bluuebunny/crossref_metadata_2025_split huggingface dataset:
Nurses’ perception toward workplace bullying and its relation to work burnout
Authors: Gabr Neama M. , El-Molla Magda A. , Mohamed Nadia T. 
Published: January 2024

BackgroundWorkplace bullying is a social and organizational problem within the health care organizations systems, it has several adverse effects and is closely associated with nurses’ work burnout. Bullying and burnout have the potential to negatively influence staff nurses both at their work and in their everyday lives.AimThe current study aimed to explore staff nurses’ perception toward workplace bullying and its relation to their work burnout at Beni Suef University Hospital.Research designA descriptive correlational design was used in the study.SettingThe study was conducted at Beni Suef University Hospital.SampleA Convenience sample (n=250) of staff nurses who accepted to participate in the study.ToolsTwo tools were utilized to collect data: 1) the workplace bullying scale; 2) the work burnout scale.ResultsThe results of the present study showed that the majority (80.99%) of the staff nurses were highly perceived of workplace bullying, and the majority (86.75%) of them were victims of work-related bullying, with more than two −third (69.6%) of them perceived that they sometimes had exposed to an unmanageable workload and more than half (52.4%) of them sometimes had exposed to excessive monitoring of their work. Also, the results indicated that the majority (72.56%) of staff nurses had highly perceived work burnout, with the 20.61±4.18 majority (76.41%) of them were victims of work-related- burnout, with more than two −third (62.8%) of them perceived that they always feel used up at the end of the workday and there was a highly statistically significant positive correlation between all domains of workplace bullying and work burnout.ConclusionThe study findings concluded that staff nurses highly perceived of work place bullying and work burnout and there was a statistically highly significant positive correlation between staff nurses perception of work place bullying and their work burnout.RecommendationsThe administrators and supervisors should enhance healthy work environment which involved with justice, fairness, developing positive work culture that requires effective communication and respect between staff and others, develop internal formal procedure for reporting and investigating bullying and develop training programs for workplace bullying concept and management and encourage nurses to report incidents of bullying.
Technical nurses’ perception of work environment factors that affect their performance
Authors: Abdou Fatma F. , El Mola Magda A. , Elewa Amal H. 
Published: January 2024

Background
Performance is important for organizations as employee performance leads to task success also it is important for individual success and satisfaction. The performance of the nurses is especially important in accomplishing health care in continuous and effective way, also there is strong relationship between technical nurses’ performance and their work environment factors.

Aim
The study aimed to assess technical nurses’ perception of work environment factors that affect their performance.

Design
A descriptive exploratory research design was utilized.

Setting
Study was conducted at National Cancer Institute which is affiliated with Cairo University hospitals.

Sample
Convenience sample (n=96) of technical nurses was used.

Tool
One tool was used (work environment factors questionnaire) it composed of eight domains (68 items).

Result
The highest percentage of technical nurses highly perceived that environmental factors domains had extensive effect on their performance (83.3%). Added that (90.3% & 87.7%), respectively had the highest perception regarding availability of job aids and adequate resources and collegial nurse and other health team members’ relations domains. There was no statistical significant relation between work environment factors that affect technical nurses’ performance and their personal characteristics.

Conclusion
The study concluded that the highest percentage of staff nurses highly perceived that environmental factors domains had extensive effect on their performance added that most of them had the highest perception regarding availability of job aids and adequate resources and collegial nurse and other health team members relations domains. There was no statistical significant relation between work environment domains and nurses’ personal characteristics, workplace, years of experience and continuous education in oncology nursing.

Recommendation
Administrators must support nurses with a well-structured work environment, Nurse unit managers should ensure the availability and dissemination of guidelines, standards, policy, and procedures to achieve organizational objectives and nurse unit managers should support nurses with the establishment of a suitable, collaborative, and safe work environment.
Pregnancy and neonatal outcomes of women with coronavirus disease 2019: hospitals registry based study
Authors: Ahmed Zeinab Nageh , El Sayed Yousria A. , Hassan Shadia Abd Elkader 
Published: January 2024

Background
Coronavirus disease (COVID-19) is an infectious disease caused by the severe acute respiratory syndrome. Several reports highlighted the risk of infection with COVID-19 in pregnant women and neonate.

