Ghada Belal - Academia.edu (original) (raw)
Papers by Ghada Belal
Tanta Scientific Nursing Journal
International Egyptian Journal of Nursing Sciences and Research
Background: Transition to parenthood is often associated with a reduction in marital satisfaction... more Background: Transition to parenthood is often associated with a reduction in marital satisfaction between the married couples. The aim of this study was to investigate factors affecting marital satisfaction among primigravida women in Tanta City. The study was carried out at two health centers and two Mother and Child Health Care centers (MCH) : Seger health center and EL-Awal MCH center at Tanta first sector and Botrous health center and ElEmbaby MCH center at Tanta second sector. The subjects of the study consisted of 150 women attending the previous settings. Two tools were used to collect data of the study: The first tool, structured interview sheet concerning socio-demographic characteristics, and social assessment. The second tool, ENRICH Marital Satisfaction Scale used to measure the marital satisfaction . The main results of this study revealed that an equal percent of primigravida women 46.7% were either partially or highly satisfied in their marriage, and 6.6% of them were...
Pregnancy is considered a stressful event that may create a physiological and psychological threa... more Pregnancy is considered a stressful event that may create a physiological and psychological threatening situation especially in pregnant woman for the first time .Therefore, it is mandatory to highlight the importance of physiological and psychological care for the pregnant women, from the onset of gestation, with the purpose of developing resources to adapt to the new situation and improve women's physical and psychological health. The aim of the study: The present study aimed to evaluate the efficacy of an educational bookletabout physiological and psychological aspects during pregnancyon prenatal stress, anxiety and coping among primigravida women. Study setting: The study was carried out at outpatient prenatal clinic in Tanta University Hospital. Study design: A quasiexperimental research design was used. Study subjects: A convenience sample consisted of 60 pregnant women who attended the above mentioned setting .They were randomly assigned to an equal two groups (the study ...
One important source of knowledge is research. Research provides a solid foundation on which heal... more One important source of knowledge is research. Research provides a solid foundation on which health care professionals base their practice. So, the lack of awareness and utilization of research is a hindrance to nursing professional development. This study aimed to assess barriers to research utilization in clinical setting at Tanta University Hospital. The study was conducted at Tanta University Hospital. The study subjects consisted of 96 head nurse. The data of the study was collected using Barrier Scale Questionnaire. The study results revealed that the majority of the highly ranked barriers to research utilization are categorized as setting related barriers, followed by presentation and accessibility of research findings, research and nurses related barriers, while, the majority of suggested facilitators to research utilization are related to setting, and presentation and accessibility to research findings. The study recommended that; the culture of research should be pervasive...
IOSR Journal of Nursing and Health Science, 2017
Background: Maternal perception of fetal movements is a universally implemented selfscreening too... more Background: Maternal perception of fetal movements is a universally implemented selfscreening tool, administered and interpreted individually by all pregnant women, with or without guidance from health care professionals. Aim: This study aimed to determine the maternal perception and antenatal advice regarding fetal movements in Al-Gharbyia Governorate, Egypt. Subjects and Method: This study followed a descriptive design. The study was carried out at three Maternal and Child Health Centers affiliated to the different available geographical health zones at Tanta City. The subjects of the study consisted of 300 pregnant women who were selected from the previously mentioned settings. The tool: A structured interview questionnaire sheet was designed to collect the required data, which is comprised of five parts. Part (1) Sociodemographic characteristics, obstetric history, and attendance of antenatal care. Part (2) Maternal perception of fetal movement. Part (3) Knowledge about fetal movement. Part (4) The action that should be taken in case of unusual fetal movement. Part (5) Sources of information about fetal movement and fetal movement advice received during antenatal care. Results: The results indicated that more than two-thirds of the studied women felt that it is easy to feel fetal movement, and most of the studied women had a positive response to baby's first movement. Also, most of the studied women were concerned about fetal movement, and 29% of them perceive fetal movement best in the early morning. Very limited knowledge was displayed on the number of fetal movements experienced per hour by 5.7% of the studied women and one-quarter of them knew that it is not normal to experience fewer than 3 movements in 8 hours. Conclusion: One-quarter of the studied women exhibited poor knowledge regarding fetal movement, most of them made the wrong action in case of unusual fetal movements, and more than two-thirds of them did not receive any advice about fetal movements during routine antenatal care. Recommendations: increase maternal awareness about fetal movements and the action that should be taken in case of unusual fetal movements through antenatal classes, pamphlet and mass media particularly during antenatal care.
