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Hamad NI, Eweida RS, Rashwan ZI, Menessy RFM, Khaled AMS. Compulsive digital use among school-age children and association with escapism and feeling of loneliness: A call for action. J Pediatr Nurs 2023; 73:e227-e235. [PMID: 37749005 DOI: 10.1016/j.pedn.2023.09.015] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [Key Words] [MESH Headings] [Track Full Text] [Journal Information] [Submit a Manuscript] [Subscribe] [Scholar Register] [Received: 05/12/2023] [Revised: 09/19/2023] [Accepted: 09/19/2023] [Indexed: 09/27/2023]
Abstract
PURPOSE This study aimed to investigate the relationship between Compulsive Digital Use (CDU), escapism, and loneliness among school-age children. DESIGN AND METHODS A quantitative, non-experimental, descriptive correlational study was conducted at 16 governmental preparatory schools affiliated with the Ministry of Education in Alexandria, Egypt. A simple random sampling of 300 school-age children participated in the study after obtaining the informed consent from the parents/guardians and assent from children. RESULTS The main study findings showed that 74% of school-age children had a subthreshold level of CDU, and 21.7% demonstrated a pathological/ addictive level. Compulsive digital use showed a significant positive correlation with both total escapism and loneliness scores (r = 0.689, p < 0.001 and r = 0.329, p = 0.005, respectively). CONCLUSION Children spend more than the recommended daily duration online. They reported having sleeping problems, especially insomnia, and poor academic achievement due to internet overuse. Most children had subthreshold level of CDU and one-quarter of them reached the addictive level. They reported that internet use helped them escape from the world of reality, unpleasant and worrisome things, as well as problems and pressures. Children reported loneliness and felt that people were around but not with them. Female gender and the employment of both parents were significantly associated with developing CDU. Escapism and loneliness among children were positively correlated with CDU. PRACTICAL IMPLICATIONS Awareness-raising campaigns regarding internet usage should be launched for school-age children and their parents to address its emerging psychosocial risks and challenges.
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Affiliation(s)
- Nagwa Ibrahim Hamad
- Pediatric Nursing Department, Faculty of Nursing, Alexandria University, Egypt
| | - Rasha Salah Eweida
- Psychiatric and Mental Health Nursing Department, Faculty of Nursing, Alexandria University, Egypt; Psychiatric and Mental Health Specialty, Nursing Department, College of Health and Sport Sciences, University of Bahrain, Bahrain.
| | - Zohour Ibrahim Rashwan
- Pediatric Nursing Department, Faculty of Nursing, Alexandria University, Egypt; College of Health and Sport Sciences, University of Bahrain, Bahrain
| | | | - Asmaa Mohammed Saad Khaled
- Lecturer of Community Health Nursing Department, Faculty of Nursing, Alexandria University, Egypt; Faculty of Applied Medical Sceinces, Shaqra University, Saudi Arabia
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Rashwan ZI, Busebaia TJ, Khonji LM, Eweida RS, Matooq AA, Bayoumi MM. Between challenges and support: Preceptors run clinical nursing training amidst unprecedented crisis. Int J Educ Res Open 2023; 4:100260. [PMID: 37333027 PMCID: PMC10267607 DOI: 10.1016/j.ijedro.2023.100260] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [Key Words] [Track Full Text] [Figures] [Subscribe] [Scholar Register] [Received: 12/02/2022] [Revised: 05/22/2023] [Accepted: 06/08/2023] [Indexed: 06/20/2023]
Abstract
Aim This study aimed to address challenges facing nurse preceptors related to multifaceted educational roles, academic and institutional support during the COVID-19 pandemic in the Kingdom of Bahrain. Background Clinical nurse preceptors have faced great challenges since the influx of the COVID-19 pandemic. At this unprecedented time, they are overwhelmed with additional responsibilities to follow the COVID-19 precautionary measures alongside their usual educational role. So, they require careful preparation and massive institutional support. Design A descriptive study was conducted in different clinical settings in the Kingdom of Bahrain. Methods A sample of 125 clinical nurse preceptors who participated in the students' training for at least one full clinical rotation during the COVID-19 pandemic responded to two questionnaires regarding the clinical nurse preceptor role, preparedness, and institutional support provided to them during the COVID-19 crisis. Result It is revealed that 40.8%, 51.0%, and 53.0% of the preceptors faced major challenges regarding the teacher, facilitator, and feedback provider/evaluator roles during the COVID-19 pandemic. Moreover, 71.2% of the preceptors were incredibly overwhelmed with additional instructions related to COVID-19 precautions alongside covering course learning objectives for the students. However, most of them did not perceive challenges concerning both academic and institutional support. Conclusion The clinical nurse preceptors declared they received adequate pedogeological preparation, academic and institutional support throughout the COVID-19 pandemic. They also encountered moderate and minor challenges while mentoring nursing students during such a critical era.
