Gynecologic Nursing Research Articles

Analysis of Application Effect of High-quality Nursing Intervention in Obstetrics and Gynecology Nursing

Analysis of Application Effect of High-quality Nursing Intervention in Obstetrics and Gynecology Nursing

Effect of an Educational Program on Gynecological Nurses′ Performance Pre and Post Hysterectomy Surgery

Background: Hysterectomy is the most common gynecological surgical procedure among reproductive age women. The nursing care plan for a woman undergoing hysterectomy should reflect nurse's awareness of the physical care required, as well as her emotional needs and anxiety levels. The aim of this study: was to determine the effect of educational program on gynecological nurses′ performance pre and post hysterectomy surgery. Subjects and method: The study was conducted at the gynaecological inpatient unit of obstetric and gynaecological department at Tanta University Hospital and El-Menshawy Hospital affiliated to Ministry of Health and Population. All nurses (40 nurses) who were working in the previously mentioned settings and provided care to women undergoing hysterectomy were included in the study. Two tools were used for data collection; Tool (I): Structured interview schedule for nurses. Tool (II): An observational checklist for nurse′s performance. Results: The results revealed that majority of the studied nurses had low level of knowledge and unsatisfactory performance regarding hysterectomy preprogram, which significantly improved immediately and one month post program with a significant statistical difference P <0.05. Conclusion and recommendations: The findings of present study revealed that the implementation of the educational program resulted in a significant improvement of nurses’ performance regarding pre and post hysterectomy surgery immediately and one month after program compared to preprogram. Planned sustainable training program to upgrade nurse's skills and knowledge to care for women with hysterectomy.

Observation on the Effect of Routine Nursing and Emergency Nursing Mode on Prevention of Risk of Gynecological Nursing

Observation on the Effect of Routine Nursing and Emergency Nursing Mode on Prevention of Risk of Gynecological Nursing

Main Infection Problems and Countermeasures of Obstetrics and Gynecology Nursing

Main Infection Problems and Countermeasures of Obstetrics and Gynecology Nursing

Application of Risk Management in Obstetrics and Gynecology Nursing Management

Application of Risk Management in Obstetrics and Gynecology Nursing Management

Discussion on the Application Effect of Health Education and Psychological Nursing in Gynecological Nursing

Discussion on the Application Effect of Health Education and Psychological Nursing in Gynecological Nursing

Effect of Scenario-Based Simulation Training on the Obstetrics and Gynecology Nursing Clinical Practicum.

Simulation practices in obstetrics and gynecology (OB-GYN) nursing are used in education, practice, assessment, and the investigation of interventional and behavioral skills related to both routine and emergency conditions. This study was conducted in an OB-GYN nursing course to determine the effect of simulation practices on clinical practice satisfaction, clinical stress, and self-confidence in nursing students. A cluster randomized controlled experimental trial was conducted on 122 students (experimental group, n = 58; control group, n = 64). After theoretical training, all of the students applied six scenarios in the OB-GYN nursing simulation laboratory. The students in the experimental group began clinical practice after simulation training, whereas their peers in the control group began clinical practice without prior simulation training. Data in this study were collected using a personal information form, the Pagana Clinical Stress Questionnaire, a self-confidence scale, and a satisfaction subscale from the Clinical Learning Environment Scale on, respectively, the first day and final day of clinical practice. At the end of the clinical practice, average clinical stress in the control group was higher than that in the experimental group (p = .001). No intergroup difference was found in self-confidence levels (p > .05). For the control group, at posttest, the average satisfaction with the clinical learning environment was higher (p = .046) and the average satisfaction with the clinical learning environment was lower (p = .05). In contrast, no mean pretest-posttest differences were found in clinical stress and self-confidence levels in the experimental group (p > .05). In the control group, no mean pretest-posttest difference was found for the clinical learning environment (p > .05), whereas mean clinical stress (p < .001) and self-confidence (p = .012) levels were higher at posttest (p < .05). The findings of this study indicate that simulation training interventions reduce clinical satisfaction and stress in students but do not influence self-confidence. Nursing educators may provide scenario-based simulation training to students taking OB-GYN courses to enhance their preparedness for clinical practice.