Aim
The aim of this study was of two folds: to identify the maternal, perinatal and neonatal outcomes for pregnant women with COVID-19 in study sample and explore the experience of women who were infected by COVID-19 during pregnancy about the illness process as well as maternal fears and concerns about their condition and the wellbeing of their unborn/newborn babies.

Design
Methodological triangulation approach was carried out to achieve the purpose of this study.

Sample
A total of 100 pregnant women were recruited from medical health records throughout one year.

Setting
The current study was conducted in isolation hospitals and home visits at Beni Suef governorate.

Tools
Two tools were utilized; (A) case record tool; (b) unstructured interview of open ended questions.

Results
The study findings reported that, preterm labor occurred in 41% of pregnant women, ICU admission and poor placental perfusion occurred in 26%, premature rupture of membrane occurred in 19% of pregnant women, respiratory failure and maternal death occurred in 16.1% of pregnant women. For neonatal outcomes; gestational age less than 37 weeks was showed in 52% of neonates, low birth weight was showed in 39% of neonates, 30% of neonates admitted to NICU, only one newborn experienced with COVID-19 infection, neonatal death occurred in 13% of neonates. As a result of the content analysis of the interviews with recovered women, the major themes that were emerged; Response to diagnosis with COVID-19 such as denial of the diagnosis, uncertainty, and some participant accepted the diagnosis. The experience of isolation such sadness, extreme longlines and fear, Challenges of the disease in health care delivery system such as scant medical supplies and overcrowding in the hospitals.

Conclusion
COVID-19 is associated with a high prevalence of adverse maternal and neonatal outcomes also COVID-19 infection has a negative emotional effect on pregnant women.

Recommendation
Developing COVID-19 treatment guidelines to provide clinicians with guidance on caring for pregnant women with COVID-19.
Outcomes of nursing monitoring for pregnant women under tocolytic therapies: a comparative study
Authors: El Megeed Salwa A. , Esawi Abeer S. , Azzam Hanan F. 
Published: January 2024

Background
Preterm birth (PTB) is the most common cause of neonatal morbidity and mortality worldwide. Tocolytic drugs had not been shown to improve fetal outcome, but were used to postpone delivery for 48 h to allow for maximal effect of parenteral steroids administered to the mother. The aim of the current study was to evaluate the outcomes of nursing monitoring for the pregnant mother under tocolytic therapy.

Design
An observational, comparative design was used to achieve the aim of the study.

Setting
The study was conducted at El Manial University Hosbital and El Galaa Maternity Teaching Hospital.

Sample
A convenience sample collected throughout one year of 30 preterm pregnant mothers under tocolytic therapy in each hospital.

Tools
Four tools were used: tool (1) Structured interviewing questionnaire, (2) Tocolytic monitoring, (3) Partograph, and (4) Apgar score.

Result
The study findings showed that 53.4% of mothers in group A as compared with 63.3% in group B received Epilate as a tocolytic agent. It shows that there were no statistically significant differences among both groups related to mean frequency of uterine contractions and mean duration of U.C, P=(0.329 and 0.189, respectively). It also shows that the side effects of tocolytic drugs in the first 24 h were dizziness, headache, tachycardia, and hypotension in group A (3.3%, 10%, 3.3%, and 6.7, respectively) as compared with (0%, 6.7%, 0%, and 10%, respectively). While only one 3.3% mother in group A had a fetus with bradycardia as a side effect of tocolytic drugs. In all, 93% and 96.7% of mothers in both groups had inhibition of uterine contractions and prolonged their pregnancy for 24 h.