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Affiliation(s)
- Zohour Ibrahim Rashwan
- Pediatric Nursing Specialty, Nursing Department, College of Health and Sport Sciences, University of Bahrain, Zallaq, Bahrain
- Pediatric Nursing Department, Faculty of Nursing, Alexandria University, Egypt
| | - Toqa Jameel Busebaia
- Medical Surgical Specialty, Nursing Department, College of Health and Sport Sciences, University of Bahrain, Zallaq, Bahrain
| | - Leena Mohamed Khonji
- Pediatric Nursing Specialty, Nursing Department, College of Health and Sport Sciences, University of Bahrain, Zallaq, Bahrain
- Midwifery Specialty, Nursing Department, College of Health and Sport Sciences, University of Bahrain, Zallaq, Bahrain
| | - Rasha Salah Eweida
- Psychiatric Nursing and Mental Health Department, Alexandria University, Egypt
- Mental Health Nursing Specialty, Nursing Department, College of Health and Sport Sciences, University of Bahrain, Zallaq, Bahrain
| | - Amina Ali Matooq
- Cardiac Nursing Specialty, Nursing Department, College of Health and Sport Sciences, University of Bahrain, Zallaq, Bahrain
| | - Magda Mohamed Bayoumi
- Medical Surgical Specialty, Nursing Department, College of Health and Sport Sciences, University of Bahrain, Zallaq, Bahrain
- Medical-Surgical Nursing Department, Faculty of Nursing, Beni-Suef University, Egypt
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Rashwan ZI. Motivation inspiring confidence: effect of scenario-based learning on self-confidence among prelicensure nursing students. Teaching and Learning in Nursing 2023. [DOI: 10.1016/j.teln.2023.01.008] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 03/08/2023]
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Eweida RS, Rashwan ZI, Khonji LM, Shalhoub AAB, Ibrahim N. Psychological first aid intervention: rescue from psychological distress and improving the pre-licensure nursing students' resilience amidst COVID-19 crisis and beyond. Sci Afr 2023; 19:e01472. [PMID: 36506753 PMCID: PMC9719873 DOI: 10.1016/j.sciaf.2022.e01472] [Citation(s) in RCA: 1] [Impact Index Per Article: 1.0] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [Key Words] [Track Full Text] [Figures] [Journal Information] [Subscribe] [Scholar Register] [Received: 06/21/2022] [Revised: 11/19/2022] [Accepted: 11/26/2022] [Indexed: 11/30/2022] Open
Abstract
Background The public health emergencies such as the COVID-19 pandemic resulted in mental and psychological ramifications on the healthcare professionals. The pre-licensure nursing students found themselves not only fighting against the baneful virus but also weak ego resilience. At this point, enriching the pre-licensure nursing students with psychological first aid (PFA) could help them to recover from the feeling of psychological distress and improve their resilience capacity to encounter any upcoming outbreaks. Methods A quasi-experimental two groups, a pre-post-test study was used in which sixty-four pre-licensure nursing students completed a baseline survey which revealed high levels of psychological distress and low resilience capacity due to the COVID-19 crisis. The study group engaged in the Psychological First- aid Intervention (PFA) at the end of the clinical practicum course period, while the comparison group received routine psychological support. Results A significant reduction in the psychological distress levels among students in the PFA group (FET=7.83, P = 0. 001). Likewise, significant improvements in the students' resilience capacity level immediately after the intervention (FET=3.34, P = 0.019) and during the two-month follow-up (FET=12.94, P = 0. 001). The implementation of PFA enhanced the pre-licensure nursing students' psychological health status and resilience capacity levels after their clinical training amid the ambiance of the COVID-19 crisis. Conclusion The PFA effectively fostered the pre-licensure nursing students' recovery from the COVID-19 related- psychological distress and improve their resilience capacity. The application of RAPID model is recommended to reduce stress and prevent burnout among novice and future nurses who show signs of psychological exhaustion.
