Context: Artificial intelligence is evolving and will transform health care. Given the potency of this technology for patient care and its effect on health care providers, it is fundamental for nurses to have an essential comprehension of artificial intelligence concepts. Aim: To evaluate the nurses' anxiety level toward partnering with artificial intelligence in providing nursing care, pre&post training session. Methods: Quasi-experimental (pretest-posttest) research design was utilized to conduct the study at the Specialized Medical Hospital in different units (Cardiac, Diabetic, and Hepatic) and critical Care Units (CCUs) (Neurological, Convalescence, and Anesthetic ICUs) of Mansoura University Hospital. All available nurses (n=150) who working in the previously mentioned settings, were invited to participate in the study. Two tools were used for data collection; Nurses' demographic characteristics data and the artificial intelligence anxiety scale. Results: 28.5% of the studied nurses in medical units had a severe anxiety level, and 43.7% of the nurses in critical units had a moderate anxiety level pre-implementation of training session's activities related to artificial intelligence, compared to 50.8% and 37.9% of the nurses in medical and critical units, respectively who had minimal anxiety levels post-implementation of training session's activities related to artificial intelligence. Conclusion: there was a statistically significant difference between the studied nurses in medical units pre and post-implementation of training session's activities related to (AI) (P= 0.044*). Also, a high statistically significant difference between the nurses in critical units pre and post-implementation of training session's activities related to (AI) (P= 0.000**). The study recommended providing a continuous training sessions for nursing staff toward dealing with artificial intelligence technology that can improve quality of care, enhance patients' outcomes, and reduce their level of anxiety.

No abstract

Background: Literature review cited that, Sepsis is a common clinical condition associated with a high mortality rate among hospitalized patients and constitutes one of the main causes of death worldwide. Critical care nurses are the health care professionals who have the obligation to protect critically ill patients against infection especially that leading to sepsis, in order to enhance patients' recovery, prevent deterioration in their health, and provide high quality nursing care. Even so critical care nurses should have sound knowledge and strict adherence to sepsis bundle. Aim of the study: to assess nurses' knowledge and evaluate their practice regarding sepsis bundle. Research design: A descriptive exploratory research design was utilized in this study. Sample: A convenience sample that including 50 ICU nurses was recruited in the current study. Setting: The study was conducted at the Intensive Care Units at Emergency Hospital Mansoura University. Tools of data collection: Two tools were utilized, tested for clarity and viability, and then used to collect data pertinent to the study: Tool I: Structured Interview Questionnaire to assess nurses' knowledge regarding sepsis bundle. Tool II: Nurses' Practice Observational Checklist to evaluate nurses' practice regarding sepsis bundle. Results: the current study revealed that, approximately two-thirds (68%) of the studied sample had unsatisfactory knowledge level (<75%) with a mean total knowledge score of (43.82 ± 7.95). As well as, all studied sample (100%) had unsatisfactory performance level (<75%) with a mean total performance scores of (59.58 ± 5.7). Negative correlations were found between mean knowledge scores and mean practice scores; (r = 0.1at P = 0.5). Conclusion: Based on study findings, it can be revealed that critical care nurses had unsatisfactory knowledge and performance level regarding sepsis bundle. Recommendation: updating knowledge and performance of ICU nurses through continuing in-service educational programs; emphasizing the importance of following the latest evidence-based practices regarding sepsis bundle in continuing education / training programs; strict observation of nurses' performance and utilization of sepsis bundle and correction of poor practices are required; and providing training programs for newly joined ICU nurses about sepsis bundle and at regular intervals.

Background: In patients with chronic liver disease, thrombocytopenia is the most prevalent hematological abnormality. Immunological thrombocytopenic purpura (ITP) has been attributed to infection with Helicobacter pylori (H. pylori). In individuals with persistent ITP, eradication of H. pylori causes an increase in platelet counts and is therefore recommended. However, it is uncertain if eradication will influence platelet counts in HCV-related liver cirrhosis in the same way. Objective: The purpose of this study was to determine the prevalence of active Helicobacter pylori in patients with HCV-related liver cirrhosis and to evaluate the effectiveness of H. pylori eradication on platelet count in HCV-related liver cirrhosis patients. Patients and Methods: A total of 100 individuals were included in the study, and those who were tested positive for H. pylori were treated. H. pylori eradication was determined by detecting H. pylori antigen in the stool four weeks after the end of the therapy. Complete blood count, prothrombin time (PT), and liver function tests were all tested (ALT, total bilirubin, Alfa fetoprotein, serum creatinine and albumin). Platelet counts were assessed following the final eradication medication at 1, 3, and 6 months. Results: H. pylori positivity was identified in 66 of the 100 individuals with HCV-related liver cirrhosis. In all of the patients, the oral treatment regimen was successful in eradicating H. pylori. All of the patients had a Child-Pugh classification of A. The platelet counts of patients with H. pylori eradication did not significantly increase following treatment. Conclusion:In HCV-related liver cirrhosis, eradication of H. pylori does not ameliorate thrombocytopenia.

The current study aimed to evaluate the effect of prone positioning on hemodynamic parameters among pregnant women with COVID-19-related hypoxemia. Materials and method: A quasiexperimental pre-posttest design was utilized. The study was carried out at the ICU in Mansoura university hospital, one of the isolation hospitals assigned to receive covid-19 patients. A purposive sample consisting of 36 pregnant women with confirmed COVID-19 was selected according to the inclusion criteria. Data was collected through a Structured Interview Questionnaire, Hemodynamic and Oxygenation Parameters chart, and Visual Analog Scale for dyspnea and discomfort. Results: There was a significant difference between pre and post-test results in favor of post-intervention. Whereas, there was an improvement in most hemodynamic parameters mean scores after prone positioning evidenced by a significant increase in the average measurement of Peripheral oxygen saturation, PH, Arterial oxygen saturation, and PaO 2 and a significant decrease in the average measurement of Respiratory Rate, PaCO 2 , PaO 2 /FiO 2, and heart rate. Also, the fetal heart rate mean scores significantly decreased from 165.25 ± 18.10 beats/minute to 148.97 ± 14.47 beats/minute after prone positioning. Moreover, there was a significant improvement in dyspnea levels after applying for the prone position; the moderate and severe dyspnea decreased from 58.3% to 8.3% and the discomfort level had shown significantly decreased. There was a positive significant strong (r=0.924, P<0.001) correlation between dyspnea and discomfort level before practicing prone positioning. Conclusion: The current study findings highlighted that applying a prone positioning had a highly statistically significant effect on improving the hemodynamic parameters and decreasing dyspnea and discomfort levels among pregnant women with COVID-19-related hypoxemia as well as the fetal heart rate. Recommendations: Large-scale studies in different ICUs in many hospitals are needed to provide strong evidence about the effectiveness of the prone position in non-intubated and intubated pregnant patients infected with COVID-19.