IJRDO - Journal of Health Sciences and Nursing (ISSN: 2456-298X) 2019-05-01T06:19:39+00:00 Naeem Akhtar Open Journal Systems <p>IJRDO Journal of health Science and Nursing is ambitious to disseminate information and experience in education, practice and investigation between medicine, nursing and all the sciences involved in health care.Papers are solicited from, but not limited to the following topics:<br>Psychiatric and mental health nursing, Learning disability nursing, Pediatric nursing, Geriatric nursing, Nursing of people in acute care and long term care institutional settings, Home health nursing, Community and Home care, Critical and emergency care, Advanced nursing practicese, Maternity and Women's health, Yoga and Physiotherapy<br><span style="font-size: 1.5em;"><strong> <span style="color: #fcbd0f; text-shadow: #666666 0px 0px 3px;">Current Impact Factor: 2.380</span></strong></span></p> Conjunctival rotational flap versus autograf t techniques in pterygium surgery at AL-Hussain teaching hospital from 2009-2015 2019-04-18T07:28:43+00:00 Dr.Imad salih mehdy <p>purpose :the aim is to compare the results of conjunctival flap and autograft in term of recurrence &nbsp;rate &nbsp;and &nbsp;complications &nbsp;in primary pterygium&nbsp; surgery</p> <p>Methods:</p> <p>Atotal of 70 patients (thirty male and forty female) operated for primary pterygium&nbsp; with conjunctival autografts(in 36 eyes)or conjunctival flap (in 34 &nbsp;eyes) technique at AL-Hussain teaching&nbsp; hospital-Kerbala&nbsp; ,with 18 months follow up.Patients were asked for voluntary examinations of their&nbsp; respective&nbsp; ocular surface status</p> <p>Results:</p> <p>Mean age was 43.5 years(range 21-70)42.65%&nbsp; of the patients were male,70% of them worked&nbsp; predominantly out doors.Mean&nbsp; follow up&nbsp; was 12months (3-18)</p> <p>Recurrence rate recorded was 8.3% graft,8.8% flap,however oedema was more in graft,granuloma was nil in both</p> <p>Conclusions:</p> <p>After this long follow up period for for conjunctival flap and autograft surgeries,there was no statistically significant differences in term of the recurrence rate,as well as autograft is alonger technique with more postoperative oedema</p> 2019-04-18T06:58:50+00:00 Copyright (c) 2019 IJRDO - Journal of Health Sciences and Nursing (ISSN: 2456-298X) Optical coherence topography of optic nerve in sample of Iraqi population 2019-04-18T07:28:43+00:00 Dr.Imad salih mehdy Alya Abood Kareem Farooq Mohammed Abbas <p><strong> Background: </strong>Assessment of optic disc morphology is an important approach for detecting structural damage inpatients with glaucoma and many neurological diseases.</p> <p><strong>Objective:</strong> To determine normal values of optic disc morphology measured by spectral domain opticalcoherence tomography in a sample in Iraqi population and to correlate the findings with somedemographic factors.</p> <p><strong>Subjects and Method:</strong> A cross sectional study of 324 normal eyes from 162 subject aged (15-75 years) at Ibn AlHaitham teaching eye hospital in Baghdad was conducted to find the optic disc parameters (opticdisc area ,average cup disc ratio, vertical disc ratio, rim area) using the Cirrus HD OCT 5000(Zeiss Inc.).Data were collected and evaluated statistically using the independent T and Chisquare tests and a P value of less than 0.05 was considered significant.</p> <p><strong>Results:</strong> Mean disc area for male was (2.2±0.5 mm2) while in female was (2.1±0.4 mm2) , the average cupdisc ratio for both male and female was (0.4±0.2) ,the vertical cup disc ratio was (0.5±0.2) forboth male and female ,the rim area was (1.5±0.5 mm2) for male while in female it was(1.4±0.4mm2) .</p> <p><strong>Conclusion:</strong> Our study does not deviate largely from other studies .Intraocular pressure is important factor that affect the disc parameters even with normal range (11-21mm Hg)</p> 2019-04-18T06:59:32+00:00 Copyright (c) 2019 IJRDO - Journal of Health Sciences and Nursing (ISSN: 2456-298X) Effect of Scenario Based Educational Program on Critical Care Nurses’ Knowledge, Practice and Attitude Regarding Use of Physical Restraints at a Selected Hospital in Cairo, Egypt 2019-05-01T06:19:39+00:00 Fatma Shoeib Ali Abd El-Aziz Mohamed <p>There is still great controversy about the potential benefits, side effects and ethical issues associated with physical restraint (PR) use in critical care settings. Nurses’ views and attitudes toward the use of PR in controlling patients’ behavior and ensuring patient safety may create conflicts with patients’ rights, including their autonomy in making decisions for their own care.