الفهرس 
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Abstract
Summary
Electroconvulsive therapy (ECT) is the safe induction of series of generalized epileptic seizures for therapeutic purposes, using brief-pulse stimulation techniques under anesthesia and muscle paralysis. Informed consent of the patient or the responsible legal guardian is mandatory.
Aim of the Study:
The aim of this study is -
• Assessing nurses` knowledge about electroconvulsive therapy.
• Assessing nurses` performance in ECT room.
Research Questions:
1- What are nurses` level of knowledge regarding care of patients undergoing ECT?
2- What are the actual nurses` performance regarding care of patients undergoing ECT?
Subjects and Methods:
1. Technical Design:
The technical design include research design, setting, subjects and tools of data collection.
Research Design:
A descriptive cross-sectional design was utilized in this study.
Setting
The study was carried out at the ECT room at El -Khanka Psychiatric Hospital, affiliated to the General Secretariat of Mental Health.
Subjects:
A convenient sample of all available nurses at ECT room who are working with patients undergoing electroconvulsive therapy.
Tools of Data Collection:
The required data was collected through the following tools:
I. Nurses self- administered questionnaire:
It was compromise two parts:
Part 1: Nurses-demographic characteristics : it was used by the researcher and written in a simple Arabic language to gather the following data: age, sex, educational level, years of experience …..etc.
Part 2: Nurses` knowledge regarding patients `care undergoing ECT.
II. Nurses` observational checklist: standard observational checklist about ECT therapy which has been established by Scottish ECT Accreditation Network standard (2013) to observe nurses practice regarding care of patients undergoing ECT.
Content validity done to the tool. Which tested through 5 experts from the staff of psychiatric health nursing in psychiatric health nursing department in faculty of nursing Ain Shams University.
The working phase was executed in one stage from the beginning of February 2021 to the end of April 2021.
The first stage of the study was at the beginning of February 2021, the investigator had a meeting with each group from the 1st of February to the 7th of February, and they met in the ECT room for one hour before the beginning of the ECT session from 8:30 to 9:30 am to help them fill- in the questionnaire.
The investigator explained the aim of this study and got oral approval from the studied nurses to participate in this study, then the investigator clarified the tool and answered any question to avoid any misunderstanding such as defining the meaning of any item of the scales. Each nurse was given the opportunity to fill-in the tools under the guidance and supervision of the investigator.
The study results revealed the following:
• There was more than half of the studied nurses (55.0%) were males and 57.5% were between 25-<35 years old while, 50.0% had diploma in nursing. The majority (82.5%) of studied nurses were staff nurses, less than three quarters (72.5%) had 5 years experience or more.
• There was more than one- third (40.0%) of the studied nurses had good total knowledge and nearly half (45.0%) of them had average total knowledge while, less than one-quarter (15.0%) of them had poor total knowledge.
• There was the majority (80.0%) of studied nurses have total training while, only (20.0%) of them not have total training.
• There was three-quarter (75.0%) of nurses did the total preparation for the patient before ECT session while only one-quarter (25.0)% of them not did the total preparation for the patient before ECT session.
• There was more than three-quarter (77.5%) of nurses were performed total level of care during electroconvulsive therapy sessions while, only one-quarter (22.5%) of them not did total performance during electroconvulsive therapy during ECT sessions.
• There was more than two third 65% of nurses did total nursing care after ECT session, while 35% of them not did nursing care in the recovery room after electroconvulsive therapy sessions.
• There was highly statistically significant relationship between the total knowledge scores with the levels of performance score and the total performance score when p-value was <0.001* regarding the above 4 observational items.
• There was highly statistically significant relationship between nurses` knowledge level about electroconvulsive therapy and their years of experience with p-value <0.001* while, there was statistically significant relationship between nurses` knowledge level about electroconvulsive therapy and their age with p-value <0.05*.
Conclusion:
Based on the study finding the researcher concluded that:
• The half of the studied nurses had average of total knowledge regarding care of patients` undergoing electroconvulsive therapy.
• The majority of studied nurses did the total nursing performance regarding care of patients undergoing Electroconvulsive therapy before, during and in the recovery room after ECT session.
Recommendation:
In the light of the findings of the current study, the following recommendations can be suggested:
1. Education program about ECT to psychiatric-mental health nurses should be provided by academic specialists in electroconvulsive therapy.
2. In-service training and continuing education should be established as integral parts of Al-Khanka hospital system to complement and compensate e for psychiatric nurses’ deficient skills. developed to guide nurses to the required pre, during, and post ECT patient care.
3. A procedure book can be developed to guide nurses to the required pre, during and post ECT patient`s care.
4. Providing psychiatric-mental health nurses with many courses such as cardiopulmonary resuscitation.
5. Nurses should conduct further researches about nurses` attitude and practice regarding electroconvulsive therapy.