Predictors of burnout of health professionals in the departments of maternity and gynaecology, and its association with personality factors: A multicentre study.

To analyse the prevalence, levels and phases of burnout syndrome in midwives and obstetrics and gynaecology nurses, and to evaluate the relationship between burnout and sociodemographic, occupational and psychological factors. Burnout syndrome is a major problem in occupational health, characterised by feelings of exhaustion, depersonalisation and a low sense of personal achievement that appears after long-term occupational stress. Recent research has found that burnout harms the physical and mental well-being of workers, and jeopardises the quality of care provided. The association between burnout and a risk profile in maternity wards has not previously been investigated but it deserves special attention since it is a highly stressful area to work in. A cross-sectional survey design was selected. A total of 150 nurses and midwives at 18 hospitals participated in this study. The data were collected using the Maslach Burnout Inventory, NEO Personality Inventory and the Educational-Clinical Questionnaire: Anxiety and Depression. This study adhered to the STROBE guideline. 17% of participants presented high levels of emotional exhaustion, 16.6% high depersonalisation and 55.1% a sense of low personal accomplishment. The sociodemographic and occupational variables related to burnout were gender, marital status and work shift. The three dimensions of the syndrome, emotional exhaustion, depersonalisation and personal accomplishment were predicted by depression, neuroticism, agreeableness and openness. One third of the sample presented high levels of burnout, which was most strongly experienced as feelings of low personal accomplishment. Furthermore, personality factors play an important role in the development of burnout syndrome. Managers and policy makers should promote strategies to reduce burnout. To prevent the syndrome, personality factors should be taken into account, for the early identification of a profile of professionals most at risk of developing burnout.

Effect of high-quality nursing intervention in obstetrics and gynecology nursing.

Effect of high-quality nursing intervention in obstetrics and gynecology nursing.

Design and Application of Intelligent Information System for Comprehensive Management of Obstetrics and Gynecology Health Care

With the cross-infiltration of information technology in the field of hospital management and the application of computer network technology, the digital construction of hospitals has been gradually promoted and applied, which laid the foundation for the development of hospital nursing management system. Obstetrics and Gynecology Nursing is a discipline with strong theoretical, practical and operational skills. At the same time, the specialty of obstetrics and gynecology, the privacy of the cause and the influence of traditional ideas make nursing staff in clinical nursing work. Was hindered. At this stage, the nursing management information system is a software system for processing nursing information established by using information science theory and computer technology method, and is an important part. It can improve the utilization of important resources and the quality and efficiency of nursing work. Based on this, this paper develops and applies the integrated management information system for obstetrics and gynecology health care, and under the guidance of modern software engineering methods, completes the analysis, design and implementation of the system. PowerBuilder is selected as the front-end development tool, and the network structure of the system C/S mode is realized by combining the Oracle database. As a self-developed system, it has great flexibility.

A Pre-experimental Study to assess the Effectiveness of National Guidelines for Diagnosis and Management of Gestational Diabetes Mellitus (GDM) developed by Ministry of Health and Family Welfare (MoHFW) in terms of Knowledge among Nurse Educators in selected Colleges of Nursing, New Delhi, India