</p> <p><strong>Aim of the study</strong>: To evaluate Effect of Scenario Based Educational Program on Critical Care Nurses’ Knowledge, Practice and Attitude Regarding Use of Physical Restraints <strong>at a Selected Hospital in Cairo, Egypt</strong>.</p> <p><strong> Research Design</strong>: A quasi-experimental research design (pre-posttest design), was utilized in the current study.</p> <p><strong>Research hypotheses</strong>:<strong> H1</strong>: The mean posttest knowledge score of nurses who are exposed to scenario based educational program of physical restraint will be higher than their pretest mean knowledge score. <strong>H2</strong>: The mean posttest practice score of nurses who are exposed to scenario based educational program of physical restraint will be higher than their pretest mean practice score.</p> <p><strong>H3:</strong> Critical care nurses' attitude towards physical restraint will be positively changed after scenario based educational program.</p> <p><strong>Setting</strong>: The study was conducted at selected intensive care units in Cairo, Eygept.</p> <p><strong>Sample</strong>: A convenience sample of 30 critical care nurses working in the selected ICU, who were applying physical restraint to critically ill patients, were included in the current study.</p> <p><strong>Tools of data collection: </strong>Four tools were used to collect data pertinent to the current study: Critical Care Nurses’ Demographic Data Sheet, Critical Care Nurses' Knowledge Regarding Use Of Physical Restraint Questionnaire, Critical Care Nurses' Attitude Regarding Use of Physical Restraint Scale. And Critical Care Nurses' Practices Regarding Use of Physical Restraint Checklist.</p> <p><strong>Results:</strong> The findings of the current study showed that two third (63.3%) of the studied sample were females, less than half (46.6%) of them are in the age ranged between (25-30) years old, more than one third (43.3%) of them had diploma and technical institute nursing degree, two third (60%) of them had nursing experiences ranged from (5-10) years. Moreover, it was observed in the current study that more than third (33.3%) of the studied sample responded correctly to the following statement "Restraints should be released every 2 hours, if the patient is awake" that improved to the majority (86.6%) of them are agreed after scenario based educational program. statistical significant differences between total mean knowledge score (pre- posttest), total mean attitude score (pre-posttest), and total mean practice score (pre- posttest) before and after the program.</p> <p><strong>Conclusion</strong>: The findings demonstrated that scenario based educational program could improve nurses' knowledge, attitude, and practice in relation to use physical restraint. Reducing physical restraint use leads to a more therapeutic and respectful space with a less violent milieu and greater staff effectiveness. This is in alignment with patient-centered care. The results of this study and the developed educational intervention are applicable for nurses, nursing educators, nursing managers, hospital managers, researchers and hospital policymakers.</p> <p><strong>Recommendations</strong>: Development of local policies for physical restraints use including detailed descriptions of conditions requiring its use is mandatory. Physical conditions in ICU settings should be improved to provide adequate resources and personal staff. Periodic in-service training advanced care programs based on best practice guidelines for nurses working in ICU is essential to improve nurses' practice regarding use of PR. In addition, it is important to increase awareness among ICU physicians of the advantages and drawbacks, ethical implications of PR and the requirement of written physician's orders to start and remove PR since this will restrict use of PR in critical care settings.&nbsp;&nbsp;</p> <p>&nbsp;</p> 2019-04-30T12:53:54+00:00 Copyright (c) 2019 IJRDO - Journal of Health Sciences and Nursing (ISSN: 2456-298X)