IOSR Journal of Nursing and Health Science, 2017
Knowledge of the danger signs of obstetric complications is an essential step in recognition of c... more Knowledge of the danger signs of obstetric complications is an essential step in recognition of complications and enables women to take appropriate action to access emergency care. Aim: The present study aimed to assess knowledge and practices of pregnant women regarding danger signs of obstetric complications. Subjects and Method: An exploratory descriptive study was conducted at 4 antenatal clinics (M.C.H centers) affiliated to the different available geographical health zones in Tanta City including: Tanta rabae at Kohafa, Medical center at Said, Tanta Khames at El agizy, and Medical center at Sager. A total sample of 200 pregnant women selected randomly from the previously mentioned settings fulfilling the inclusive criteria was included in the study (50 from each). A structured interview schedule sheet was used to collect the necessary data. It comprised the following parts: Part I: socio-demographic data such as age, level of education and occupation. Part II: obstetric characteristics such as gravidity, parity, abortion, antenatal follow-up and presence of any complications in previous pregnancies, deliveries and puerperium. Part III: questions related to knowledge about danger signs of obstetric complications Part IV: women's practices toward danger signs of obstetric complications. The results of this study revealed that the most frequently recognized danger signs that may occur during pregnancy were vaginal bleeding, followed by severe abdominal pain and gush of water from the vagina that were mentioned by more than two third , more than half and nearly half of the women, respectively. While, vaginal bleeding was the most commonly known danger sign mentioned by nearly one third and slightly more than one third of the women during labor and puerperium, respectively. Also, the vast majority of the women consulted a doctor when these danger signs appeared. Conclusion: Poor level of knowledge was reported regarding danger signs of obstetric complications among pregnant women. According to the actual practices taken by women to overcome their danger signs during current pregnancy, consult doctor was the actual mentioned practice and it was also the anticipated practice during labor/delivery and postpartum period. A significant correlation was found between women's level of education, occupation, previous experience with obstetric complications, time of the initial antenatal visit and their knowledge about obstetric danger signs. Recommendations: the study recommended developing antenatal classes for all pregnant women about obstetric danger signs and about the proper time to seek medical care. In addition, the mass media should be utilized and community organizations mobilized to disseminate correct and relevant information about danger signs of obstetric complications to women, families and communities.
Journal of Nursing Education and Practice, 2015
Obstetrical and Gynecological nursing is a healthcare profession that focuses on the care of the ... more Obstetrical and Gynecological nursing is a healthcare profession that focuses on the care of the women and newborn, for that reason Obstetrical and Gynecological nurses (OB/GYN nurses) should be highly knowledgeable and well trained caregivers for the overall safety and well-being of women from the moment of menarche to menopause. The aim of this study was to assess the educational needs among obstetrical and gynecological nurses in Gharbia Governorate. This study followed a descriptive design. The study was carried out at Tanta University Hospital and Zifta General Hospital these were selected using multistage random sample technique. The subjects of the study consisted of all obstetrical and gynecological nurses working in the previously mentioned settings (151 nurses). A structured interview questionnaire sheet was designed to collect the required data regarding the study elements. It comprised questions about socio-demographic and practice, general health educational programs, specific health educational programs and the specific health training programs. The main results of this study revealed that the majority of the nurses (90.7%) weren't attended any training courses in obstetrical and gynecological nursing. The results also illustrated that around one half of the studied nurses (56.1%) had low need for general theoretical education courses. The results also illustrated that 73.2%, 56.2% of the nurses in the study had low need for specific theoretical education courses and clinical training courses, respectively. The study concluded that the main general theoretical educational needs among the nurses in the study were; infection control, medical terminology, and decision making skills. While, the specific theoretical educational needs included: common medications during labor, normal labor, and emergency obstetrical and gynecological nursing. Also, the top clinical training needs among the nurses in the study were insertion and removal of IUD, immediate care of newborn, pre and post-operative nursing management and CPR. The study recommended the development of a series of continuing in-service training programs based on the educational needs assessment.