Introduction: Gestational Diabetes Mellitus (GDM) is an important public health problem in India as a factor influencing safe motherhood and as a precursor of Type 2 Diabetes Mellitus. Considering the high prevalence (10%-14%) of GDM in India, the awareness regarding the National Guidelines for Diagnosis and Management of GDM among nurse educators is of paramount importance. Objectives: The study was aimed to assess the effectiveness of National guidelines for diagnosis and management of GDM developed by MoHFW in terms of knowledge among nurse educators. Materials and Methods: A quantitative approach with pre-experimental, one group pre-test post-test design was used among 30 nurse educators teaching midwifery - gynaecological nursing and community health nursing were selected using purposive sampling technique from four nursing colleges of New Delhi through a structured knowledge questionnaire. Data were analysed using descriptive and inferential statistics. Result: Findings revealed that before administering the guidelines, 26 (86%) nurse educators had average, 2 (7%) had below and 2 (7%) had above average knowledge regarding National guidelines and post - test knowledge scores revealed that 22 (73%) of nurse educators had average knowledge, whereas rest 8 (27%) showed improvement in their knowledge by scoring above average marks. The ‘t’ value computed was 17.06, which was statistically significant at 0.05 level of significance. Conclusion: The present study revealed that most of the nurse educators had below average knowledge regarding National Guidelines because they were either not updated with the recent guidelines. Thus dissemination of guidelines among nurse educators was an effective study material for them and also for imparting knowledge to nursing students. How to cite this article:Kukreti D, Bhardwaj UD, James MM, A Rahman J. Pre-experimental Study to assess the Effectiveness of National Guidelines for Diagnosis and Management of Gestational Diabetes Mellitus (GDM) developed by Ministry of Health and Family Welfare (MoHFW) in terms of Knowledge among Nurse Educators in selected Colleges of Nursing, New Delhi, India. Int J Nurs Midwif Res 2020; 7(1): 2-7. DOI: https://doi.org/10.24321/2455.9318.202001

A qualitative study of healthcare professionals\u2019 experiences of providing maternity care for Muslim women in the UK

BackgroundA growing Muslim population in the UK suggests the need for healthcare professionals (HCPs) to gain a better understanding of how the Islamic faith influences health related perceptions and healthcare seeking behaviour. Although some researchers have explored the experiences of Muslim women as recipients of healthcare, little attention has been paid to the challenges HCPs face as service providers on a day-to-day basis whilst caring for Muslim women. The aim of this study was to investigate HPCs lived experiences of providing maternity care for Muslim women.MethodData was collected through twelve semi-structured one-to-one qualitative interviews with HCPs in a large National Health Service (NHS) maternity unit located in the North West of England. Interview participants included Community and specialist clinic (e.g. clinic for non-English speakers), Midwives in a variety of specialist roles (7), Gynaecology Nurses (2), Breastfeeding Support Workers (2) and a Sonographer (1). The audio-recorded interviews were transcribed and analysed thematically.ResultsThe majority of participants expressed an understanding of some religious values and practices related to Muslim women, such as fasting the month of Ramadhan and that pregnant and breastfeeding women are exempt from this. However, HCPs articulated the challenges they faced when dealing with certain religious values and practices, and how they tried to respond to Muslim women’s specific needs. Emerging themes included: 1) HCPs perceptions about Muslim women; 2) HCPs understanding and awareness of religious practices; 3) HCPs approaches in addressing and supporting Muslim women’s religious needs; 4) Importance of training in providing culturally and religiously appropriate woman-centred care.ConclusionThrough this study we gained insight into the day-to-day experiences of HCPs providing care provision for Muslim women. HCPs showed an understanding of the importance of religious and cultural practices in addressing the needs of Muslim women as part of their role as maternity care providers. However, they also identified a need to develop training programmes that focus on cultural and religious practices and their impact on women’s health care needs. This will help support HCPs in overcoming the challenges faced when dealing with needs of women from different backgrounds.

A Study on Perception and Utilization of Anganwadiservices among Mothers Having Children between 0-6 Years in a Selected Community at Mangaluru

