Papers by Gehan R E F A T Hefnawy
Journal of Ecohumanism, 2024
The paper aims to find out how changes in climate change affect how people think and feel. This p... more The paper aims to find out how changes in climate change affect how people think and feel. This paper analyzes 1456 papers published in WOS data from 1964 to 2022 that assessed the impact of climate change on knowledge, attitudes, behaviour, and policy preferences. We used a comprehensive search technique to identify and analyze the articles. VOSviewer, Bibliometrics, and Biblioshiny from R were used in the bibliometric study to reveal new research trends in climate change.The results show five sub-fields of research in this area (climate change, global warming, uncertainty and policy, human activities, land usage, and risk assessment). Other topics comprise the study of trends in this discipline, such as systems, design, snow, river basins, and change impacts.Our analysis indicates several gaps and problems in the climate change literature. There is, for example, a scarcity of studies on climate justice and the social and political components of climate change. Additionally, many studies focus on wealthy countries, leaving out the effects of climate change on vulnerable populations in developing countries.We find that the research areas for climate change trends in those publications give a complete perspective of the climate change research landscape, which may be used to drive future research agendas and policy decisions, etc. Lastly, we suggest different directions that climate change research could go in the future. These include more collaborations between different fields, a stronger focus on the social and political aspects of climate change, and a stronger focus on how climate change affects vulnerable groups.
International Journal of Membrane Science and Technology,, 2023
Abstracts: High level of nurses' fear of getting infected with COVID–19 leads to increase distres... more Abstracts: High level of nurses' fear of getting infected with COVID–19 leads to increase distress, lower job
satisfaction, decreased health perceptions, and increased turnover intention. This study aims to compare the follow of
standard precautionary measures and level of fear of Saudi nurses in dialysis units from acquired COVID-19 infection,
before and after patients vaccination. Methods: descriptive cross-sectional study was used. Thirty-three Saudi nurses
from dialysis units in Sakaka city participated in our study. Study tools; demographic data, fear of COVID-19 Scale, and
questioner about '5 moments of hand washing, and wearing PPE. Results: The study found before vaccination, 54.5%
of nurses reported extreme fear of getting acquired COVID-19 infection while only 15.5% reported fear after vaccination.
There was a negative relationship between fear from infection and educational level, before and after vaccination. Also,
negative relation was found between level of fear and years of experience before vaccination while positive relation was
noted after vaccination. Conclusions: after vaccination the nurses' fear level decreased but still within normal level. Both
level of education and years of experience played a major role in nurses' fear levels, following hand hygiene, and
wearing PPE.
Keywords: COVID-19, Vaccination, Hand Hygiene, PPE, FCV-19S.
International Journal of Membrane Science and Technology
Abstracts: Objective: To assess the effects of nursing guidance about Venipuncture versus ordinar... more Abstracts: Objective: To assess the effects of nursing guidance about Venipuncture versus ordinary syringe, a
Comparative Study on Rates of phlebotomy hematoma. Background: In order to reducing the incidence of phlebotomy
hematoma, nurses should receive comprehensive training regarding appropriate blood sampling Study design and
methods: Pre-posttest, comparative study design using a quasi-experimental design for both groups. Setting: The
surgery departments at Assiut University Hospital. Subjects: There were 40 nurses in total coverage, and 100 randomly
selected patients underwent blood sample. The nurses and patients were split into two equal groups. Tools: (I): Patients'
assessment (personnel and clinical data), (II): Easy hematoma degree classification and (III) Nurses' awareness
questionnaire (demographic characteristics, knowledge, and observation checklist). Results: A statistically significant
difference the venipuncture and ordinary syringe groups regarding the rates of phlebotomy hematoma (wound quality of
life and wound healing) with a significant correlation between them. Moreover, a statistically significant difference
between nurses' knowledge and practice of applying the nursing guidance pre- and post-test. Conclusion: The nursing
guidance had a beneficial impact on nurses' knowledge and practice, and it improved the rates of phlebotomy
hematoma occurrence among patients who underwent venipuncture compared to the other group using an ordinary
syringe Implications for research, policy, and practice: Enhance nurses' knowledge and practice, offer ongoing
education and in-service training program to the surgery departments. Apply venipuncture to blood sampling to reduce
the risk of phlebotomy hematomas.