Tanta Scientific Nursing Journal, 2019
Background:-Early skin to skin contact between mother and newborn after labor makes an ideal envi... more Background:-Early skin to skin contact between mother and newborn after labor makes an ideal environment for the adaptation of the newborn to extra uterine life. This simple procedure is recommended as an important enhancement in care directly after delivery. The aim of this study: was to evaluate the effect of early maternal and newborn skin to skin contact after birth on the duration of third stage of labor and initiation of breastfeeding. Subjects and Method: The study was conducted at Tanta University and El-Menshawy hospitals. A convenient sample of 100 parturient women was recruited. The study included a study group (50) who considered skin to skin contact and a control group (50) who received routine hospital care. Five tools were used for the collection of data: Tool (I): A structure interview schedule included the basic data related to a. socio demographic characteristics, b. Reproductive history. Tool (II): Assessment of the third stage of labor. Tool (III): Mother's breastfeeding knowledge Assessment tool. Tool (IV): Breastfeeding Assessment Tool: It included three parts: Part a: The Infant Breastfeeding Assessment Tool (IBFAT), Part b: Assessment of initial breastfeeding outcome, Part c: Assessment of successful latch on. Tool (V): Exclusive breastfeeding: Follow-up assessment tool. The results of the present study shown that the skin to skin contact group had well contracted uterus, less need for uterotonic drugs and no uterine atony or excessive blood loss have been recorded compared to the control group. Accordingly, the mean duration of third stage of labor was shorter (6.48 ± 1.25) among the skin to skin contact group than among the control group (14.87± 3.88). It also revealed that success in first breastfeeding was higher among study group compared to control group. Conclusion and Recommendation: The study concluded that there is a positive effect of early maternal newborn skin to skin contact after birth on the duration of third stage of labor and initiation of breastfeeding.Therefore, it is recommended that refreshing courses, preservice and in-service training programs especially for newly appointed nurses working in the delivery room about the implementation of skin to skin contact technique for all mothers and newborns.
Tanta Scientific Nursing Journal
International Egyptian Journal of Nursing Sciences and Research
Background: Transition to parenthood is often associated with a reduction in marital satisfaction... more Background: Transition to parenthood is often associated with a reduction in marital satisfaction between the married couples. The aim of this study was to investigate factors affecting marital satisfaction among primigravida women in Tanta City. The study was carried out at two health centers and two Mother and Child Health Care centers (MCH) : Seger health center and EL-Awal MCH center at Tanta first sector and Botrous health center and ElEmbaby MCH center at Tanta second sector. The subjects of the study consisted of 150 women attending the previous settings. Two tools were used to collect data of the study: The first tool, structured interview sheet concerning socio-demographic characteristics, and social assessment. The second tool, ENRICH Marital Satisfaction Scale used to measure the marital satisfaction . The main results of this study revealed that an equal percent of primigravida women 46.7% were either partially or highly satisfied in their marriage, and 6.6% of them were...
Pregnancy is considered a stressful event that may create a physiological and psychological threa... more Pregnancy is considered a stressful event that may create a physiological and psychological threatening situation especially in pregnant woman for the first time .Therefore, it is mandatory to highlight the importance of physiological and psychological care for the pregnant women, from the onset of gestation, with the purpose of developing resources to adapt to the new situation and improve women's physical and psychological health. The aim of the study: The present study aimed to evaluate the efficacy of an educational bookletabout physiological and psychological aspects during pregnancyon prenatal stress, anxiety and coping among primigravida women. Study setting: The study was carried out at outpatient prenatal clinic in Tanta University Hospital. Study design: A quasiexperimental research design was used. Study subjects: A convenience sample consisted of 60 pregnant women who attended the above mentioned setting .They were randomly assigned to an equal two groups (the study ...