Objectives: The objectives of the study is to determine the perception of Anganwadi services among mothers, to find the utilization of Anganwadi services among mothers, to find the correlation between scores on perception and utilization of Anganwadi services among mothers and to find the association between scores on perception of mothers regarding Anganwadi services and selected demographic variables. Method: A descriptive survey approach with non experimental descriptive design was adopted perception and utilization of anganwadi services among mothers having children between 0-6 years in a selected community at Mangalore. The conceptual frame work of the study was developed on the basis of general system model by Ludwig Von Bertalanffy. Content validity of tools was established in consultation with seven experts. Out of the seven experts, Four from the department of Community Health Nursing, one from the Child Health Nursing, One from the department of Community Medicine, one from the department of the Obstetrics and gynecological nursing. The reliability co- efficient of tool was calculated using Spearman’s Rank Correlation of Co efficient formula. Non probability purposive sampling technique was used to select the sample for the study the final sample size was 100. Pilot study was conducted to find out the feasibility of the study. Data collected from the sample were analyzes by descriptive and inferential statistics. Result: The result study shows that 50% of the subject are having moderate perception followed by average perception 23.4% and bad perception for 7.3%. The majority 61.3% of subjects had high utilization of Anganwadi services followed by 12.1% of subjects had moderate utilization and there is no correlation between perception and utilisation and there is no association between scores on perception and utilization of Anganwadi services and demographic variables. Conclusion: The overall findings of the study revealed that majority of the mothers utilizing anganwadi services.

Research on Clinical Effect of Individual Health Education in Gynecological Nursing

Research on Clinical Effect of Individual Health Education in Gynecological Nursing

Construction and application of cluster nursing measures for urinary retention after gynecological tumor radical operation

Objective To develop cluster nursing measures for urinary retention after gynecological tumor radical operation, and explore the prevention methods of urinary retention after gynecological tumor radical operation. Methods We established a gynecological rehabilitation nursing team, retrieved domestic and foreign literature, conducted a Meta-analysis on the key measures to effectively treat urinary retention, and designed and developed a set of cluster nursing measures for urinary retention after radical gynecological tumor surgery. A controlled trail was conducted in this study. Totally 54 patients treated in the gynecological ward of the First Affiliated Hospital of Shenzhen University from January 2016 to June 2017 were selected as the control group, while another 52 patients treated from July 2017 to August 2018 were selected as the experimental group. Patients in the control group received routine gynecological nursing, while patients in the experimental group received cluster nursing based on routine nursing. Data were collected using an observation record form, which included observations of patients' practice and limb mobility effects. The execution time and frequency of urinary interruption training, pelvic floor muscle function training, ankle pump exercise and thoraco-abdominal gymnastics, and the reasons for not using them, drinking test at extubation and intermittent clean self catheterization (CISC) . Data were processed and analyzed using SPSS 21.0. Results One out of the 52 patients in the experimental group had urinary retention, accounting for an incidence rate of 1.92%, delayed extubation occurred in 2 cases, with a total complication rate of 5.77% (3/52) ; while 5 out of the 54 patients in the control group had urinary retention, accounting for an incidence rate of 9.26%, delayed extubation occurred in 6 cases, with a total complication rate of 20.37% (11/54) . There was a statistically significant difference in the incidence of complications between the two groups (P<0.05) . Conclusions The cluster nursing measures are a combination of multiple effective measures, and the clinical application results have shown that they can effective prevent the occurrence of urinary retention after gynecological tumor radical surgery. Key words: Gynecological oncology; Urinary retention; Cluster nursing; Meta-analysis

Experiences of gynecologic oncology nurses regarding caring behaviors: a hermeneutic phenomenological study

Purpose This study aims to explore the caring behaviors experiences of gynecologic oncology nurses. Methods This study was conducted with phenomenological hermeneutical approach. This study was carried out 14 nurses working on women with gynecologic cancer. Data were collected through individual interview method by using semi-structured interview guide. Data were analyzed using a phenomenological hermeneutical method. Results Caring behaviors experiences of gynecologic oncology nurses were explained by the themes “missed caring behaviors”, “transition from work-centered to care-centered approach”, and “transition to caring-healing approach”. The first theme, “missed caring behaviors” included two subthemes: “focusing on routines” and “superficial relationships”. The second theme, “transition from routine to care-centered” included three subthemes: “barrier perception”, “off the record” and “controlled attachment”. The last theme, “transition to caring-healing” consisted of the subthemes “ideal care conscience”, “presenting presence”, “looking through her window”, “healing with caring behaviors”. The main theme was reached as “caring behaviors: the focus of nursing”. Conclusion This study suggests that gynecologic oncology nurses need to adequately and efficiently improve on caring behaviors in an intense caring environment.