Keywords: Nursing Guidance, Ordinary Syringe, Phlebotomy Hematoma and Venipuncture.
The Journal of Health Care Organization, Provision, and Financing, 2023
Nursing leadership is critical in facilitating and improving nurse performance, which is essentia... more Nursing leadership is critical in facilitating and improving nurse performance, which is essential for providing quality care and ensuring patient safety. The aim of this study is to explore the relationship between nursing leadership and nurse performance by understanding the leadership behaviors and factors that motivate nurses to perform well. To study the factors that nurses believe motivate them to perform better, a systematic review was undertaken, correlating these factors to leadership behaviors/styles. The PRISMA guidelines were followed to identify relevant articles. After applying the selection criteria, 11 articles were included in the final analysis. Overall, 51 elements that influence nurses' motivation to perform better were found and categorized into 6 categories, including autonomy, competencies, relatedness, individual nursing characteristics, relationships and support, and leadership styles/practices. It has been discovered that both direct and indirect nursing leadership behaviors affect nurses' performance. A better understanding of the factors that motivate nurses to perform well and facilitating them in the work environment through leadership behaviors/styles can improve nurses' performance. There is a need to increase research on nurse leadership and nurses' performance in the current innovative and technologically integrated work environment to identify new factors of influence.
Journal of Pharmaceutical Negative Results , 2022
Context: Tonsillectomy is one of the most common childhood operations. Postoperative complication... more Context: Tonsillectomy is one of the most common childhood operations. Postoperative complications of tonsillectomy include pain, nausea and vomiting, interruption of oral intake, airway obstruction with respiratory compromise, and primary or secondary postoperative bleeding. Historically, honey has been used for wound control, reducing the inflammation, and healing acceleration. Aim: This study aimed to evaluate the effects of honey on reducing of postoperative pain and decreasing of analgesic dosage among tonsillectomy children 3-15 years old. Study Design: quasi-experimental study design was used. Materials and Methods: Forty patients were randomly divided in two equal groups. Control group were treated with traditional treatment (acetaminophen and antibiotic), while, case group were treated with (acetaminophen, antibiotic and 10 ml of pure honey every 8 hours). Data was gathered via interview of child relatives at the first day of operation than through telephone number the researcher fill questionnaire about pain score assess through Visual analogue scale (VAS) and number of painkiller taken through seven follow-up day. Statistical Analysis: Data was analyzed by SPSS 17 software and related tests. Results: Pain comparison between two groups illustrated that the average time required for pain relief in patients who received honey was less than the control. The pain intensity was higher during the first 7 days post-operatively in control group. Results also showed that acetaminophen consumption in patients who received honey is lower. Conclusion: Honey has positive effect in reducing post tonsillectomy pain, and decreasing analgesic dosage and it can be used as an adjunctive regimen after surgery for better pain control.
BIOSCIENCE RESEARCH, 2022
The nursing practice environment is a predominant factor that affects nurses’ decisions to quit o... more The nursing practice environment is a predominant factor that affects nurses’ decisions to quit or stay. Aim: to assess the
nurses' perception regarding the nursing practice environment and its effect on the intention to quit. Methods: It's a
descriptive correlational study design. The samples of the present study include [360] nurses from selected hospitals.
Three tools were used; namely, 1) A demographic sheet 2) A practice Environment Scale, and 3) An intention to quit
questionnaire. Results: The majority of the nurses perceptions are mixed concerning the practice environment (78.9%).
the highest percentage of nurses' perceive a better practice environment in El Rajehy hospital (46.7%), while, the lowest
percentage of them is in the main hospital (2.2%). About (67.5%) of the nurses had the intention to quit. Conclusion:
There was a negative correlation between the intention to quit and the total practice environment with highly statistically
significant differences (P. value <0.01).
