hoda nafee | Mansoura University (original) (raw)

Papers by hoda nafee

Journal of Nursing Education and Practice, 2018

Journal of High Institute of Public Health, 2007

The study was conducted on 121 children who attended the outpatient clinic at El-Mansoura Univers... more The study was conducted on 121 children who attended the outpatient clinic at El-Mansoura University Children Hospital. The objectives were to identify the common problems in feeding practice of children under 2 years of age, to estimate the proportion of children potentially at risk for nutritional and other health problems, and to characterize such a vulnerable group in terms of demographic variables. Data were collected through interviewing the children's mothers/caregivers, children's nutritional as well as health status were investigated using IMCI format and weight for age criteria. The results revealed that 64.5% of the study samples were exclusively breastfed, 17.4% artificially fed babies, and 47.1% of children were receiving less number of breast feeds per day. Insufficient and unbalanced complementary feeding was obvious among the studied sample. Either early or delayed weaned children constituted 18.2%. The common health problem of the studied sample as diagnosed by pediatrician were. diarrhea & vomiting (44.6%), ARI (38.8%), low weight (15.7%), and 14% had anemia. Training courses for first-level health workers on IMCI in order to emphasize the guidelines for appropriate feeding practices and how to support complementary feeding as part of mothers' teaching in an outpatient basis is recommended.

Journal of Nursing Education and Practice, 2017

Journal of Education and Practice, 2016

Breast milk is rich in nutrients and anti-bodies and contains the right quantities of sugar, wate... more Breast milk is rich in nutrients and anti-bodies and contains the right quantities of sugar, water, fat and protein that promotes not only growth and development of infants but also important for theirsurvive. Exclusive breastfeeding is enough to the needs of infants less than six months without any addition. Several studies mentioned that the mothers who breastfeed were less risks for certain poor health outcomes. Aim is identifying, prevalence and maternal concerns of exclusive breastfeeding in KAS and ARE. Tools: an interview questionnaire sheet that assessed socio-demographic data of infants and their mothers, maternal satisfaction and concerns and infants' feeding types. Results, 65% from Egyptian mothers feed their infants exclusively while in Saudi mothers was 14%. Regarding maternal concerns, 86% from Saudi mothers unsatisfied with EBF while in the Egyptian mothers was 35% and the main concerns in Saudi mothers returned to, EBF not enough to satisfying the baby , not app...

Circumcision is the excision of the foreskin of the penis which may be performed in the neonatal ... more Circumcision is the excision of the foreskin of the penis which may be performed in the neonatal period or in later life. Circumcision benefits are minimizing urinary tract infection, enhances of penile hygiene, prevents of penile carcinoma. However, circumcision may cause complications such as bleeding, and infection. Some of these complications can be minimized through adequate health education by nursing staff to the caregivers who may influence circumcision outcome. The aim of the study to: identify the effect of health education program for caregivers about circumcision in neonates and infants. Design: a randomized controlled trial design was used only one month. Setting: study was conducted at Omar Ibn El Khattab Specialized Medical Center at Minia City. Sample: a random sample were selected and randomly equally divided into two groups study (20) and control (20). Tools: two tools were used, an interview questionnaire sheet was used to assess all caregivers' knowledge abou...

World Health Organization (WHO) declared COVID-19 as a pandemic in 11 th of March 2020. COVID-19 ... more World Health Organization (WHO) declared COVID-19 as a pandemic in 11 th of March 2020. COVID-19 that disrupts Children's growth and development, friendships, daily routines and has a negative consequence for their well-being, development and protection. About 1 in 3 children hospitalized with COVID-19 in the United States were admitted to the intensive care unit. Aim: The aim of this study was evaluating the effect of a comic story on children's knowledge and hand washing practices about pandemic of COVID-19. Study design: A quasi-experimental design was used. Setting: Nour Al-Huda Charitable Society that caring males and females orphaned children in separate setting Sample: A convenient sample including all children in the orphanage, there was 41 children and their age range between 3 to less than 12 years. Tools of data collection: An interview questionnaire sheet as a tool one that had two parts first one concerned with sociodemographic data of children and second one assessed children's knowledge about pandemic of COVID-19, an observational check list sheet as a tool two and had two parts; where part one assessed facilities required for applying precautionary measures inside the home, while part two assessed children's hand washing practice inside the home. Results: there was a statistically significant differences between the total children's knowledge regarding COVID-19 and total observed practice score regarding correct technique of hand washing pre/post comic story implementation. Conclusion: It was concluded that the implementation of a comic story had improved children's total mean score of knowledge and hand washing practice regarding COVID-19 with statistically significant differences of both in relation to pre and post comic story implementation. Recommendations: The study recommended that to breakdown the ring of transmission of COVID-19; the collaboration between governmental and non-governmental agencies and stakeholders are main supporters for those children via appropriate and friendly communication tools that improve their knowledge; practice and also providing those setting by funding and resources for applying precautionary measures of COVID-19 with periodical follow up for personals, setting, services and resources.