Conclusion
Based on the results of this study, it could be concluded that tocolytic agents that were administered for 48 h reduced the uterine contractions and increased the period of pregnancy for preterm pregnant mother and improved neonatal outcomes by giving corticosteroids, but they had minimal side effects that occurred for mother and fetus in both groups.

Recommendation
(1) Close monitoring for all preterm pregnant women who are under tocolytic agents, (2) the newborn for women under tocolytic agents should be under close monitoring, and (3) provide education in the same strain to all nurses working in the maternity hospital with regard to care of women under tocolytic agents.
Relationship between workplace structural empowerment and spirit of nurses at work in selected hospitals in Cairo
Authors: Sayed Faten M.F. , Fekry Nehad E.-E. 
Published: January 2024

Background
Structural empowerment is the presence of social structures in the workplace that enable employees to accomplish their work in meaningful ways.

Aim
The study aimed to determine the relationship between workplace structural empowerment and spirit of nurses at work in selected hospitals in Cairo.

Design
A descriptive correlational design was used.

Setting
The study was conducted at five hospitals representing different health care sectors.

Sample
A convenient sample of 470 consenting staff nurses was included in the study.

Tools
Two data collection tools were used: the Conditions of Work Effectiveness Questionnaire II tool and the Spirit at Work Measurement Scale.

Results
The findings revealed that nurses in the selected hospitals in Cairo had moderate access to workplace empowerment structures and a high level of spirit at work.

Conclusion
The result indicated a strong, positive, and statistically significant relationship between workplace empowerment and nurse’s spirit at work.

Recommendations
Spirit at work in health care settings is still in its embryonic stage and requires much empirical and theoretical research.
Impact of organizational empowerment on staff nurses’ perception of job crafting behaviors
Authors: Mohamed Aya Mohamed Farouk , Wahab Eglal Ahmed Abdel , Mostafa Mohamed Gamal 
Published: January 2024

BackgroundNowadays, empowerment is essential for the age of technological advances and competition. Being empowered is crucial for nurses since it is believed that providing high-quality care is strongly correlated with having empowered staff nurses who can affect their jobs in ways that facilitate job crafting behaviors. The study aimed to explore the Impact of organizational empowerment on staff nurses’ perception of job crafting behaviors.Study designA descriptive correlational design was utilized.SampleA convenience sample of 267 staff nurses was included.SettingThis study was conducted at New Kaser El-Aini Teaching Hospital.ToolsThree tools were used to collect the study data as follows: (a) staff nurses personal and work-related data tool, (b) organizational empowerment tool, and (c) job crafting behaviors tool.ResultsThe main findings showed that the staff nurses had perceived high level of organizational empowerment (75.70%) and high level of job crafting behaviors (75.35%). Additionally, the findings revealed a highly statistically significant effect of organizational empowerment on job crafting behaviors (P=0.000).ConclusionThere was a highly positive statistically significant correlation between staff nurses’ perception of organizational empowerment and job crafting behaviors and a highly positive effect of organizational empowerment on staff nurses’ perception of job crafting behaviors.RecommendationsA management strategy that addresses appropriate use of job crafting behaviors should be implemented. Additionally, a create a favorable and motivating environment for staff nurses to encourage job crafting behaviors.
Drug Induced Liver Injury: A Descriptive Analyses of Histopathological Patterns and Clinical Outcomes
Authors: Venkataswamy Chaitra , Thomas Eliz , Kartikayan R. K. 
Published: January 2024

Abstract

Background:
Given the increased use of complementary and alternative medicine along with over-the-counter drugs, drug-induced liver injury (DILI) has become relatively common and a differential diagnosis for every other patient who presents with a deranged liver function test. As no specific markers or diagnostic tests exist to confirm DILI, it is a diagnosis of exclusion. Liver biopsy is a valuable tool for evaluating patients with clinical suspicion of DILI. However, there are limited published data describing histopathological diagnoses in DILI and their clinical outcomes in the Asian subcontinent.

