scholarly journals Effect of self-learning package on nurses knowledge and practices regarding patient care undergoing laparoscopic cholecystectomy

2021 ◽  
Vol 12 (1) ◽  
pp. 156-170
Author(s):  
Rasha Awad A’elamgied Salime ◽  
Taghreed Talaat shakweer
Keyword(s):  
Laparoscopic Cholecystectomy ◽  
Patient Care ◽  
Self Learning ◽  
Nurses Knowledge

scholarly journals P-BN44 The impact of the COVID-19 pandemic on waiting lists for laparoscopic cholecystectomy and its effect on patient care and outcomes

2021 ◽  
Vol 108 (Supplement_9) ◽  
Author(s):  
Geraint Herbert ◽  
Charlotte Thomas
Keyword(s):  
Laparoscopic Cholecystectomy ◽  
Patient Care ◽  
Positive Impact ◽  
Elective Surgery ◽  
Emergency Operation ◽  
Waiting Lists ◽  
Waiting List ◽  
Subtotal Cholecystectomy ◽  
Significant Difference ◽  
The Impact

Abstract Background It has been widely reported that the COVID-19 pandemic has had a detrimental impact on waiting lists for elective surgery in the NHS. Delays in laparoscopic cholecystectomy (LC) are likely to prolong suffering for symptomatic patients and risk increasing complications for patients which may then require emergency care and intervention. In this study we aim to quantify the impact of the COVID-19 pandemic on elective waiting lists and to assess what implications this might have on patient care and outcomes.  Methods Electronic health records were retrospectively interrogated for patients undergoing LC in both March 2019 (prior to the COVID-19 pandemic) and March 2021. The following data was captured: age, gender, elective vs emergency operation, laparoscopic vs open, total vs subtotal cholecystectomy, use of drains, length of stay/daycase rates, the number of emergency presentations prior to operation and the number of days between being listed for surgery and their operation. The results were analysed using SPSS Statistics (IBM, New York).  Results 111 patients were included in the study (25 male and 86 female). Of these, 60 had their LC in 2019, and 51 in 2021. The age and gender distribution of the patients in both time periods were similar. The median number of days on the waiting list was significantly higher (P < 0.001) for patients in 2021 at 379.5 days, compared with 153 days in 2019. There was a significant increase in the number of emergency presentations prior to LC in 2021 (P = 0.025) with an average of 0.7 presentations per patient compared with 0.45 in 2019. Additionally, there was a significant increase in the number of emergency LC performed in 2021 (P = 0.002), with 15 performed compared with 4 in 2019, representing 29.4% and 6.7% of all LC respectively. There was no significant change in rates of conversion to open, drains or subtotal cholecystectomy. There was no significant difference in daycase rates for elective patients in either period (55% vs 58%). Conclusions Whilst there has been no change in the operative outcomes for patients undergoing LC, there has been a stark increase in the length of time patients are on a waiting list prior to undergoing elective LC. This has resulted in a significant increase in the number of emergency presentations and the number of emergency LC performed. This study demonstrates the wider impact of increasing waiting list times beyond the prolonged suffering of symptomatic patients. A significant reduction in waiting list times would be beneficial to both patients and healthcare providers, with the aim of reducing the number of emergency presentations. A reduction in these would have a positive impact on acute services and on the associated cost implications.  

scholarly journals Assessment of Nurses’ Knowledge of Patient Care After Cardiac Catheterization in Mosul Hospitals

2021 ◽  
Author(s):  
Hanady J Mahmood ◽  
Radhwan H Ibrahim ◽  
Ekhlas T Hassan ◽  
Mohammed F Abdulgani
Keyword(s):  
Patient Care ◽  
Cardiac Catheterization ◽  
Nurses Knowledge

scholarly journals Level of Knowledge and Practice of Patient Care Ethics among Nurses in Pokhara

2018 ◽  
Vol 6 ◽  
pp. 17-28
Author(s):  
Arati Timilsina ◽  
Bhagawati KC
Keyword(s):  
Patient Care ◽  
Care Ethics ◽  
Interdisciplinary Studies ◽  
Knowledge Level ◽  
Practice Level ◽  
Satisfactory Level ◽  
Ethical Decisions ◽  
Level Of Knowledge ◽  
Knowledge And Practice ◽  
Nurses Knowledge