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Affiliation(s)
- Rasha Salah Eweida
- Psychiatric and Mental Health Nursing Department, Faculty of Nursing, Alexandria University, Egypt,Psychiatric and Mental Health Nursing Department, College of Health and Sport Sciences, University of Bahrain, Bahrain,Corresponding author at: Psychiatric and Mental Health Nursing Speciality, Nursing Department, College of Health and Sport Sciences, University of Bahrain, Bahrain
| | - Zohour Ibrahim Rashwan
- Pediatric Nursing Department, Faculty of Nursing, Alexandria University, Egypt,Pediatric Nursing specialty, Nursing Department, College of Health and Sport Sciences, University of Bahrain, Bahrain
| | - Leena Mohammad Khonji
- Midwifery Speciality, Nursing Department, College of Health and Sport Sciences, University of Bahrain, Bahrain
| | | | - Nashwa Ibrahim
- Psychiatric and Mental Health Nursing Department, Faculty of Nursing, Mansoura University, Egypt
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Rashwan ZI, Hassan BH, Selim A, Radwan RIM, Mohamed AAERA, Eweida RS. Looking through Mothers' Lens on Children's Technology Overuse, Behavioral and Psychosocial Alterations during Home Confinement: Future Recommendations. Scientific African 2023. [DOI: 10.1016/j.sciaf.2023.e01590] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 02/24/2023] Open
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Dawood SS, Eweida RS, Rashwan ZI, Elmoniem MMA, Elsakhy NM. Older Adults' Perceived Risk Regarding COVID-19 and Intention to Vaccinate: Role of Health-Related Literacy. Res Gerontol Nurs 2022; 15:57-67. [PMID: 35312437 DOI: 10.3928/19404921-20220218-02] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Abstract] [MESH Headings] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/20/2022]
Abstract
The current cross-sectional descriptive study aimed to explore the association between coronavirus disease 2019 (COVID-19)-related health literacy, perceived risk, and intention to receive a COVID-19 vaccine. A sample of 414 older adults completed several questionnaires regarding COVID-19 risk perception, intention to vaccinate, and health literacy. Results revealed that more than one half of older adults demonstrated perceived high risk related to COVID-19 infection. Moreover, 31.6% of older adults noted their unwillingness to get vaccinated, and 39.4% demonstrated low health literacy regarding COVID-19. A significant positive correlation was found among older adults' perceived risk regarding COVID-19 infection, intention toward vaccination against COVID-19, and COVID-19-related health literacy. Findings serve to aid the Ministry of Health in planning proactive steps to increase COVID-19 vaccine uptake in older adults. [Research in Gerontological Nursing, 15(2), 57-67.].
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Rashwan ZI, Busebaia TJ, Al-Sabbagh AS, Eweida RS. Effect of guided reciprocal peer questioning strategy on pediatric nursing students' self-esteem and metacognitive awareness: Current approach and future directions. Nurse Educ Today 2021; 107:105153. [PMID: 34562682 DOI: 10.1016/j.nedt.2021.105153] [Citation(s) in RCA: 2] [Impact Index Per Article: 0.7] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [Key Words] [MESH Headings] [Track Full Text] [Subscribe] [Scholar Register] [Received: 01/15/2021] [Revised: 08/28/2021] [Accepted: 09/12/2021] [Indexed: 06/13/2023]
Abstract
BACKGROUND Guided Reciprocal Peer Questioning Strategy (GRPQS) restructures the classroom context from a passive into an engaging environment, where the students are empowered to actively participating in their learning process. OBJECTIVE To investigate the impact of GRPQS on the pediatric nursing students' self-esteem and metacognitive awareness. DESIGN A Quasi-experimental, pre-posttest, two groups research was carried out at University of Bahrain. A sample of 89 out of 112 pediatric nursing-students were divided into two groups. METHOD Through GRPQS, the students mutually generated and responded to questions, activated their critical thinking, elicited ideas, and shared learning experiences within the team and the teachers act as facilitators. RESULTS It is revealed that 75% of the students in the study group developed high self-esteem after their engagement in the GRPQS compared to only 48.8% among those in the control one. Students who practiced GRPQS showed an improvement in their knowledge about cognition. As the mean score of students in the study group is increased from 2.16 ± 0.45 to 2.89 + 0.35 for the procedural knowledge, from 2.33 ± 0.56 to 2.86 ± 0.41 for declarative and from 2.18 + 0.53 to 3.09 ± 0.29 for the conditional knowledge (p < 0.001 for each). Concerning the regulation of cognition, the mean score of the planning dimension was improved from2.21 ± 0.46 to 3.10 ± 0.31 among the students in the study group. Moreover, it is clear that applying GRPQS in the lectures helped in improving the students' information management strategies, comprehension monitoring, debugging strategies and evaluation (p < 0.001 for each) compared to the control group p = 0.169, p = 0.009, p = 0.117 and 0.887 respectively). CONCLUSION The application of GRPQS provided an interactive and engaging learning experience that helped the students to develop the habit of organizing, judging, and summarizing information as well as focusing on the significant portions of the learning materials. Moreover, exchanging questions between the nursing students was effective in enhancing their self-esteem and metacognitive awareness. Hence, incorporating this innovative pedogeological approach in the nursing curricula is recommended.
