scholarly journals Student nurses’ knowledge of guidelines for preventing central venous catheter-associated infections

2017 ◽  
Vol 6 (1) ◽  
pp. 32 ◽  
Author(s):  
Mohammad Al Qadire ◽  
Loai Tawalbeh ◽  
Mohammad Suliman
Keyword(s):  
Clinical Education ◽  
Clinical Training ◽  
Student Nurses ◽  
Venous Catheter ◽  
Central Venous ◽  
Cross Sectional Survey ◽  
Cross Sectional ◽  
Maximum Score ◽  
Simulation Techniques ◽  
Nurses Knowledge

Background: Despite the advantages of Central venous catheters (CVC), patients are at high risk of infection (local and systematic) that could be lethal. Lack of knowledge of the available guidelines for the prevention of CVC-associated infection may increase the rate of CVC-associated infections.Objective: The purpose of the study is to evaluate student nurses’ knowledge of the guidelines for preventing CVC-associated infection.Methods: A descriptive cross-sectional survey was used. This study involved 267 student nurses from four government universities. They were in their second-, third- or fourth-year of study.Results: Most of the students were female (72.3%) with a mean age of 21.2 (SD 2.5). The mean total score of students’ knowledge was very low at 1.6 (SD 1.5) out of 10, the maximum score, and ranged from 0 to 7. Students who reported having received adequate theoretical and clinical education about CVC had higher mean total knowledge scores than those who had not.Conclusions: The results showed that Jordanian student nurses have insufficient knowledge about the prevention of CVC-associated infection. In order to improve their knowledge, an evidence-based teaching approach is required in the theoretical classes. This should be combined with the best clinical training through the use of simulation techniques.

Nurses’ knowledge and experience related to short peripheral venous catheter extravasation

2021 ◽  
pp. 112972982110455
Author(s):  
Selma Atay ◽  
Şengül Üzen Cura ◽  
Sevda Efil
Keyword(s):  
Venous Catheter ◽  
Cytotoxic Agents ◽  
University Hospital ◽  
Cross Sectional Survey ◽  
Cross Sectional ◽  
Peripheral Venous Catheter ◽  
Intravenous Treatment ◽  
Cold Application ◽  
Service Training ◽  
Nurses Knowledge

Background: The majority of hospitalized patients receive a Peripheral Venous Catheter (PVC) in the course of their treatment. Extravasation injury is a serious complication of intravenous treatment. Objective: This cross-sectional survey designed study aims to investigate nurses’ knowledge and experience related to short peripheral venous catheter extravasation. Method: The study sample included 145 nurses working in a university hospital in the west of Turkey. A questionnaire developed in accordance with the literature was used for data collection. The data were assessed by frequency and proportions. Results: Of the nurses included in this study, 26.2% reported they had experienced extravasation injury in a patient; 74.5% said they had received no instruction in the management of extravasation during their in-service training program; and 85.5% stated they did not keep a record of extravasation. 89.7% of the nurses reported infused medications as a cause of extravasation, and 81.4% reported catheter sites as a cause. Among the medications reported by the nurses as causing extravasation: 89.7% reported contrast agents; 84.8% TPN solutions; 71.0% cytotoxic agents; and 65.1% mannitol. The symptoms of extravasation reported by nurses included: swelling (97.9%), redness (97.2%), pain (92.4%), rise in temperature (65.5%), and ulceration (60.0%). In responding to the occurrence of extravasation, interventions reported by the nurses included: stopping the flow of fluid (98.6%), elevation (89.7%), cold application (76.6%), and aspiration of drug (40.7%). Conclusion: Based on these results, it is recommended that guidelines are developed for the management of extravasation, that periodic in-service training programs are provided and that observational studies are carried out into the administration of vesicant drugs.

scholarly journals Prevalence, student nurses’ knowledge and practices of needle stick injuries during clinical training: a cross-sectional survey

