuals of all ages and cultural who are healthy or ill in a holistic manner based on the
individual's needs. The aim of the study was to assess the nurses’ perception about the nursing profession
in Al-Jamhory Teaching Hospital.
Material and methods: A cross-sectional is design has been adapted at Al-Jamhory teaching hospital in
Mosul city for period from 10th November 2012 till 25th March, 2013, a simple random sample selecting
of (180) nurse. The questionnaire validity was determined by presenting the items to a panel of experts'
tutors of nursing college. The test and re-test approach used to determine the reliability of the
questionnaire (r = 0.80), the statistical analysis organized by (SPSS, Version 16).
Results: the analysis of data revealed that (40%) of nurses' haven't good perception towards their
profession, and (54%) of nurses are intended to leave the profession because low salary their percentage
was (72%). The personal factors represented the highest percentage (32%) among the factors affecting
nurses' perception for their profession. The study founded the significant relationship between perception
nursing professions and intends to leave profession.
Conclusion: The present study shows some of the nurses in Al-Jamhory teaching hospital have a poor
perception towards nursing profession, and the nurses had an intention to leave their profession because
low salary.
Key Words: Assessment, Nurses' perception, Nursing Profession.

Assessment of Psychological Distress among Pregnant Women in Kirkuk City

Abbas Lateef Muhe AL-deen

Mosul Journal of Nursing, 2014, Volume 2, Issue 2, Pages 51-57
DOI: 10.33899/mjn.2014.162921

Background and Objective: Stress is a psychological state of fatigue or physical fatigue affects an individual in response to psychological pressure or unexpected real life. Stress can be short-term or longterm, Feeling stressed is common during pregnancy, but too much stress can make a pregnant woman uncomfortable. Stress can make trouble sleeping, headaches, loss of appetite or overeating. Some studies show that high levels of stress in pregnancy may cause certain problems during childhood. The purpose of this study was to assess the psychological distress among pregnant women's in Kirkuk city, as well as to find a relationship between psychological distress and some socio- demographic characteristics such as (No. of children, socioeconomic status, pregnancy stage, woman's age). Material and Method: A descriptive study was carried out in gynecological consultation at hospitals
(Azadi teaching, general Kirkuk) in Kirkuk city, to assess the psychological distress in pregnant women for a period from the 15th of June 2013 and up to the 25th of November, 2013 to achieve the objectives of the study. A probability (purposive) sample of (120) pregnant women's. Developed questionnaire was constructed for the purpose of the study, which consisted of three parts: the demographic characteristics; medical data and assessment psychological distress among pregnant women. The data were collected through the use of the interview. They were analyzed through the application of descriptive statistical analysis (frequency , percentage) and inferential statistical (chi-square) . Results: The findings of the study indicated that (35%) were in the age group ( 22-26), and (85%) were from the urban, (30.84%) of the sample were graduate from Institute and above, (70%) of them housewife , (65.83 %) of the sample had barely sufficient monthly income. Regarding to the medical data finding of the study indicated that (57.5%) of them in the 3rd trimester , the Miscarriage in the whole
study represented (75.83%) is null, (29.17) have null children, (55.83%) overweight, (94.17%) no smoking, (88.33%) have no history of chronic disease ,(79.1%) have no pregnancy induced hypertension ,(98.23%) have no pregnancy induced diabetic mellitus. Conclusions: The psychological distress in the study sample was founded in the third Trimester and founds a Significant relationship between Pregnancy Stage and Psychological Distress. Also founds a Significant relationship between socioeconomic status and Psychological Distress. As the study
concluded that most of the pregnant women were to have moderate psychological distress. Keywords : Assessment ,Psychological Distress, Pregnant Women, Pregnancy, Trimesters , Miscarriage. 

Assessment of Risk Factors For Patients With Thyroid Cancer in Mosul Teaching Hospitals

Taha Hassan Taha Alsaiq; Emad Elias Khaleel Albrimami

Mosul Journal of Nursing, 2014, Volume 2, Issue 1, Pages 26-32
DOI: 10.33899/mjn.2014.162925

Background and Objectives: Thyroid cancer is the most common endocrine malignancy. Several risk
factors were found to play a role in thyroid cancer. The aim of the study was to identify risk factors for
thyroid cancer in Mosul city and to assess the relationship between some types of food and thyroid
cancer.
Materials and Methods: The Non-experimental Quantitative design (a Case – Control approach) was
used in this study. The study was conducted at AL-Jamhori Teaching Hospital, Al-Salam Teaching
Hospital, and Nuclear Medicine and Oncology Hospital in Mosul city. The period from 18th. October,
2012 to 20th, August, 2013. A formal consent was taken from all participants (case group and control
group) in questionnaire . A non probability purposive sample was selected that consisted (172) clients
divided into two groups, a case group (86) clients with thyroid cancer and a control group (86) clients
without goiter and thyroid cancer.
Results: According to the age, the highest percentage was in the age group (50-59 years),constituted
(34%)for the case group. The majority of the case group are female who were accounted (78.0%) female
to male ratio 4:1. The incidence of differentiated thyroid carcinoma according to histopathology was
increased for women compared with men specially papillary thyroid carcinoma.
Conclusion: The statistical analysis shows that there are significant relationship in previous history for
goiter, family history for thyroid cancer, and exposure to radio active iodine items with respect to the risk
factors of thyroid cancer.
Keywords: Assessment, Risk Factors, Thyroid Cancer.

Assessment of Nursing Care through Intravenous Solution Therapy among Children

Rifaie Yaseen Hameed; Abdulkhaleq Shakir Yousif

Mosul Journal of Nursing, 2014, Volume 2, Issue 1, Pages 19-25
DOI: 10.33899/mjn.2014.162924

Background and Objective: Intravenous (IV) solution is a scarce human resource and ensuring its safety
and clinical effectiveness requires investment – both human and financial. IV solution therapy is an
essential part of patient care. When used correctly, it saves life and improves health. The nurse has an
important and effective role in implementation and monitoring of care while IV solution infusion. The
present study aim is to assess the nursing care through intravenous solution therapy among children in
Mosul City.
Methods and Materials: This descriptive study was carried out in internal medicine wards and
emergency departments in Ibn-AL-Atheer teaching hospital, Ibn-Sina teaching hospital and AL-Khansa'a
teaching hospital in Mousl city for the period from 15th October / 2012 to 10th September / 2013 to assess
the nursing care throughout procedure of IV solution infusion therapy for children. The sample of the
study were convenience composed of (104) nurses while performing intravenous solution infusion in the
above hospitals' wards. A special observational tool was prepared utilizing available related literatures .
Content Validity of the tool was done through opinions of a panel of (24) experts, while the reliability of
tool was done through a pilot study that were r(Pre) = 0.77 , r(Intra) = 0.71 , r(Post) = 0.78 , and r(Total) = 0.74.
Results: The acceptable levels of the three stages of procedure as a results of the study were as; Preprocedure=
98.4%, Intra-procedure=70.6% and Post-procedure=52.6%.
Conclusion: The study concluded negligence in some activities are dangerous and can be fatal,
heedlessness in case the solution is suitable to be infused or not, and heedlessness or ignorance of
sterilization and disinfection. The study recommended that the nurses working in Intravenous solution
infusion must be highly qualified and efficient in regard to IV therapy. Standardized guidelines in respect
to sterilization and disinfection throughout each procedure.
Key words: assessment, nursing care, intravenous solution therapy, children.