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Affiliation(s)
- Zohour Ibrahim Rashwan
- Pediatric Nursing Specialty, Nursing Department, College of Health and Sport Sciences, University of Bahrain, Zallaq, Bahrain; Pediatric Nursing Department, Faculty of Nursing, Alexandria University, Egypt.
| | - Toqa Jameel Busebaia
- Medical-Surgical Nursing Specialty, Nursing Department, College of Health and Sport Sciences, University of Bahrain, Zallaq, Bahrain
| | - Amal Saad Al-Sabbagh
- Medical-Surgical Nursing Specialty, Nursing Department, College of Health and Sport Sciences, University of Bahrain, Zallaq, Bahrain
| | - Rasha Salah Eweida
- Psychiatric Nursing and Mental Health Department, Faculty of Nursing, Alexandria University, Egypt
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Rashwan ZI, Khamis GM. Does mother scented simulated hand promote comfort, reduce pain, and distress among mechanically ventilated preterm neonates during invasive procedures? JHSCI 2021. [DOI: 10.17532/jhsci.2021.1402] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Abstract] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/23/2022] Open
Abstract
Introduction: Breakthrough technologies in the neonatal intensive care unit (NICU) revolutionized neonates’ quality of care. Mother scented simulated hand (MSSH) is an ergonomically designed supportive hand that uses the power of touch to simulate the feeling of being held and cuddled. This study aimed to determine the effect of MSSH on promoting comfort among mechanically ventilated preterm neonates during invasive procedures.Methods: A quasi-experimental, pre-posttest two groups study was carried out in NICU in Smouha, Alexandria. A sample of 62 mechanically ventilated neonates was randomly assigned to two equal groups; the study group wrapped with a warm MSSH during the invasive procedures while the control group received standard care of NICU. Two observers independently rated the neonates’ level of comfort, distress, and pain during endotracheal suctioning (ETS) and heel prick using COMFORTneo scale.Results: It is revealed that the mechanically ventilated neonates had a significantly higher comfort level with MSSH than the standard care during and after both ETS and heal break (p < 0.001 for each). The neonates had significantly lower distress and pain scores when encircled by MSSH during invasive procedures than standard care (p < 0.001 for NRS distress and p < 0.001 for NRS distress).Conclusion: Wrapping the preterm neonates with a warm MSSH promotes comfort and reduces their pain and distress during invasive procedures, especially when their mothers are not physically available.