Materials and Methods:
In this 2-year retrospective study conducted between January 2020 and December 2022, records of 34 DILI patients were evaluated. The histological patterns of injury and liver functions (total bilirubin and liver enzymes) were described and the corresponding clinical outcomes were assessed.

Results:
All the included cases had elevated liver enzymes. The most common histopathological pattern in DILI was cholestatic hepatitis (n = 14, 41.0%). Eosinophilic prominence and inflammation around the portal tract were seen in majority of the cases (n = 25, 73.5%). A few cases had fibrosis as well (n = 12, 35.0%). The most common drug associated with liver injury was herbal/traditional medicines (n = 17, 50.0%).

Conclusion:
Certain histopathological “clues” can help the pathologist suspect a DILI diagnosis. The main findings associated with DILI are cholestatic hepatitis, lobular disarray, inflammation, and necrosis. Correlation with clinical history and biochemical parameters will help in clinching the diagnosis.
The Efficacy of Fingolimod and Interferons in Controlling Disability and Relapse Rate in Patients with Multiple Sclerosis: A Systematic Review and Meta-Analysis
Authors: Shaygannejad Vahid , Mirmosayyeb Omid , Bagherieh Sara , Shaygan Parisa , Ghajarzadeh Mahsa 
Published: January 2024

Abstract

Background:
Fingolimod and interferons are used in the relapse form of multiple sclerosis (MS). The goal of this systematic review and meta-analysis was to evaluate the efficacy of fingolimod versus interferon in patients with MS. The systematic search was done in PubMed, Scopus, Embase, Web of Science, and Google Scholar.

Methods:
The references of included studies as well as conference abstracts were searched up to July 2021. The literature search revealed 8211 articles, and after deleting duplicates 5594 remained. For the meta-analysis, four studies were included. The standardized mean difference (SMD) of the Expanded Disability Status Scale (EDSS) after treatment (interferon vs fingolimod) was −0.06 (95% CI: −0.28, 0.17) (I2 = 80.2%, P = 0.002).

Results:
The SMD of the annual relapse rate (ARR) after treatment (interferon – fingolimod) was −0.08 (95% CI: −0.53, 0.36) (I2 = 95.5%, P < 0.001). The SMD of the ARR after treatment and before treatment in the interferon group was − 1.45, (95% CI: −1.55, −1.36) (I2 = 0, P = 0.3). The SMD of ARR after treatment and before treatment in the fingolimod group was − 1.3, (95% CI: −1.94, −0.65) (I2 = 97.4%, P < 0.001). Conclusions: The results of this systematic review show that efficacy of interferon and fingolimod in controlling relapse rate and disability is similar.
Overuse of Antibiotics: Who is to Blame? A Qualitative Study
Authors: Nokhodian Zary , Boroumandfar Zahra , Rostami Soodabeh , Ataei Behrooz 
Published: January 2024

Abstract

Background:
The irrational use of antibiotics seriously threatens global health. Clinicians undoubtedly play an essential role in consuming antibiotics in hospitals and communities, and their attitudes may help the health system’s optimal treatment of antibiotics. In this study, we reported clinicians’ experiences with antibiotics used in Isfahan, Iran.

Methods:
In a qualitative study conducted from October 2020 to March 2021, the experiences of 13 clinicians with different clinical specialties were collected through one-to-one interviews. Participants were selected through purposive sampling until data saturation; data collection was conducted through semi-structured interviews. Conventional content analysis was used to analyze the transcribed interviews. The main category was recognized and subcategorized and coded by three researchers.

Results:
Eight women and five men with a mean work experience of 12.54 ± 10.047 years participated in the study. All of them worried about the overuse of antibiotics and antibiotic resistance. Clinicians believe that the antimicrobial stewardship committee is not active in our country. Laboratory challenges, healthcare providers, the poor performance of the health system, and marketing and business were the main categories of the study. Subcategrories of main categories included inefficiency in the function of laboratories, harmful profit, challenges in medical education, ups and downs of disease treatment, the unacceptable performance of hospitals, failure to upgrade the health system, threats and opportunities, and jobbery.

