الفهرس 
Introduction and Aim of the StudyOnly 14 pages are availabe for public view
Abstract
Respiratory problem is a medical term that it encompasses pathological condition affecting the organs and tissue that make gas exchange possible in human. They also, affect any part of respiratory tract.
Respiratory problems are the most common illnesses of childhood; most childhood respiratory diseases have a high morbidity and mortality. There are many factors contribute to respiratory problems of including malnutrition of children, unsanitary environmental condition, low socioeconomic standards of living and ignorance of the mothers together with lack of health assessment of children. Chest physiotherapy is normally done in conjunction with other treatments of respiratory problems. Nurses and mothers have an important role to care for the child’ condition.
The subject and methods for this study were discussed under the four main designs as follow:
Technical design.
Operational design.
Statistical design.
Administrative design.
Technical design:
Research design:
This study is a descriptive study aimed to assess the practices of pediatric nurses versus mothers having children with respiratory problems regarding chest physiotherapy.
Research setting:
This study was conducted at emergency pediatric department, outpatient clinic, and pediatric intensive care unit at Children’s Hospital affiliated to Ain Shams University Hospitals.
Sample size and characteristics:
Convenience sample was selected of all pediatric nurses working in the previously mentioned setting, the total number of nurses was composed of 150 (Intensive care unit (71) & Emergency (60) and Outpatient clinic (19)). A purposive sample was selected of mothers attending with their children suffering from respiratory problems and having chest physiotherapy, the total number of mothers was composed of 150. characteristics of nurses and mothers was selected in the study regardless their age, gender, marital status, qualification, level of education, years of experience or attendance of training program relevant to chest physiotherapy (for nurses). A purposive sample of children was selected in the study over five years both two sex. Composed of (150) of the children.
Tools of data collection
Data collection through using the following tools:
1- Interviewing questionnaire sheet (Appendix III)
It was designed by the researcher in the light of the relevant literature and written in a simple Arabic language. It included the following parts:-
Part I:-
Characteristics of the studied nurses: such as age, years of experience, qualifications and the attendance of training program.
Nurse’s knowledge about, the definition, benefits, methods, contraindications, indications, positions, technique, contraindication, complications, precautions, practice of chest physiotherapy, equipment of devices and drug used of nebulizer session.
Part II:-
Characteristics of the studied mothers, such as age, level education, number of family members, history of the respiratory Problems among the family members and data about the home environment.
Mother’s knowledge about, the definition, benefits, methods, contraindications, indications, positions, technique, contraindication, complications, precautions, practices of chest physiotherapy, equipment of devices and drug used of nebulizer session
Part III:-
Characteristics of the studied children such as age, sex, diagnosis and the history of previous admission due to respiratory problems.
Scorning system:
The obtained knowledge from both nurses and mothers were evaluated either as satisfactory or sufficient and unsatisfactory or insufficient. The responses were evaluated using the model key answer sheet prepared by the researcher. Accordingly, the total score was calculated as follow: For nurses; less than 60% (unsatisfactory), more than an equal 60% (satisfactory) for mothers; less than 50% (unsatisfactory) while more than an equal 50% (satisfactory), according to the answers obtained from nurses and mothers about knowledge, zero degree was given to each in correct answer, one degree was given to each correct but incomplete answer and two degree was given to each complete answer.
II-Observation checklist: (Appendix III)
It was adopted from Marlow and Redding, (2008) to assess nurses and mothers actual practices regarding their practice of chest physiotherapy.
Scoring system: each steps in the procedure was scored according to its correct performance, the total evaluation was either: competent or correct and incompetent or incorrect.
For nurses: Less than 85% (incompetent) more than an equal 85% was (competent) level of practice. For mothers: less than 60% (incompetent), more than an equal 60% was (competent) level of practice. According to answer on practice obtained from nurses and mothers, one degree given to each in correct answer, two degree was given to each correct answer.