One important source of knowledge is research. Research provides a solid foundation on which heal... more One important source of knowledge is research. Research provides a solid foundation on which health care professionals base their practice. So, the lack of awareness and utilization of research is a hindrance to nursing professional development. This study aimed to assess barriers to research utilization in clinical setting at Tanta University Hospital. The study was conducted at Tanta University Hospital. The study subjects consisted of 96 head nurse. The data of the study was collected using Barrier Scale Questionnaire. The study results revealed that the majority of the highly ranked barriers to research utilization are categorized as setting related barriers, followed by presentation and accessibility of research findings, research and nurses related barriers, while, the majority of suggested facilitators to research utilization are related to setting, and presentation and accessibility to research findings. The study recommended that; the culture of research should be pervasive...
IOSR Journal of Nursing and Health Science, 2017
Background: Maternal perception of fetal movements is a universally implemented selfscreening too... more Background: Maternal perception of fetal movements is a universally implemented selfscreening tool, administered and interpreted individually by all pregnant women, with or without guidance from health care professionals. Aim: This study aimed to determine the maternal perception and antenatal advice regarding fetal movements in Al-Gharbyia Governorate, Egypt. Subjects and Method: This study followed a descriptive design. The study was carried out at three Maternal and Child Health Centers affiliated to the different available geographical health zones at Tanta City. The subjects of the study consisted of 300 pregnant women who were selected from the previously mentioned settings. The tool: A structured interview questionnaire sheet was designed to collect the required data, which is comprised of five parts. Part (1) Sociodemographic characteristics, obstetric history, and attendance of antenatal care. Part (2) Maternal perception of fetal movement. Part (3) Knowledge about fetal movement. Part (4) The action that should be taken in case of unusual fetal movement. Part (5) Sources of information about fetal movement and fetal movement advice received during antenatal care. Results: The results indicated that more than two-thirds of the studied women felt that it is easy to feel fetal movement, and most of the studied women had a positive response to baby's first movement. Also, most of the studied women were concerned about fetal movement, and 29% of them perceive fetal movement best in the early morning. Very limited knowledge was displayed on the number of fetal movements experienced per hour by 5.7% of the studied women and one-quarter of them knew that it is not normal to experience fewer than 3 movements in 8 hours. Conclusion: One-quarter of the studied women exhibited poor knowledge regarding fetal movement, most of them made the wrong action in case of unusual fetal movements, and more than two-thirds of them did not receive any advice about fetal movements during routine antenatal care. Recommendations: increase maternal awareness about fetal movements and the action that should be taken in case of unusual fetal movements through antenatal classes, pamphlet and mass media particularly during antenatal care.
IOSR Journal of Nursing and Health Science, 2017
Knowledge of the danger signs of obstetric complications is an essential step in recognition of c... more Knowledge of the danger signs of obstetric complications is an essential step in recognition of complications and enables women to take appropriate action to access emergency care. Aim: The present study aimed to assess knowledge and practices of pregnant women regarding danger signs of obstetric complications. Subjects and Method: An exploratory descriptive study was conducted at 4 antenatal clinics (M.C.H centers) affiliated to the different available geographical health zones in Tanta City including: Tanta rabae at Kohafa, Medical center at Said, Tanta Khames at El agizy, and Medical center at Sager. A total sample of 200 pregnant women selected randomly from the previously mentioned settings fulfilling the inclusive criteria was included in the study (50 from each). A structured interview schedule sheet was used to collect the necessary data. It comprised the following parts: Part I: socio-demographic data such as age, level of education and occupation. Part II: obstetric characteristics such as gravidity, parity, abortion, antenatal follow-up and presence of any complications in previous pregnancies, deliveries and puerperium. Part III: questions related to knowledge about danger signs of obstetric complications Part IV: women's practices toward danger signs of obstetric complications. The results of this study revealed that the most frequently recognized danger signs that may occur during pregnancy were vaginal bleeding, followed by severe abdominal pain and gush of water from the vagina that were mentioned by more than two third , more than half and nearly half of the women, respectively. While, vaginal bleeding was the most commonly known danger sign mentioned by nearly one third and slightly more than one third of the women during labor and puerperium, respectively. Also, the vast majority of the women consulted a doctor when these danger signs appeared. Conclusion: Poor level of knowledge was reported regarding danger signs of obstetric complications among pregnant women. According to the actual practices taken by women to overcome their danger signs during current pregnancy, consult doctor was the actual mentioned practice and it was also the anticipated practice during labor/delivery and postpartum period. A significant correlation was found between women's level of education, occupation, previous experience with obstetric complications, time of the initial antenatal visit and their knowledge about obstetric danger signs. Recommendations: the study recommended developing antenatal classes for all pregnant women about obstetric danger signs and about the proper time to seek medical care. In addition, the mass media should be utilized and community organizations mobilized to disseminate correct and relevant information about danger signs of obstetric complications to women, families and communities.