BMC Nursing ◽  
2021 ◽  
Vol 20 (1) ◽  
Author(s):  
Mohammad Al Qadire ◽  
Cherry Ann C. Ballad ◽  
Omar Al Omari ◽  
Khaldoun M. Aldiabat ◽  
Yousef Abu Shindi ◽  
...  
Keyword(s):  
Clinical Training ◽  
Student Nurses ◽  
Knowledge Score ◽  
Needle Stick Injury ◽  
Prevention Measures ◽  
Cross Sectional Survey ◽  
Cross Sectional ◽  
Needle Stick ◽  
Level Of Knowledge ◽  
Needle Stick Injuries

Abstract Background The incidence of needle stick injuries is higher among nurses with a low level of knowledge on the prevention of needle stick injury, and who have not received the relevant training during their undergraduate study. The aim of this study was to determine the level of knowledge of the prevention guidelines and the prevalence of needle stick injury among students in Oman. Methods An online cross-sectional survey using a questionnaire and involving 167 students from a governmental university was conducted. The questionnaire consists of 30 questions; eight general questions, knowledge related questions, and questions about risk factors, prevention measures, and actions in a case of needle stick injury. Ethical approval was obtained and the link to the survey was shared with students using their university email portal. Results Of the participants, 81.2% were females; mean age was 23.3 (SD = 4.5) years. The mean total knowledge score was 6.6 out of 10 (SD = 2.1). In addition, 18.2% (n = 32) of the students experienced needle stick injury. Most of the injuries 71.9% (n = 24) occurred during medication preparation and administration. The main cause of NSI as reported by students was recapping the needles (59%, n = 19). Conclusions This study demonstrates that student nurses have a moderate level of knowledge about needle stick injury prevention measures and lack many facets of safe infection control practice. These findings require the collaborative effort of nursing administrators from both academic and clinical areas, to develop effective strategies to reduce or eliminate the occurrence of needle stick injury.

scholarly journals Success! Facilitating Choice for Renal Patients in The Tropics With Central Venous Lines to Maintain The Integrity of Their Dressings While Attending to Personal Hygiene: A Multi-Phase Study

2021 ◽  
Author(s):  
Wendy Smyth ◽  
Joleen McArdle ◽  
Kristin Wicking ◽  
Kimberley Quayle ◽  
Cate Nagle
Keyword(s):  
Phase 1 ◽  
Venous Catheter ◽  
Active Role ◽  
Personal Hygiene ◽  
Site Location ◽  
Exit Site ◽  
Central Venous ◽  
Cross Sectional Survey ◽  
Major Life ◽  
Cross Sectional

Abstract Aim: To explore individual patients’ choices in personal hygiene, while maintaining the integrity of catheter exit site dressings between dialysis sessions.Background:For patients undergoing haemodialysis via a central venous catheter (CVC), infection is a major life-limiting risk. Meticulous attention to keeping the exit site dressing clean and dry is an essential defence in preventing infections. It is difficult to maintain the integrity of water-resistant dressings in tropical environments. Design:A three-phase exploratory study was conducted in a northern Australian Renal Service. Methods:Phase One employed a cross-sectional survey of nurses on the acceptability and feasibility of two hygiene options: bathing wipes and a waterproof dressing cover. Phase Two used conversational-style interviews with patients about their hygiene preferences, how they endeavoured to keep their dressings dry, and impressions regarding the provided options. Phase Three was a series of case studies of patients trialling the provided options. The STROBE checklist was used.Results:Phase 1: Nurses (n=37) considered both options acceptable and feasible, noting some practical concerns related to their use.Phase 2: Patients (n=27) described hygiene preferences and difficulties they encountered with keeping dressings dry. They were enthusiastic about trying the proposed options. Phase 3: Patients (n=22) appreciated being able to shower without wetting their exit site dressings. Individuals were inventive in modifying the application and use of the waterproof cover according to their body shape and exit site location. Although participants liked both options, the waterproof covering was most popular and most frequently used. Intactness of the dressings was 83% during the trial; there were no CVC-associated infections during the study.Conclusion:Assisting patients keep their dressings dry and intact during personal hygiene in a tropical environment promoted dignity and autonomy.Implications for clinical practice:Patients demonstrated their willingness to undertake a more active role in their dressing care.

scholarly journals Knowledge, Attitude, and Practices Regarding Maxillofacial Defects and their Prosthetic Rehabilitation among Dental Undergraduate Students in Belagavi District- A Cross-sectional Study