Intestinal parasitic diseases constitute the most frequent infections in the world. Unhygienic pe... more Intestinal parasitic diseases constitute the most frequent infections in the world. Unhygienic personal habits predispose preschoolers to the risk of intestinal parasitic infections. The study provides a scheme on the prevalence of intestinal parasitic infections, predisposing factor and its allied effect among preschool children in Mansoura city. Mothers' knowledge and health practice toward prevention of intestinal parasitic infection were assessed. Also stool examination was done to detect intestinal parasitic infection among preschoolers. The study revealed that ٦٩٫٧%, ٢٩٫١%, ٦٫٦ of the studied preschoolers suffered from Entamoeba histolytica, Giardia lamblia and Enterobius vermicularis; respectively. This high prevalence of intestinal parasitic infection among preschoolers, resulting in anemia among ٢٧٫٥٪ of them and it is statistically correlated to the lack of knowledge of their mothers about parasitic infection and poor healthy practices.

Sickle cell disease (SCD) is an autosomal recessive disorder characterized by production of abnor... more Sickle cell disease (SCD) is an autosomal recessive disorder characterized by production of abnormal hemoglobin S, which associated with high morbidity and mortality. The highest prevalence of SCD in Saudi Arabia is in the Eastern province. SCD considered as a chronic disease which may affecting child’s quality of life on all domains as physical, mental, school function and social well-being. Objectives: Assess quality of life of sickled children before and after implementation of structured sickle cell anemia health care intervention package. Subjects and Methods: a convenient sample of 30 children having sickle cell anemia their age ranged between 8-12 years were taken from outpatients clinic in AL-khobar City .Tools: An interview questionnaire sheet used to fulfill Child's socio demographic data and Pediatric Quality of life Inventory Version (4) that assessed children quality of life and their parents report about their children quality of life and WhatsApp application to fo...

International journal of Nursing Didactics, 2019

Background: The Integrated Management of Childhood Illnesses (IMCI) is a cost-effective strategy ... more Background: The Integrated Management of Childhood Illnesses (IMCI) is a cost-effective strategy that advocates utilization of evidence-based protocol in the management of common childhood illness. WHO estimated that 56% of childhood deaths worldwide are attributable to the effects of under nutrition. Aim: The study aimed to evaluate the implementation of IMCI strategy regarding nutritional care of under five years children in Mansoura district. Research Design: The study adopted a descriptive cross-sectional research design. Subjects and sampling: The total number of the study subjects was 501 (36 healthcare professionals (HCPs), 456 caregivers and their children under five years and 9 mangers of healthcare settings). Setting: This study was carried out in nine primary health care settings affiliated to Mansoura District, Dakhalia governorate, Egypt. Study tools: three tools were used for data collection. 1-Healthcare professionals' occupational and educational qualifications d...