Journal of Nursing Education and Practice, 2015
Obstetrical and Gynecological nursing is a healthcare profession that focuses on the care of the ... more Obstetrical and Gynecological nursing is a healthcare profession that focuses on the care of the women and newborn, for that reason Obstetrical and Gynecological nurses (OB/GYN nurses) should be highly knowledgeable and well trained caregivers for the overall safety and well-being of women from the moment of menarche to menopause. The aim of this study was to assess the educational needs among obstetrical and gynecological nurses in Gharbia Governorate. This study followed a descriptive design. The study was carried out at Tanta University Hospital and Zifta General Hospital these were selected using multistage random sample technique. The subjects of the study consisted of all obstetrical and gynecological nurses working in the previously mentioned settings (151 nurses). A structured interview questionnaire sheet was designed to collect the required data regarding the study elements. It comprised questions about socio-demographic and practice, general health educational programs, specific health educational programs and the specific health training programs. The main results of this study revealed that the majority of the nurses (90.7%) weren't attended any training courses in obstetrical and gynecological nursing. The results also illustrated that around one half of the studied nurses (56.1%) had low need for general theoretical education courses. The results also illustrated that 73.2%, 56.2% of the nurses in the study had low need for specific theoretical education courses and clinical training courses, respectively. The study concluded that the main general theoretical educational needs among the nurses in the study were; infection control, medical terminology, and decision making skills. While, the specific theoretical educational needs included: common medications during labor, normal labor, and emergency obstetrical and gynecological nursing. Also, the top clinical training needs among the nurses in the study were insertion and removal of IUD, immediate care of newborn, pre and post-operative nursing management and CPR. The study recommended the development of a series of continuing in-service training programs based on the educational needs assessment.
Tanta Scientific Nursing Journal, 2019
Background:-Early skin to skin contact between mother and newborn after labor makes an ideal envi... more Background:-Early skin to skin contact between mother and newborn after labor makes an ideal environment for the adaptation of the newborn to extra uterine life. This simple procedure is recommended as an important enhancement in care directly after delivery. The aim of this study: was to evaluate the effect of early maternal and newborn skin to skin contact after birth on the duration of third stage of labor and initiation of breastfeeding. Subjects and Method: The study was conducted at Tanta University and El-Menshawy hospitals. A convenient sample of 100 parturient women was recruited. The study included a study group (50) who considered skin to skin contact and a control group (50) who received routine hospital care. Five tools were used for the collection of data: Tool (I): A structure interview schedule included the basic data related to a. socio demographic characteristics, b. Reproductive history. Tool (II): Assessment of the third stage of labor. Tool (III): Mother's breastfeeding knowledge Assessment tool. Tool (IV): Breastfeeding Assessment Tool: It included three parts: Part a: The Infant Breastfeeding Assessment Tool (IBFAT), Part b: Assessment of initial breastfeeding outcome, Part c: Assessment of successful latch on. Tool (V): Exclusive breastfeeding: Follow-up assessment tool. The results of the present study shown that the skin to skin contact group had well contracted uterus, less need for uterotonic drugs and no uterine atony or excessive blood loss have been recorded compared to the control group. Accordingly, the mean duration of third stage of labor was shorter (6.48 ± 1.25) among the skin to skin contact group than among the control group (14.87± 3.88). It also revealed that success in first breastfeeding was higher among study group compared to control group. Conclusion and Recommendation: The study concluded that there is a positive effect of early maternal newborn skin to skin contact after birth on the duration of third stage of labor and initiation of breastfeeding.Therefore, it is recommended that refreshing courses, preservice and in-service training programs especially for newly appointed nurses working in the delivery room about the implementation of skin to skin contact technique for all mothers and newborns.