الفهرس 
IntroductionOnly 14 pages are availabe for public view
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Abstract
Assisted Reproductive Technologies (ART) are
medical procedures which primarily used to address
advanced infertility treatments in which eggs are handled in
a laboratory, involving procedures such as, intrauterine
insemination, in vitro fertilization, gamete intra fallopian
transfer (GIFT), pronuclear stage tubal transfer (PROST),
tubal embryo transfer (TET), zygote intra fallopian transfer
(ZIFT), intra cytoplasmic sperm injection (ICSI), and
cryopreservation of gametes or embryo. More than 99% of
ART procedures performed are IVF and intrauterine
insemination (CDC, 2018).
Educational guideline is an essential method to check
and improve how nurses perform professionally and how
they exercise the care and coordination aspects of nursing
activities during ART and consists of several logical steps
which can aid the nurse analyzing and resolving health
problems. Guideline for nurses is necessary to be
accountable for their actions to their patients, and their
peers, as that the availability of high-technology services,
and quality of care provided by nurses are some of aspects
that may influence success of ART (Peate, 2017).
Summary
126
Nurses play multidimensional roles in the ART.
Nurses communicate with couples during the ART,
coordinate the various stages of treatment, ensure the
couples’ commitment to the treatment, give primary
support, and help couples to achieve improved well-being
and success. Nurses use evidence based researches and
practice related to ART, also maintain coordination
between health team members and provide supplies and
equipment needed. So that, improving nurse’s performance
level is a necessary demand for achieving high quality of
care provided during ART by using integrated knowledge
and skills they have gained through continuous education
and experience (Kathryn, et al., 2019; Fouad, Elsayed,
2020).
The present study was aimed to evaluate effect of
Educational Guideline on Nurses’ Performance Regarding
Assisted Reproductive technology.
This Research hypothesis was that Educational
Guideline will improve Nurses’ Performance Regarding
Assisted Reproductive technology.
Summary
127
The study was conducted at the IVF at Ain Shams
University Maternity Hospital. A quasi experimental study
design was utilized. 1 hundred thirty nurses were recruited
in this study depending on the inclusion criteria.
Two tools of data collection were used as the
following:
Tool I: Structured Interviewing Questionnaire,
which was developed by the researchers after reviewing
recent related literature (Daniluk & Koert, 2016) and it
included Nurses personal, and professional variables such
as (age in years, residence, marital status, level of
education, qualification, and total experience in years in
fertility unit…etc.) and nurses′ knowledge related to in
vitro fertilization and artificial insemination
Tool II: nurses’ Practice observational checklist
related to IVF and artificial insemination to assess pre and
post intervention nurses’ practice regarding IVF and
artificial insemination, which contained (three) main
domains (pre procedure steps, during procedure steps and
post procedure steps.
The researcher had attended the previously mentioned
study setting for seven months from the first of February
Summary
128
2022 till the end of August 2022 for then after 3 months for
2 months. The researcher started to introduce herself &
explain the aim of the study to the nurses & take oral
consent from them. The average numbers of nurses
interviewing/session were 2 nurses /session. The tool of
data collection took 15-20 minutes to fill by each
participant & the questionnaire filled by the study group.
Tools of data collection were fulfilled by researcher for
checklist and by nurses for knowledge. The researcher
repeated previous steps until finished the duration of data
collection.
The present study findings revealed that 94.2% of
the studied nurses were aged between 20 - 30 years; with
the Mean± SD of age is 34.77± 5.18 years. As regard to
education level, 40.8% of them have technical institute of
nursing. Also, 39.2% of them have <5 years of experience
with the Mean± SD of years of experience is 8.41±4.05
years.
It also shows that, 88.5% of the studied nurses have
good level of total knowledge about in vitro fertilization
and artificial insemination post implementation of
educational guideline, compared to 84.6% after three
months of implementation.
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129
In addition it showed that, 19.2% of the studied nurses
were competent regarding in vitro fertilization and artificial
insemination pre implementation of educational guideline.
While changed to 87.7% post implementation of
educational guideline and 83.1% after three months.
It revealed that there is high a significant statistical
positive correlation between nurses’ knowledge and their
practice at pre, post and follow-up implementation of
educational guideline at (P= < 0.01).
Based on the results of the study, it is concluded that:
The current study’s findings supported the present
study’s hypothesis and aim, which stated that majority of
nurses who received the educational guidelines were
competent and had good level of total knowledge about in
vitro fertilization and artificial insemination post
implementation of educational guidelines. Moreover there
was a positive correlation with high statistical significance
between total score of knowledge, total score of practice
regarding artificial insemination and in vitro fertilization.
Summary
130
In light of the findings of this study, the following
recommendations are suggested:
Application of educational guidelines for nurses
working at IVF unit who offer care for women seeking
for assisted reproductive technologies.
Conducting educational training programmes about role
of nurse regarding assisted reproductive technolodies
(IVF & AI).