Keywords: Nurses, Nurses intention to quit, Nursing practice environment, and Work environment
BIOSCIENCE RESEARCH, 2021
Background: Vitamin D deficiency is becoming a major silent problem worldwide and especially in S... more Background: Vitamin D deficiency is becoming a major silent problem worldwide and especially in Saudi Arabia. It is associated with several diseases, including bone diseases, Alzheimer's disease, cancers, heart disease, and other health problems. The presence of sufficient knowledge about this problem may lead to a decrease in its prevalence. This study aimed to assess and improve university students' knowledge and perception of vitamin D This Quiz experimental research design was conducted on the main campus of female students at Jouf University from January 2020 to March 2020. A total of 50 students from the preparatory level were sharing in our study according to their agreement. Socio-demographic information and assessment of students' knowledge & perception toward vitamin D were collected through pretest questioner sheets, they divided into (5 groups) for taking health education sessions then posttest applied for showing participants' improvement. Our study results indicated that students of Jouf university in preparatory level have low knowledge about vitamin D deficiency; risk people, causes, symptom, and complications (32%, 30%, 42%, and 20% respectively), safe dosage of the supplement, and complications of excess (98% and 88% respectively). While after participation in our health education program their knowledge and perception about vitamin D were improved with highly significant differences (P-value ≤ 0.05). The present education program was successful and fulfilling the aim of the study. We recommended additional programs in a different setting in the community for more benefit and for decreasing the hazards of Vitamin D deficiency.
International Medical Journal , 2020
Introduction: A novel human coronavirus is now called COVID-19 virus had not been detected before... more Introduction: A novel human coronavirus is now called COVID-19 virus had not been detected before. The outbreak reported in Wuhan, China, in December 2019. Aim of the study: To evaluate the Egyptians' knowledge, awareness and applications of infection control strategies toward coronavirus (COVID-19). Materials and Methods: A prospective study has conducted to evaluate the Egyptians' knowledge, awareness, and applications of strategies toward infection control of coronavirus (COVID-19). An electronic sheet consists of three parts was developed for gathering information about their socio-demographic data, their information about COVID-19, and their applications toward COVID-19 infection control. Results: The study results confirm that Egyptian had a satisfactory level of the overall knowledge about the nature of COVID-19 including causative agent, and signs of the disease while had bad of knowledge regarding rates of coronavirus transmission. Concerning their applications of infection control strategies, they reported good applications. Recommendations: Egyptian need more education about mode of transmissions and the scientific strategies for prevent of COVID-19 virus spread.
SYLWAN
Abstract
Background
An exact handover has great importance for the continuity and safety of patie... more Abstract
Background
An exact handover has great importance for the continuity and safety of patients care in
the health field. If handover information is not shared accurately and promptly it may
lead to worse effect, delays patients' treatment, diagnosis, and care. During the last
decade, the call for interventions to improve handover has increased to decrease the risk
of misunderstanding, miscommunication and the exclusion of critical information. This
study aimed to evaluate the quality and obstacles of the handover process in nursing
shifts.
Subject and Methods
A descriptive exploratory research design used in this study. The study was conducted
k8in intensive care units (ICUs) at Mansoura Emergency Hospital and Surgical units at
Mansoura University Hospital. A convenience sample of 80 nurses participated in this
study. Two tools were used, quality of handed over information and Nurses' practice
Observational checklist for the handover process.
Results
Ninety-five percent of the studied sample were female, 70% of them had a diploma
degree of nursing and more than two-thirds (70%) of nurses had years of experience
between 5 to 15 years. More than two-thirds (70%) of nurses conducted handover
process verbally via face to face method at the bedside. Comorbidities and allergies are
not conducted during the handover process while patient name, age, and investigations
received are conducted in 20% only. Plans for the next shift, information about the
problem anticipated is not included in all handover processes. Three-fourths of nurses
didn't discuss the possible risks and complications during their handover process. All
of the handover processes (100%) did not follow a logical structure.
Recommendations
Nursing staff needs interventional programs to improve their oral handover process in
addition, to learn them about the various style of handover.
Keywords; Handover, Styles, Benefit, Nursing, shift work.