The complex nature of clinical competence in nursing consequently poses a challenge in identifyin... more The complex nature of clinical competence in nursing consequently poses a challenge in identifying suitable assessment methods that are able to measure all its attributes as well as maintaining reliability, validity and objectivity. So the aim of this study was to compare nursing students' opinions, feedback and clinical achievements grades in the Objective Structured Clinical Examination (OSCE) and the Traditional Clinical Examination (TCE) methods. A descriptive research design was used to conduct the study at college of nursing-Immam Abdulrahman Bin Faisal University (IABU), kingdom of Saudi Arabia. A total of 96 undergraduate student nurses enrolled in the pediatric nursing course equally were divided randomly into TCE and OSCE group (n = 48) in each group. Two tools were used, first tool was a structured questionnaire form to collect data related student's academic number, age, method of exam used, achievement grades in the exam and the overall suggestions to improve the method of exam used where the second tool was a self-administered questionnaire that modified from a Pierre et al. (2004) OSCE feedback questionnaire which included 23 items and categorized under four main dimensions with 3-point Likert scale ranged from agree, neutral and disagree to evaluate students' opinions and feedback related to the quality, organization, scoring and physical set up of both methods. Results revealed that statistical significant differences were found with higher prevalence of agreement responses among students for OSCE methods related most of items listed in the four dimensions compared to those in TCE. Mean ± SD total score of students' responses related to OSCE and TCE methods was 104.5 ± 15.6 and 95.3 ± 17.5 respectively where p value = .002. Majority of students 95.8% exposed to OSCE compared to 11.9% of them who exposed to the TCE achieved (A) excellent grades in the exam (score 90%-100%). Conclusion and recommendation, statistical significant differences were observed between students' opinion and feedback with high prevalence of agreement responses related to OSCE compared to TCE methods. Clinical achievement grade was high among students whom evaluated by OSCE compared to those evaluated by TCE method. The study recommended that OSCE must be used as an integral part of the under graduate nursing students' clinical assessment.

Background: The most common cause of low back pain in children is muscle sprain and strain which ... more Background: The most common cause of low back pain in children is muscle sprain and strain which can occur from carrying a heavy backpack or from activities. This study aimed to assess the relationship between school bag weight and back pain among female students in Dammam city. Methods: A total of 300 female students were included in this study both from east and west sectors of Dammam city, Saudi Arabia. Tools: Data were collected using (1) A structured questionnaire sheet including, socio-demographic data of the students, and close-ended questions about the school-bags as methods of carrying, (2) A weight scale that measured student's body weight and weight of the school bags, (3) A self-report (Numeric pain rating scale) that assessed pain intensity. Univariate and Multivariate Statistical analysis was performed to test the relationship between the study variables. Results: A total of 288 school children (96.2% out of 300) were carrying bags of weight more than 15% of their body weight. Shoulder and neck pain were reported by 40% of the female students. Statistically there is a significant relationship was found between school bags weight and severity of shoulder pain (p = .042). Conclusion and recommendation: The weights of schoolbags of Dammam city intermediate female students were higher than the internationally acceptable standards. Ministry of Education should set standards to prevent and mange problems of carrying heavy school bags in the intermediate school.

The study was conducted on 121 children who attended the out-patient clinic at El-Mansoura Univer... more The study was conducted on 121 children who attended the out-patient clinic at El-Mansoura University Children Hospital. The objectives were to identify the common problems in feeding practice of children under 2 years of age, to estimate the proportion of children potentially at risk for nutritional and other health problems, and to characterize such a vulnerable group in terms of demographic variables. Data were collected through interviewing the children's mothers/caregivers, children's nutritional as well as health status were investigated using IMCI format and weight for age criteria. RESULTS revealed that 64.5% of the study samples were exclusively breastfed, 17.4% artificially fed babies, and 47.1% of children were receiving less number of breast feeds per day. Insufficient and unbalanced complementary feeding was obvious among the studied sample. Either early or delayed weaned children constituted 18.2%. The common health problem of the studied sample as diagnosed by pediatrician were. diarrhea & vomiting (44.6%), ARI(38.8%), low weight (15.7%), and 14% had anemia. Training courses for first-level health workers on IMCI in order to emphasize the guidelines for appropriate feeding practices and how to support complementary feeding as part of mothers' teaching in an out-patient basis is recommended

