Karima Ahmed EL-said

Bio: Karima Ahmed EL-said is an academic researcher from Tanta University. The author has contributed to research in topics: Autodidacticism & Nursing theory. The author has an hindex of 1, co-authored 2 publications receiving 2 citations.

Efficacy of Self Directed Learning Program to Improve Technical Institute of Nursing Students Management Competencies

Abstract: The technical nursing students courses contents give opportunity to apply nursing theory and skills in clinical settings, except nursing administrations course have no clinical application, so they required improving their management competencies. Dimensions of management competencies include four core competencies namely leadership, communication, critical thinking and professionalism. Self-directed learning is the amount of responsibility a student accepts for their own learning. The self-directed learner takes control and accepts the freedom to learn what they consider important for themselves. Readiness for self directed learning is the degree to which the student possesses the attitudes, abilities and personal characteristics necessary for self directed learning. Objective: the aim was to study efficacy of self directed learning program to improve technical institute nursing students management competencies. Setting: The study was conducted at Technical Institute of Nursing at Tanta University. Subject: The study subject (130) technical nursing students include second year students in academic year at 2015-2016. Tool: three tools used including self rating scale of self direct learning readiness, management competencies skills scale and knowledge test on self directed learning. Result: Preprogram about half of nursing students had high level of self directed learning readiness, no one or few of technical nursing students have good levels of all dimensions of management competencies, and all technical nursing student had weak level on domains of self directed learning. Compared to immediate and post 3months the majority of technical nursing students had high level of total self-directed learning readiness and good skill level of management skill competencies. except communication dimension (66.9%) were at good level with significant improvement at p 0.05. Conclusion: technical nursing students at Tanta University Faculty of Nursing showed unsatisfied level of skill for all management competencies dimension, they have great need to attend educational training program about self directed learning to improve their management competencies. Recommendation: conduction pre-employment orientation and periodic educational training program and workshop about management competencies and to use self directed learning.

Effectiveness of nursing interventions on level of anxiety, stress, and depression of elderly patients undergoing upper gastrointestinal endoscopy

Abstract: Background: Gastrointestinal Endoscopy is a widely used procedure in medicine today. It is the diagnosis and treatment of choice among elderly patients with upper gastrointestinal disorders. Thus anxiety, stress, and depression of adverse out-come or side effect and discomfort regarding endoscopy reduce the patient’s acceptance ability. Effective procedure ex-planation and safety measures have positively impact on decrease level of anxiety, stress, and depression and improve elderly patient’s general health condition Aim: Evaluate effectiveness of nursing interventions on level of anxiety, stress and depression of elderly patients undergoing upper gastrointestinal endoscopy. Design: A quasi experimental study design with pre and post procedure was used. Setting: The study was conducted at Gastrointestinal Surgery Center (GISC) (Endoscopy Unit) Mansoura University Subjects: A convenient sample of 76 elderly patients undergoing GIT endoscopy. Data collected over a period of 9 months from first of May 2019 at the end of January 2020. Tools: Three tools were used: Socio Demographic Characteristics and Clinical Data Structured Interview Schedule, Depression, Anxiety and Stress scales (DASS-21), and Endoscopic Nursing interventions. Results: The study results revealed that statistically significant improvement in all aspects of elderly patient's anxiety score at pre and post nursing intervention (p<0.001). There were significant improvements of level of stress from pre and post implementation of nursing intervention to endoscopy (p<0.05). Also, there was a statistically significant difference in the pre, and posttest mean score of depression (p<0.05). Statistically significant differences regarding all sociodemographic characteristics within the studied subjects and their total mean score of anxiety, stress, and depression. Conclusion A clear and noticeable improvement in the mean score of anxiety, stress and depression of all studied subject after the implementation of the endoscopic nursing interventions than before. Recommendation: Replication of this study is highly recommended on a large representative probability sample to achieve generalizable results.