BIOSCIENCE RESEARCH, 2020
Although end-stage renal disease and its treatments causes a variety of physical, psychosocial, c... more Although end-stage renal disease and its treatments causes a variety of physical, psychosocial, cultural, and spiritual burden for both patients and families, few studies estimated it. The current study aimed to evaluate the frequency of physical, and Psychosocial disorders in ESRF elderly patients. It's a descriptive cross-sectional study carried out in Dialysis units of El-Minia City in Egypt. One hundred and fifty-two patients shared in the study. It was found that 80.3% of the sample can't do an activity of daily living without assistance, 77.6% had shortness of breath, 40% had general weakness and 23% had general edema. Regarding psychosocial status, 77.6% of patients prefer isolation, 80% of them were sad and 46% refused communication with the health team. There are negative relations noted between duration of end stage renal failure disease and acceptance of disease while positive relation noted between duration of end stage renal failure and the following, isolation, social family relation, and feeling of weakness. Also, There are positive relations between duration of dialysis sessions and both isolation and weakness. Elderly patients with end stage renal failure were suffering from major physical and psychological disturbances related to aging, chronic diseases and on the other hand failure of disease coping. So, those fragile categories needs more specific programs for learning them and their families different aspect of coping mechanisms for dealing with physical and psychosocial burden associated with renal failure.
Indian Journal of Public Health Research & Development, 2019
This study aimed to assess Egyptian elder's nutritional status and determined effect of chronic d... more This study aimed to assess Egyptian elder's nutritional status and determined effect of chronic diseases on elder's nutritional status. Tools of the study; (1) Socio-demographic & medical data, (2) assessment of the top ten chronic diseases among Egyptian elders, and (3) Mini-Nutritional Assessment (MNA®) screening tool. It's a prospective, cross-sectional study. The studied sample was 345 Egyptian elders. According sample age (M± SD = 68.06 ± 7.708). They live in the Beni-Suef governorate. The results mentioned that thirty-nine percent of subjects were less than 75Yrs, sixty-two had one chronic disease or more. Twenty percent had hypertension while 0.6% had Alzheimer's disease. The study shows more than one-third (39.1%) of elders were at risk of malnutrition while about one-quarter (22.9%) were malnourished. There aren't statistically significant differences between age and nutritional status (P-Value ˃ 0.005). While there is a positive relationship between the presence of chronic diseases in Egyptian elders and their risk of malnutrition with statistically significant differences (P-Value ≤ 0.005). Egyptian elderly had unsatisfactory nutritional status, they need an educational program about therapeutic nutrition according to their health conditions
International Journal of Novel Research in Healthcare and Nursing, 2018
bstract: Quantifying risky people for diabetes mellitus is important to allow for rational planni... more bstract: Quantifying risky people for diabetes mellitus is important to allow for rational planning for delaying of
the onset of the disease. Therefore, we designed this study to identify people at risk for developing Type 2 diabetes
mellitus as a key strategy in prevention or delaying onset of diabetes among Saudi population. Subject and
Method; one hundred and six Saudi men and women (20 - ≥ 65 Yrs.) live in Skaka City share into this cross -
sectional pilot study as a convenient sample from Saudi community. Two tools used into this study, Sociodemographic and Type 2 Diabetes Risk Assessment Form. Results; The study results estimated that more than one
third of the studied sample (36.80%) had moderate risk of diabetes, about one third had high risk of diabetes
(34.00%), and only 13.20% had low risk of diabetes. There are statistically significant differences between age, sex,
level of education and risk of diabetes. Conclusion/ Interpretation; Saudi nation at risk for diabetes mellitus. They
need life modifications. Women and men of all ages should avoid becoming overweight. They should maintain a
moderate level of physical activity, avoid smoking, avoid stress, take vegetable and fruits daily, decrease sweets,
sugars, and fatty diet.
Keywords: Diabetes Mellitus, Risk, Saudi, Prevalence, recommendations.