Study on Unsafe Factors of Obstetrics and Gynecology Nursing

Study on Unsafe Factors of Obstetrics and Gynecology Nursing

Perineal Travmayı Azaltmaya Yönelik Alternatif Yöntemler

Episiotomy, one of the causes of perineal trauma, is one of the world’s leading obstetric surgical practices that have increased significantly during the 20th century. The American Gynecology and Obstetric Union 2016 does not recommend the routine application of episiotomies during spontaneous vaginal deliveries and recommends it in cases where a rapid delivery of the fetus is required, in operative vaginal deliveries and in shoulder dystocia cases. In current studies, the episiotomy frequency in the world varies between 50% and 95% for nulliparas and 6-20% for multiparas. In our country, studies on the frequency of episiotomy are limited, but the application frequency of episiotomy is 90-99% for nulliparas and 50% -75% for multiparas in those studies. Today, much current evidence suggests that limited episiotomy is more protective than routine episiotomy in terms of perineal trauma. In this respect, there are various applications in the literature aimed at reducing the incidence of perineal trauma. These applications include perineal massage, warm application to the perineum, birth positions, hand maneuvers and push out. These methods are methods that reduce perineal trauma. The practitioners of these methods are midwives and obstetric and gynecological nurses who have a very important role and responsibility at/ during the vaginal birth. For this reason, this review study was carried out in order to increase the sensitivity to the subject and to guide health professionals by drawing attention to the alternative methods in order to reduce perineal traumas such as episiotomies and lacerations in accordance with the related current literature.

Türkiye de Hemşirelik Alanında Üriner İnkontinansla İlgili Yapılan Lisansüstü Tezlerin İncelenmesi

Purpose: This study aims at reviewing the master’s theses and doctoral dissertations on urinary incontinence in the field of nursing in Turkey. Method: The study sample consisted of master’s theses and doctoral dissertations registered in the National Thesis Center of the Council of Higher Education and finished between 2000 and 2016 in Obstetrics and Gynecology Nursing departments. “Urinary Incontinence” was used as a keyword in the study. Carried out with the retrospective descriptive literature research, the study consisted of 9 doctoral dissertations and 23 master’s theses. In the analysis of these data, it was summarized that data were classified into master’s theses or doctoral dissertations ; also, publication year, purpose, sample group, design then the results were summarized. Results: Twenty three master’s theses are reviewed; it is stated that 19 of them are descriptive, 4 of them are experimental. Nine doctoral dissertations are reviewed; it is stated that one of them is cross -sectional, 4 of them are descriptive, experimental or prospective and 4 of them are experimental. In the descriptive studies, the factors of women’s urinary incontinence prevalence are examined. In addition, urinary incontinence’s effects on life quality, social life, sexual health, religious life are examined and their relations with the depression are also estimated. It is stated that the urinary incontinence problem affects women’s life quality negatively, that they have some problems while performing religious practices . Conclusion: It is determined in these studies that urinary incontinence can be widely found in each and every age group of women and also it affects negatively women’s life quality. In the experimental studies, it is stated that pelvic floor muscle exercises increase pelvic floor muscle strength and it affect positively the women’s quality of life. It is suggested that nurses should conduct more experimental research related to the protection and cure of urinary incontinence which affects almost half of the women.

THE BREAST MILK SECREATION AND ITS ASSOCIATES AMONG POSTNATAL MOTHERS UNDERGONE LSCS AT MGMCRI PUDUCHERRY

15Oct 2019 THE BREAST MILK SECREATION AND ITS ASSOCIATES AMONG POSTNATAL MOTHERS UNDERGONE LSCS AT MGMCRI PUDUCHERRY. Vanitha N and Annie Annal.M. M.Sc (Obstetrical and Gynaecological Nursing),Tutor, College of Nursing, JIPMER, Puducherry. HOD Dept. Of Obstetrics and Gynaecological Nursing, Kasturba Gandhi Nursing College, Sri BalajiVidyapeeth, Pillaiyarkuppam, Puducherry.