2020 ◽  
Author(s):  
S Shreya ◽  
Ramesh P Nayakar
Keyword(s):  
Undergraduate Students ◽  
Clinical Training ◽  
Early Stage ◽  
Dental Health ◽  
Basic Knowledge ◽  
Treatment Modalities ◽  
P Value ◽  
Prosthetic Rehabilitation ◽  
Cross Sectional Survey ◽  
Cross Sectional

Introduction: Maxillofacial defects are facial disfigurements resulting from congenital abnormalities, surgical resection of tumours, trauma, or a combination of these. The resulting deformity often leads to a difficult path of recovery with lifelong consequences, causing both physical disability and mental distress. Prosthetic rehabilitation is not only a solution to cover the physical deficit, but also a way to improve function as well as the quality of life for such patients. However, the knowledge amongst undergraduate dental health professionals about the same has been at sparse. Aim: To evaluate the knowledge, attitude, and practices regarding maxillofacial defects and their prosthetic rehabilitation amongst dental undergraduate students. Materials and Methods: A cross-sectional survey was conducted between January 2020 and June 2020, amidst the third year, fourth year undergraduate students, and interns of Belagavi city, Karnataka, India. The data was collected using a 16-item custom designed proforma, comprising of questions evaluating student’s basic knowledge about the diagnosis, treatment procedures, and treatment planning of maxillofacial defects and their prosthetic rehabilitation. Statistical analysis was done using Chi-square test in each group, using SPSS version 22 p-value <0.05 to be considered significant. Results: A total of 286 participants answered the questionnaire, of which 117 (40.9%) were interns, 116 (40.6%) were third year students, and 53 (18.5%) were fourth year students. 279 (97.6%) participants had an understanding regarding maxillofacial defects. Of those who had witnessed cases, only 18.2% had observed more than three cases (p-value <0.001). Out of respondents with treatment understanding, 184 (64.3%) answered that it required a multidisciplinary approach (p-value <0.001). 197 (68.9%) of the respondents felt that silicone was the most commonly used material (p<0.003). 165 (57.7%) answered that waxes were the most commonly used impression material (p-value <0.001). Out of the respondents awared about treatment modalities, 120 (42%) respondents majority answered that CAD-CAM would contribute the most to maxillofacial rehabilitation. Conclusion: Comprehensive understanding and clinical application of prosthodontic rehabilitation of maxillofacial defects among undergraduate students was found to be lacking. This awareness should be initiated at an early stage of the clinical training for undergraduate training programme, as it will help to understand the basic aspects involved in the prosthodontic rehabilitation of maxillofacial defects.

scholarly journals Children’s Nurses’ Knowledge and Attitudes on Paediatric Pain: A Descriptive Cross-Sectional Survey in a Developing Country

2020 ◽  
Vol 10 (3) ◽  
pp. 222-233
Author(s):  
Evans Oduro ◽  
Abigail Kusi-Amponsah Diji ◽  
Grace Kusi ◽  
Albert Amagyei ◽  
Joana Kyei-Dompim ◽  
...  
Keyword(s):  
Professional Education ◽  
Management Practices ◽  
Demographic Data ◽  
Pediatric Pain ◽  
Cross Sectional Survey ◽  
Cross Sectional ◽  
Knowledge And Attitudes ◽  
Hospital Facility ◽  
Pain Knowledge ◽  
Nurses Knowledge

Background: Children’s nurses’ knowledge of pain affects their pain management practices. Even though poor knowledge and attitudes have been reported in several studies, most were carried out in developed settings. However, little has been reported on the management of paediatric pain by nurses in resource-limited settings such as in sub-Saharan Africa.Purpose: This study sought to assess the knowledge and perceptions of children’s nurses regarding paediatric pain in a Ghanaian context.Methodology: A descriptive cross-sectional survey was carried out among 65 nurses at eight hospitals at various levels of healthcare in Ghana. Over three months, participants’ demographic data and responses on the Pediatric Nurses Knowledge and Attitude Survey Regarding Pain (PNKAS) instrument were collected. Data were analyzed and presented using descriptive and inferential statistics.Results: Participants’ average (SD) knowledge and attitudes regarding paeditric pain was 36.7% (6.9%) and ranged from 21.4% to 57.1%. Pediatric pain knowledge and attitudes (PPKA) of the nurses differed based on working years in the children’s unit and the hospital type they worked in (p<0.05). Nevertheless, the type of hospital facility was the only independent predictor of their PPKA (R2=0.181, p<0.001).Conclusion: Children nurses in this setting generally had insufficient knowledge and attitudes on paediatric pain. They should be motivated to undertake self-directed learning and regular continuing professional education to update their knowledge, attitude and skills on evidence-based pediatric pain assessment and management. 