Journal of Health, Medicine and Nursing, 2017
Abstract
Critically ill patients are at high risk for pressure ulcers. Prevalence differs based o... more Abstract
Critically ill patients are at high risk for pressure ulcers. Prevalence differs based on settings but is 25% on the
average. Cost of its treatment is two and a half times the cost of preventing them. Its development is an index of
poor Nursing care. Nursing remains at the forefront of protecting and safeguarding the patient from pressure
ulcers. Successful prevention of pressure ulcers requires that caregivers have adequate knowledge of this
complication and preventive practice measures. This study describe the prevalence of pressure ulcers among
inpatients of ICU and CCU departments, assess intensive care nurses’ knowledge and practice about pressure
ulcers management and the impact of an educational program on knowledge and practice. An experimental
research design was adopted to conduct the study on (39) nurses working in Intensive Care Units of Prince
Miteb Bin Abdulaziz Hospital, Sakaka City, Saudi Arabia. Two tools were used for data collection: Knowledge
questionnaire sheet and observation checklist. Completion of the educational program resulted in improved
levels of nurses' knowledge and practice regarding PU management. Findings of the present study suggest
continued nursing education for the enrichment of nurses' knowledge and augmenting their practices about
identification, prevention and management of pressure ulcer is effective in minimizing pressure ulcer for
immobilized patients.
Keywords: key words, Nurses’ Knowledge, Nurses’ Practice, Pressure Ulcer Prevention, educational programs
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Papers by Gehan R E F A T Hefnawy
satisfaction, decreased health perceptions, and increased turnover intention. This study aims to compare the follow of
standard precautionary measures and level of fear of Saudi nurses in dialysis units from acquired COVID-19 infection,
before and after patients vaccination. Methods: descriptive cross-sectional study was used. Thirty-three Saudi nurses
from dialysis units in Sakaka city participated in our study. Study tools; demographic data, fear of COVID-19 Scale, and
questioner about '5 moments of hand washing, and wearing PPE. Results: The study found before vaccination, 54.5%
of nurses reported extreme fear of getting acquired COVID-19 infection while only 15.5% reported fear after vaccination.
There was a negative relationship between fear from infection and educational level, before and after vaccination. Also,
negative relation was found between level of fear and years of experience before vaccination while positive relation was
noted after vaccination. Conclusions: after vaccination the nurses' fear level decreased but still within normal level. Both
level of education and years of experience played a major role in nurses' fear levels, following hand hygiene, and
wearing PPE.
Keywords: COVID-19, Vaccination, Hand Hygiene, PPE, FCV-19S.
Comparative Study on Rates of phlebotomy hematoma. Background: In order to reducing the incidence of phlebotomy
hematoma, nurses should receive comprehensive training regarding appropriate blood sampling Study design and
methods: Pre-posttest, comparative study design using a quasi-experimental design for both groups. Setting: The
surgery departments at Assiut University Hospital. Subjects: There were 40 nurses in total coverage, and 100 randomly
selected patients underwent blood sample. The nurses and patients were split into two equal groups. Tools: (I): Patients'
assessment (personnel and clinical data), (II): Easy hematoma degree classification and (III) Nurses' awareness
questionnaire (demographic characteristics, knowledge, and observation checklist). Results: A statistically significant
difference the venipuncture and ordinary syringe groups regarding the rates of phlebotomy hematoma (wound quality of
life and wound healing) with a significant correlation between them. Moreover, a statistically significant difference
between nurses' knowledge and practice of applying the nursing guidance pre- and post-test. Conclusion: The nursing
guidance had a beneficial impact on nurses' knowledge and practice, and it improved the rates of phlebotomy
hematoma occurrence among patients who underwent venipuncture compared to the other group using an ordinary
syringe Implications for research, policy, and practice: Enhance nurses' knowledge and practice, offer ongoing
education and in-service training program to the surgery departments. Apply venipuncture to blood sampling to reduce
the risk of phlebotomy hematomas.
Keywords: Nursing Guidance, Ordinary Syringe, Phlebotomy Hematoma and Venipuncture.
nurses' perception regarding the nursing practice environment and its effect on the intention to quit. Methods: It's a
descriptive correlational study design. The samples of the present study include [360] nurses from selected hospitals.
Three tools were used; namely, 1) A demographic sheet 2) A practice Environment Scale, and 3) An intention to quit
questionnaire. Results: The majority of the nurses perceptions are mixed concerning the practice environment (78.9%).
the highest percentage of nurses' perceive a better practice environment in El Rajehy hospital (46.7%), while, the lowest
percentage of them is in the main hospital (2.2%). About (67.5%) of the nurses had the intention to quit. Conclusion:
There was a negative correlation between the intention to quit and the total practice environment with highly statistically
significant differences (P. value <0.01).