Background and objective: Professionalism has to be explicitly taught in clinical rotations, yet ... more Background and objective: Professionalism has to be explicitly taught in clinical rotations, yet little is reported about approaches for teaching professionalism in undergraduate nursing education. This study aims to educate undergraduate nursing students on professionalism using guided reflection on clinical vignettes. Methods: Real-life vignettes were designed to describe common professionalism dilemmas in Obstetrics and Gynecological Nursing curriculum. Teachers used a set of seven questions to trigger discussions and guide reflection on each vignette. During the session, observation notes were taken by peers on teachers' performance, students interaction and group dynamics during the sessions. After the session, students fill in a survey to report their feedback on the sessions. Results: A total of 91 third-year nursing students participated in the study felt as if they are professional nurses who manage real cases, with feedback from teachers. Students-in groups-were able to indicate stakeholders in each dilemma and advocate their decision. They enjoyed the sessions the highest mean (4.48 ± 0.93) and felt more prepared to encounter similar situations in their future clinical practice. Conclusions: Interactive sessions of guided reflections on professionalism dilemmas enabled students to reflect as individuals and in groups, to respect the scope of practice and acknowledge perspectives of different stakeholders. Apart from students' feedback, teachers acknowledged essential competencies that have to be addressed while dealing with professionalism dilemmas. A couple of strategies were recommended for teaching professionalism in nursing education using guided reflection. Nursing students need to learn about: emotional intelligence, risk estimation, and strategies for interference in cases of conflict with colleagues, patients and their relatives, doctors in charge, and the fetus, if applicable, in Obstetrics. Guided reflection sessions on clinical dilemmas were found effective to teach professionalism in nursing students in Obstetrics and Gynecological nursing clinical experience.

Using of the internet today is a growing part of any society. Teenagers are the most users of the... more Using of the internet today is a growing part of any society. Teenagers are the most users of the internet at their home and/or school. Therefore, it changes their daily lives in terms of physical, social, and psychological status that may exaggerated to be an internet addiction disorder or a physical problem. The aim of the study was to recognize the effects of excessive internet use in Saudi and Egyptian teenagers' health. The design used to conduct the present study was a descriptive correlation design, a convenient sample of 668 teenagers who were recruited from intermediate and secondary school from both countries, 331 teenagers from King Saudi Arabia (KSA) and 337 from Arab Republic of Egypt (ARE). Three tools were used for data collection: the first one was a questionnaire including demographic background of the participants and their families. The second was Internet Addiction Test (IAT) Young (1998) and the third pain rating scale to assess the intensity of musculoskeletal pain that encountered by the students. Results show that 86.6% of KSA teenagers used the internet daily compared to 69.6% in ARE. Regarding internet addiction, in teenagers, 0.9% were severe, 45.3% moderate and 47.7% mild compared to 0.3%, 46.3% and 44.2% in ARE one, 67.3% of KSA teenagers have musculoskeletal pain with internet usage compared to 74.3% in ARE teenagers. No significant relation was found between both groups in relation to internet addiction. A significant relations were found in Saudi students' socio-demographic data and their level of internet addiction in the area of academic level (p ≤ .001), and level of academic achievement (p = .037). No significant relation was found in the same area for Egyptian students. The researchers suggest further studies to be conducted in this field on larger sample size for both genders to identify the other factors related to excessive internet use.

