COVID 19 Preventive Measures Among Mansoura Nursing Students

Study Overview
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Brief Summary
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This study aims to identify nursing students knowledge gaps, risk perceptions and adherence to COVID 19 preventive measures during written exam period and In addition due to the possibility of being infected with COVID-19 during exams this study will evaluate covid-19 symptoms rate during exam period and factors affecting its development .

Detailed Description
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As of june,27,2020, Egypt lift most COVID-19 restrictions and government decided to held written exams for final year students with precautionary measures. Students reported fears regarding the possibility of being infected during exams period and want to postpone or cancel exams due to possible contact during transportation and meeting in classes. Education have been provided to population in general and students in special through social media, social networks, community leaders to take precautionary measures during exams. Studies provide support for the notion of increased vulnerability to respiratory tract infections with exposure to psychological stress . one of specific stress is Academic Exam stress that has been linked with immuno-suppression. Exams are stressful experience and a place for student gathering , moreover there is no research about adherence level or factors affecting adherence to COVID-19 precautions among nursing students during exam period. Nursing students are future professionals who can address new emerging infectious diseases. the study aims to analyze students adherence to COVID 19 preventive measures and to to identify the knowledge gaps, risk perceptions and factors affecting students adherence which could guide the design of better nursing education curricula regarding COVID-19 as a preparation for final year nursing students to internship year which will be on September 2020 . In addition due to the possibility of being infected with COVID-19 during exams or during their internship year this study will evaluate covid-19 symptoms rate during exam period and factors affecting its development .

Official Title
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Adherence of Nursing Students to Preventive Measures Towards Coronavirus Disease 19 During Written Exams

Conditions
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Covid19

Participation Criteria
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Eligibility Criteria
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Inclusion Criteria: Students who agree to participate. Students of both gender . Students who have access to internet and have whatsapp account Exclusion Criteria: Students diagnosed with COVID-19 before.
Sexes Eligible for Study
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All

Study Plan
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How is the study designed?
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What is the study measuring?
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Primary Outcome Measures

| Outcome Measure | Measure Description | Time Frame |
| --- | --- | --- |
| adherence level to coronavirus disease 19 preventive measures among nursing students during written exams. | an online questionnaire consists of six sections as following (hand hygiene practices, social distancing, respiratory hygiene, social distancing, cleaning and disinfection and nurse role model. Each item will be answered as always or sometimes or  rarely or never . | from 15\7\2020 to 1\8\2020 | 
| number of students who develop possible covid-19 symptoms during written exams | Online questionnaire will be sent to students every 2 weeks for 6 weeks (during and after exam period by two weeks )asking about the appearance of new symptoms of COVID-19 including ( fever, dry cough, shortness of breath, new loss of taste or smell, muscle pain, …) every two weeks. | longitudinal over 6 weeks from 15\7\2020 to 30\8\2020 | 
| Eye,nose,mouth,Face and mask touch frequency during written exams | students will be videotaped during exams and analyzed using observational checklist for hand to eye , nose, mouth, mask and face touch frequency | from 15\7\2020 to 1\8\2020 | 

Secondary Outcome Measures

| Outcome Measure | Measure Description | Time Frame |
| --- | --- | --- |
| nursing students knowledge level of COVID 19 | A correct answer will be scored (1) while incorrect or missed answer will be scored (0). The level of knowledge will be considered poor if the percentage mean score is less than 50%, fair if from 50 to less than 75%, and good if more than or equal 75% . | from 15\7\2020 to 30\8\2020 | 
| COVID 19 risk perception level among nursing students undergoing written exams | Each item will be answered as no (0) or not sure (1) or yes (2). A high score meant a high risk perception. | from 15\7\2020 to 30\8\2020 | 

 Terms related to the study
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Keywords Provided by Centre Hospitalier Valida
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COVID 19, preventive measures, nursing students