scholarly journals A Novel Objective Approach Towards Physicians' Knowledge and Practice Patterns to Optimize Central Venous Catheter Placement: A Cross-sectional Study

2020 ◽  
Keyword(s):  
Intensive Care ◽  
Central Venous Catheter ◽  
Venous Catheter ◽  
Cross Sectional Study ◽  
Sectional Study ◽  
Clinical Practices ◽  
Central Venous ◽  
Cross Sectional ◽  
Study Objective ◽  
Catheter Tip

Study objective: Central venous catheterization is an essential component of intensive care of critically ill patients, and proper positioning of the catheter is essential to prevent position-related complications. This study was conducted by using digital tape measurement to objectively assess clinician preferences for central venous catheter positioning based on specific position levels and landmarks on post-procedural chest radiographs. Design: A cross-sectional study using electronic questionnaire survey. Setting: Single academic teaching hospital participated in this study. Participants: The study enrolled 276 physicians from multiple clinical disciplines. Interventions: None. Measurements: A seven-level reference system labeled on a sample chest radiograph was used to identify the acceptable lower and upper limits and landmarks used to determine the optimal central venous catheter tip position as well as the pattern of clinical practices based on the specialty and level of experience of participants. Main results: Among the 276 respondents, the ratio of cumulative acceptance for the lower and upper catheter tip limit was 62% and 66.3% within a 4-cm range below or above the carina, respectively. Intensive care unit (ICU) physicians showed a greater tendency to choose a catheter tip 4 cm below and 6 cm above the carina (p = 0.004 and 0.002, respectively) as did experienced physicians (p = 0.007 and < 0.001, respectively). The commonest reason for catheter tip withdrawal was arrhythmia (50% of cases). Physicians in the ICU and experienced physicians were more concerned about the risk of cardiac perforation than other respondents (p < 0.001 and < 0.001, respectively). The carina was the most commonly used landmark in 71.7% of all physicians, although 50% of radiologists also used other landmarks. Conclusions: The acceptable limit of the catheter tip is 4 cm above and below the carina (-4 to +4), as determined on chest radiography, without a need for tip adjustment.

scholarly journals Nurses' knowledge of universal health coverage for inclusive and sustainable elderly care services

2016 ◽  
Vol 24 (0) ◽  
Author(s):  
Fabian Ling Ngai Tung ◽  
Vincent Chun Man Yan ◽  
Winnie Ling Yin Tai ◽  
Jing Han Chen ◽  
Joanne Wai-yee Chung ◽  
...  
Keyword(s):  
Universal Health Coverage ◽  
Elderly Care ◽  
Healthcare Policy ◽  
Health Coverage ◽  
Cross Sectional Survey ◽  
Cross Sectional ◽  
Convenience Sample ◽  
Care Services ◽  
Universal Health ◽  
Nurses Knowledge

Objectives: to explore nurses' knowledge of universal health coverage (UHC) for inclusive and sustainable development of elderly care services. Method: this was a cross-sectional survey. A convenience sample of 326 currently practicing enrolled nurses (EN) or registered nurses (RN) was recruited. Respondents completed a questionnaire which was based on the implementation strategies advocated by the WHO Global Forum for Governmental Chief Nursing Officers and Midwives (GCNOMs). Questions covered the government initiative, healthcare financing policy, human resources policy, and the respondents' perception of importance and contribution of nurses in achieving UHC in elderly care services. Results: the knowledge of nurses about UHC in elderly care services was fairly satisfactory. Nurses in both clinical practice and management perceived themselves as having more contribution and importance than those in education. They were relatively indifferent to healthcare policy and politics. Conclusion: the survey uncovered a considerable knowledge gap in nurses' knowledge of UHC in elderly care services, and shed light on the need for nurses to be more attuned to healthcare policy. The educational curriculum for nurses should be strengthened to include studies in public policy and advocacy. Nurses can make a difference through their participation in the development and implementation of UHC in healthcare services.