Keywords: Nurses, Nurses intention to quit, Nursing practice environment, and Work environment
Background
An exact handover has great importance for the continuity and safety of patients care in
the health field. If handover information is not shared accurately and promptly it may
lead to worse effect, delays patients' treatment, diagnosis, and care. During the last
decade, the call for interventions to improve handover has increased to decrease the risk
of misunderstanding, miscommunication and the exclusion of critical information. This
study aimed to evaluate the quality and obstacles of the handover process in nursing
shifts.
Subject and Methods
A descriptive exploratory research design used in this study. The study was conducted
k8in intensive care units (ICUs) at Mansoura Emergency Hospital and Surgical units at
Mansoura University Hospital. A convenience sample of 80 nurses participated in this
study. Two tools were used, quality of handed over information and Nurses' practice
Observational checklist for the handover process.
Results
Ninety-five percent of the studied sample were female, 70% of them had a diploma
degree of nursing and more than two-thirds (70%) of nurses had years of experience
between 5 to 15 years. More than two-thirds (70%) of nurses conducted handover
process verbally via face to face method at the bedside. Comorbidities and allergies are
not conducted during the handover process while patient name, age, and investigations
received are conducted in 20% only. Plans for the next shift, information about the
problem anticipated is not included in all handover processes. Three-fourths of nurses
didn't discuss the possible risks and complications during their handover process. All
of the handover processes (100%) did not follow a logical structure.
Recommendations
Nursing staff needs interventional programs to improve their oral handover process in
addition, to learn them about the various style of handover.
Keywords; Handover, Styles, Benefit, Nursing, shift work.
the onset of the disease. Therefore, we designed this study to identify people at risk for developing Type 2 diabetes
mellitus as a key strategy in prevention or delaying onset of diabetes among Saudi population. Subject and
Method; one hundred and six Saudi men and women (20 - ≥ 65 Yrs.) live in Skaka City share into this cross -
sectional pilot study as a convenient sample from Saudi community. Two tools used into this study, Sociodemographic and Type 2 Diabetes Risk Assessment Form. Results; The study results estimated that more than one
third of the studied sample (36.80%) had moderate risk of diabetes, about one third had high risk of diabetes
(34.00%), and only 13.20% had low risk of diabetes. There are statistically significant differences between age, sex,
level of education and risk of diabetes. Conclusion/ Interpretation; Saudi nation at risk for diabetes mellitus. They
need life modifications. Women and men of all ages should avoid becoming overweight. They should maintain a
moderate level of physical activity, avoid smoking, avoid stress, take vegetable and fruits daily, decrease sweets,
sugars, and fatty diet.
Keywords: Diabetes Mellitus, Risk, Saudi, Prevalence, recommendations.
Critically ill patients are at high risk for pressure ulcers. Prevalence differs based on settings but is 25% on the
average. Cost of its treatment is two and a half times the cost of preventing them. Its development is an index of
poor Nursing care. Nursing remains at the forefront of protecting and safeguarding the patient from pressure
ulcers. Successful prevention of pressure ulcers requires that caregivers have adequate knowledge of this
complication and preventive practice measures. This study describe the prevalence of pressure ulcers among
inpatients of ICU and CCU departments, assess intensive care nurses’ knowledge and practice about pressure
ulcers management and the impact of an educational program on knowledge and practice. An experimental
research design was adopted to conduct the study on (39) nurses working in Intensive Care Units of Prince
Miteb Bin Abdulaziz Hospital, Sakaka City, Saudi Arabia. Two tools were used for data collection: Knowledge
questionnaire sheet and observation checklist. Completion of the educational program resulted in improved
levels of nurses' knowledge and practice regarding PU management. Findings of the present study suggest
continued nursing education for the enrichment of nurses' knowledge and augmenting their practices about
identification, prevention and management of pressure ulcer is effective in minimizing pressure ulcer for
immobilized patients.
Keywords: key words, Nurses’ Knowledge, Nurses’ Practice, Pressure Ulcer Prevention, educational programs