Venipuncture and other invasive procedures as blood draws, intramuscular injections or heel prick... more Venipuncture and other invasive procedures as blood draws, intramuscular injections or heel pricks are the most commonly performed painful procedures in children. These can be a terrifying and painful experience for children and their families. The present study aimed to identify Pain intensity after an ice pack application prior to venipuncture among school-age children. Fifty (50) school-age children aged from 6-12 years whom ordered to vein-puncture were included in the study, and they are chosen by simple random sample from the pediatric medical, surgical wards and pediatric emergency department in King Fahd Hospital of the University (KFUH) at the Al-Khobar city, Kingdom of Saudi Arabia. They divided equally into 2 groups, the study group who received an ice pack application for three minutes prior to venipuncture procedure over the insertion site while the control group received routine hospital care. A structured interview questionnaire sheet was used included age, gender, venipuncture procedure data and log table for recorded child's blood pressure, pulse rate and oxygen saturation as well as Wong-Baker (FACES) Self-report Pain Rating Scale, to assess pain intensity during the venipuncture among children in both groups. Results of the study revealed that, during venipuncture procedure, mean self-report pain score was lower among children in the study group than those in the control group with statistically significant difference, Mean ±SD (1.92±0.316 and 4.40±0.490) respectively P<0.001. Self-reported pain intensity was decreased in older school-age children than the younger ones and was higher among male's children than females. The study concluded that the application of an ice pack prior to vein puncture procedure was effective in reducing pain intensity among school age children and it recommended that application of an ice pack has to be a part of the routine care of all children admitted to venipuncture procedure, so educational course related the ice back storage, uses and its application time over the vein puncture site should be conducted. Introduction The International Association for the study of Pain (IASP) defines pain as "an unpleasant sensory and emotional experience associated with actual or potential tissue damage (1). The American pain society created the phrase "pain: as the fifth vital signs" to increase awareness of pain assessment among the health care professionals especially nurses. The rationale is that if pain were assessed the seriousness as other vital signs, it would more likely to be treated perfectly (2) .The pain response is individual (subjective) and is learned through social learning and experience, moreover the experience of pain is quite complex. Silkman (2008) described the multi-dimensional complexity of pain in physiological, sensory, behavioral, socio-cultural, cognitive and affective. The physiological dimension includes; the patient perception of pain and body's reaction to the stimulus. The sensory dimension concerns the quality of the pain and how severe the pain is perceived to be. This dimension includes: patient perception of pain's location, intensity and quality. The behavioral dimension refers to the verbal and nonverbal behavioral that the patient response to the pain. The social-cultural dimension concerns the influence of the social context and cultural background on the patient pain's experience. The cognitive dimension concern 'beliefs, attitude, intention and motivation related to pain and its management. The affective dimension concerns with feeling and emotion related to pain experience (3). Venipuncture is the one of the most commonly experienced procedures by hospitalized children; millions of children experience these procedures which cause considerable distress. Children requiring needle sticks (intramuscular injections, intravenous catheters, blood sampling) view this procedure as frightening and a significant source of pain (4, 5). It is estimated that 200 million peripheral intravenous catheters are used annually in the United States, while according to the Scottish National Prevalence Survey, one in three UK inpatients have at least one peripheral venous catheter in situ (1,2) .

Associate professor of pediatric, Nursing, nursing college of dam mam Dr. houda Mohammed Nafee As... more Associate professor of pediatric, Nursing, nursing college of dam mam Dr. houda Mohammed Nafee Assist professor of pediatrics, nursing, nursing college, university of Dammam Dr.kamlish Pal Associate Professor of neonatology and pediatric surgery king fahad hospital of university ,Ibtihal Al-momin, lecturer Nursing, Nursing college, Dammamuniversity Abstract Circumcision is a surgical excision of the foreskin to the level of the coronal sulcus which may perform in the neonatal period or in later life. Circumcision has many medical benefits such as minimizing urinary tract infection, reduces the incidence of balanitis and enhances of penile hygiene, prevents of penile cancer. However, Circumcision may cause complications such as bleeding, infection, meatitis and adhesions. Some of these complications can be minimized through imparting adequate health education by nursing staff to the caregivers who may influence circumcision outcome. This study aims to identify the effect of health education program for caregivers on circumcision outcome in neonates and infants. Materials and Method: A randomized controlled trial design was used for one month's period. Two tools were used, an interview questionnaire sheet was used to assess all caregivers ' knowledge about circumcision before & after implementing the program and a post-assessment sheet about circumcision care, circumcision outcome. Result: There was an increased in the total knowledge after health education program compared to total knowledge before implementing the program among study group (3.4 to 0.8) and p < 001. Furthermore, There was significant statistical relation between the study group and the total knowledge score and cosmetic satisfaction score of Co = 0.2. Conclusion: demonstration with written instructions offered to caregivers help in early detection of complication which lead to positive outcome. Recommendation: Health education is a must and should be given by a qualified nurse supported by a simple clear hand out.

Journal of Nursing Education and Practice, 2018

Journal of High Institute of Public Health, 2007

Journal of Nursing Education and Practice, 2017

Journal of Education and Practice, 2016

International journal of Nursing Didactics, 2019