Conclusions:
The participants of this study believed that excessive use of antibiotics is a serious challenge in our country. Physicians were concerned about antibiotic resistance and believed that the pattern of antibiotic resistance was not routinely reported. Therefore, in our region, we should make more efforts to collect data in this field and provide this information to physicians. Also, this study confirmed many obstacles to implementing the antimicrobial stewardship program, and the infrastructure needs strengthening. There is also a need for cultural changes and the views of physicians.
Short-term Pulmonary Rehabilitation after Recovering from Severe COVID-19
Authors: Hashemi Marzieh , Atashi Vajihe , Haghighat Shila , Sadegh Raheleh , Sami Ramin 
Published: January 2024

Abstract

Background:
Patients with severe COVID-19 suffer from various problems such as impaired lung function, decreased exercise capacity, mental disorders, and reduced quality of life. This study aimed to evaluate the effectiveness of short-term pulmonary rehabilitation in patients recovering from severe COVID-19.

Methods:
The present study was a retrospective cohort study. This study was conducted in 2021 on 92 patients with severe COVID-19 who met the inclusion criteria. Inter-professional pulmonary rehabilitation sessions were performed for 3 weeks, twice a week (six sessions in total), for this group of patients, which included physical exercises, educational activities, and other health-related services (counseling and psychotherapy). Outcomes assessed included a 6-min walk test, the score of the Hospital Anxiety and Depression Scale, and the SF-12 Quality of Life Questionnaire, which were completed before and after pulmonary rehabilitation. Data analysis was performed using analytical and descriptive statistics.

Results:
The statistical analyses showed that 60.86% of patients participating in the study were male and 39.14% were female, and the mean age of patients was 54.9 ± 12.3 years. The findings also showed that the average distance traveled in the 6-min walk test before pulmonary rehabilitation was 289.2174 ± 130.5 m; however, after the intervention, this rate reached 343.0870 ± 103.5 m, which demonstrated a statistically significant difference (P = 0.00). Also, significant changes were observed in anxiety and depression, the ability to perform daily activities, and the physical health of patients before and after the intervention (P < 0.05).

Conclusions:
Short-term pulmonary rehabilitation is a safe and useful treatment without side effects that can be effective in reducing anxiety and depression, increasing the ability to perform daily activities and exercise capacity, and consequently, improving the quality of life of patients recovering from severe COVID-19.
Pathological Distribution of Lateral Neck Tumors – A Radiological Evaluation
Authors: Majumder Debadatta , Chowdhury Bonapart 
Published: January 2024

Background:
The head and neck constitute a broad anatomic region, which encompasses many aero digestive, salivary gland, lymphatic, endocrine, nervous, and vascular structures. A substantial number of the pathologic conditions affecting these organ systems are accessible to ultrasound imaging. In combination with fine-needle aspiration cytology (FNAC), ultrasonography (USG) remains an indispensable tool for the clinician who works in this clinical arena.

Aim:
In view of the above, this study was undertaken to analyze the pathological distribution of lateral neck tumors by ultrasonographic evaluation taking FNAC examination as the gold standard.

Methods:
A prospective, cross-sectional prevalence study was conducted in a medical college and hospital in a rural setup in West Bengal, India, among patients attending the radiology outpatient department with lateral neck tumors. After estimating the sample size, 110 patients were included in this study. All the selected patients underwent USG evaluation, followed by FNAC. Both the USG and FNAC data were collected, tabulated, compared, and analyzed.

Results:
The overall frequency of lateral neck masses was more in males (60%) compared to females (40%). In the present study, a majority of the cases were neck nodes in the jugulodigastric chain. Out of these lymph nodes, the predominant pathology was tubercular lymph nodes (TBLN) with 52.81% relative frequency.

Conclusion:
This study has concluded that TBLN are the most common lateral neck tumors followed by metastatic neck nodes.