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Rashwan ZI, El Sheshtawy OR, Abdelhalim GE, Eweida RS, Khamis GM. Scenario-based clinical simulation: Bridging the gap between intern-students' anxiety and provision of holistic nursing care for preterm neonates. Nurse Educ Pract 2021; 54:103121. [PMID: 34174718 DOI: 10.1016/j.nepr.2021.103121] [Citation(s) in RCA: 7] [Impact Index Per Article: 2.3] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [Key Words] [Journal Information] [Subscribe] [Scholar Register] [Received: 02/20/2021] [Revised: 06/11/2021] [Accepted: 06/14/2021] [Indexed: 10/21/2022]
Abstract
AIM This study aimed to determine the effect of Scenario-Based Clinical Simulation (SBCS) on nursing students' anxiety and skills related to providing holistic nursing care for preterm neonates. BACKGROUND Nursing students who are caring for preterm neonates experience high level of anxiety that might negatively influence their clinical performance. Clinical nurse educators face the challenge of preparing skilful and competent students within the constraints of limited orientation time in the Neonatal Intensive Care Unit (NICU). The application of SBCS provides students with opportunities to practice critical thinking, problem-solving and communication skills, pose questions and remediate their clinical deficiencies in non-threatening learning enviroment. DESIGN A quasi-experimental, two groups, pre-post test study was carried out in the NICU of Specialized Hospital at Smouha, Alexandria. METHOD Sixty students completed a baseline skills assessment, as students' clinical skills were scored on a 148-item checklist and participants rated their anxiety. All participants received a didactic lecture and demonstrated nursing procedures. Research team facilitated an interactive SBCS session for the intervention group focused on the holistic care of preterm neonates and the common health problems affecting them. Two weeks later, two independent raters re-assessed the students' skills on the admitted preterms, and participants completed the anxiety questionnaire again. RESULTS It is revealed that all participants in the intervention group (100%) had good skills after two weeks of SBCS compared to 20% of the control group (P < 0.001). Moreover, 43.3% of the nursing students in control group experienced severe anxiety compared to only 6.7% of those in the intervention group who attended the SBCS (P < 0.001). CONCLUSION The application of SBCS in NICU provided an interactive learning experience, improved and sustained students' clinical skills. They reflected on their performance and remediated their skills in a conducive environment. So, they encountered less anxiety while providing holistic care for preterm neonates.
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Affiliation(s)
- Zohour Ibrahim Rashwan
- Pediatric Nursing Department, Faculty of Nursing, Alexandria University, Egypt; Nursing Department, College of Health and Sport Sciences, University of Bahrain, Zallaq, Bahrain.
| | | | | | - Rasha Salah Eweida
- Psychiatric Nursing and Mental Health Department, Faculty of Nursing, Alexandria University, Egypt
| | - Gehan Maher Khamis
- Pediatric Nursing Department, Faculty of Nursing, Alexandria University, Egypt
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Eweida RS, Rashwan ZI, Desoky GM, Khonji LM. Mental strain and changes in psychological health hub among intern-nursing students at pediatric and medical-surgical units amid ambience of COVID-19 pandemic: A comprehensive survey. Nurse Educ Pract 2020; 49:102915. [PMID: 33227694 PMCID: PMC7655025 DOI: 10.1016/j.nepr.2020.102915] [Citation(s) in RCA: 40] [Impact Index Per Article: 10.0] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [Key Words] [MESH Headings] [Track Full Text] [Download PDF] [Figures] [Journal Information] [Subscribe] [Scholar Register] [Received: 05/05/2020] [Revised: 11/03/2020] [Accepted: 11/05/2020] [Indexed: 12/14/2022]
Abstract
COVID-19 pandemic brings with it a new reality and changes in the context of traditional nursing clinical training. Intern-nursing students face challenges in providing care for suspected and confirmed patients with COVID-19. This cross-sectional descriptive study aimed to explore the mental strain and changes in the psychological health hub among the intern-nursing students during COVID-19 pandemic. A sample of 150 intern-nursing students from 13 pediatric and medical-surgical units at Alexandria University Hospitals completed the Middle East Respiratory Syndrome COVID-19 Staff Questionnaire and rated their psychological distress on the General Health Questionnaire. Study results revealed that the most stressful factors were related to possibility of getting COVID-19 infection (2.89 ± 0.39) and transmitting it to their families (2.72 ± 0.62). Moreover, the availability of cure or vaccine for the disease was the most important motivational factor to participate in future outbreaks (2.64 ± 0.77). Regarding intern-nursing students' psychological health hub, 77.3% of them felt under strain, worthless and depressed (64.7%, 62.7%) since the influx of COVID-19 pandemic. Binary logistic regression indicated that students' age (23-24), clinical experience (8 months) and clinical placement in adults' units served as risk factor for developing psychological distress while, male gender and training in pediatric units were protective factors. Designating an emergency psychiatric unit for ongoing monitoring and providing psychological first aids to the vulnerable health care providers is recommended.
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Affiliation(s)
- Rasha Salah Eweida
- Psychiatric and Mental Health Nursing Department, Faculty of Nursing, Alexandria University, Egypt.
| | - Zohour Ibrahim Rashwan
- Pediatric Nursing Department, Faculty of Nursing, Alexandria University, Egypt; Pediatric Nursing Speciality, Nursing Department, College of Health and Sport Sciences, University of Bahrain, Bahrain
| | | | - Leena Mohammad Khonji
- Midwifery Speciality, Nursing Department, College of Health and Sport Sciences, University of Bahrain, Bahrain
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