scholarly journals Factors influencing compliance to the infection control precautions among nurses and physicians in Jordan: A cross-sectional study

2017 ◽  
Vol 18 (4) ◽  
pp. 182-188 ◽  
Author(s):  
Maysa Nofal ◽  
Maha Subih ◽  
Mahmoud Al-Kalaldeh
Keyword(s):  
Infection Control ◽  
Clinical Training ◽  
Cross Sectional Study ◽  
Cross Sectional Survey ◽  
Cross Sectional ◽  
Positive Attitudes ◽  
Nurses And Physicians ◽  
Knowledge And Attitude ◽  
Training Programmes ◽  
Healthcare Associated

Background: Adherence to infection control precautions (ICP) is important to reduce the transmission of healthcare-associated infections (HAIs). Aims: To determine nurses and physician’s knowledge, attitude and compliance to ICPs and factors associated with reported compliance. Methods: A cross-sectional survey of nurses and physicians recruited from three hospitals at three different healthcare sectors in Jordan. Three instruments were used to assess knowledge, attitudes and compliance to ICPs. Findings: A total of 211 professionals completed the survey: 155 nurses and 56 physicians. Both groups had low knowledge scores for ICP but a high positive attitude. Although both groups had high reported compliance scores, nurses scores were higher ( P = 0.04). Participants from the private hospital had higher knowledge and compliance scores. Length of experience, knowledge and attitude were significant predictors of reported compliance to ICPs. Discussion: Despite poor knowledge, Jordanian healthcare professionals reported high scores for positive attitudes and compliance with IPCs. Clinical training programmes are required to enhance knowledge and understanding of IPCs.

scholarly journals Nurses’ Knowledge, Attitude, and Fall Prevention Practices at South Korean Hospitals: A Cross-Sectional Survey

2020 ◽  
Author(s):  
Mi-young Cho ◽  
Sun Joo Jang
Keyword(s):  
Patient Safety ◽  
Fall Prevention ◽  
Improve Patient Safety ◽  
Cross Sectional Survey ◽  
Cross Sectional ◽  
Prevention Education ◽  
Patient Falls ◽  
Prevention Activities ◽  
Nurses Knowledge ◽  
Fall Prevention Education

Abstract Background: Fall-prevention activities are nursing interventions which are designed to improve patient safety. The introduction of evaluations of medical institutions and an increase in medical litigation has led institutions to emphasize the importance of fall-prevention activities. The current situation regarding falls among patients in small and medium-sized hospitals is poorly understood. This study assessed knowledge and attitudes regarding falls, and fall-prevention activities of nurses working in small- and medium-sized hospitals. Methods: Nurses (N= 162) from seven small- and medium-sized hospitals participated in the study. Data on participants’ characteristics, education regarding patient falls, knowledge of stretcher cart use, attitudes regarding patient falls, and fall-prevention activities were collected from August 1 to September 1, 2016. Results: Nurses’ knowledge of patient falls was positively correlated with their experience with inpatient falls. Furthermore, nurses’ attitudes regarding falls were influenced by their nursing experience and fall prevention education. Attitudes positively correlated with fall-prevention activities, but knowledge did not. Nurses’ attitudes regarding patient falls were correlated with fall-prevention activities. Conclusion: Hospitals should develop incentive programs to improve nurses’ attitudes which are based on their subjective norms and tailored to each hospital’s specific circumstances to ensure engagement in fall prevention activities. In short, we recommend that consistent, repeated, and custom fall-prevention education should be implemented in small- and medium-sized hospitals to promote engagement in fall-prevention activities. Patient safety activities in small- and medium-sized hospitals can be enhanced by creating an environment that encourages active and self-directed participation in developing fall-prevention strategies using motivation and rewards.

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