Ethics deal with standards of conduct and moral judgment. Every day nurses require to make ethical decisions during patient care. They should have good knowledge and adequate practice of ethics to make ethical decisions. The aim of this study was to identify the knowledge and practice of patient care ethics among nurses. A descriptive cross sectional research design was used to conduct the study. Simple random sampling method was adopted to select 108 nurses among 133 nurses working in a regional hospital, Pokhara. Self-administered structured questionnaire schedule was used for data collection and analyzed using IBM SPSS Version 20. Descriptive and inferential statistics such as frequency, percentage, mean, standard deviation, Chi-square test was used to analyze the data. The findings revealed that 65.1 percent of nurses had satisfactory level knowledge and 76.4 percent had adequate practice level of patient care ethics. There was significant association between nurses knowledge level and professional qualification (p<.001). The level of practice does not have significant association with socio-demographic and job related variables. Similarly, no significant association between knowledge and practice level of patient care ethics was found. It concludes that the nurses with satisfactory level of knowledge and adequate level of practice are more than the nurses with unsatisfactory knowledge level and inadequate practice level of patient care ethics. Their practice of ethical principle is better than their knowledge in all principles except in the principle of justice. Nurses’ knowledge and practice of patient care ethics should be upgraded through educational and awareness programme. Janapriya Journal of Interdisciplinary Studies, Vol. 6 (December 2017), page: 17-28

scholarly journals Effect of Self-Learning Package about Critical Thinking on Intern-Nurses' Knowledge, Disposition and Skills

2022 ◽  
Vol 2 (2) ◽  
pp. 548-567
Author(s):  
Ahmed Farghaly Towfik ◽  
Gehan Mohamed Ahmed Mostafa ◽  
Howida Hassan El-Sayed Mahfouz ◽  
salwa mohamed
Keyword(s):  
Critical Thinking ◽  
Self Learning ◽  
Nurses Knowledge

Ethico-legal aspects and ethical climate: Managing safe patient care and medical errors in nursing work

2020 ◽  
Vol 15 (3) ◽  
pp. 132-140 ◽  
Author(s):  
Nagah Abd El-Fattah Mohamed Aly ◽  
Safaa M El-Shanawany ◽  
Ayman Mohamed Abou Ghazala
Keyword(s):  
Patient Care ◽  
Medical Errors ◽  
Ethical Climate ◽  
Legal Aspects ◽  
Negative Influence ◽  
Ethical Practice ◽  
Cross Sectional ◽  
Safe Patient Care ◽  
Job Experience ◽  
Nurses Knowledge

Background The nursing profession requires ethical and legal regulations to guide nurses’ performance. Ethical climate plays a part in shaping nurses’ ethical practice. Therefore, ethico-legal aspects and ethical climate contribute to improving nurses’ ethical practice and competencies with reducing medical errors in hospital settings. Objective This study examined the effect of ethico-legal aspects and ethical climate on managing safe patient care and medical errors among nurses. Materials and methods A cross-sectional correlational study was carried out on 548 nurses. Data were collected through self-administered questionnaires about nurses’ knowledge in both ethical and legal aspects, ethical practice, competencies, ethical climate and experience with medical error. Results The main sources of nurses’ knowledge of ethical and legal aspects were undergraduate lectures, job experience and colleagues. Nurses’ knowledge in both ethical and legal aspects, nurses’ ethical practice and competencies were insufficient. Nurses fairly perceived their ethical climate. Also, nurses experienced medical errors about 22.6% in their units. Nurses’ knowledge of ethical and legal aspects, as well as the ethical climate were positive predictors of inadequate nurses’ ethical practice and competencies. Additionally, nurses’ knowledge in both ethical and legal aspects, ethical climate and practice had a negative influence on the occurrence of medical errors. Conclusion Enhancing nurses’ knowledge in both ethical and legal aspects as well as ethical climate could significantly influence improving nurses’ ethical practice, competencies and reducing medical errors in the study units. Therefore, planning for enhancing the nurses’ ethico-legal learning and ethical climate seems to be mandatory.

Impact of Oral Health Assessment Education Intervention on Nurses' Knowledge and Patient-Care Practices

2008 ◽  
Vol 108 (9) ◽  
pp. A57
Author(s):  
N. Munoz ◽  
R. Touger-Decker ◽  
B. Greenberg ◽  
L. Byham-Gray ◽  
Y. Jill ◽  
...  
Keyword(s):  
Oral Health ◽  
Patient Care ◽  
Health Assessment ◽  
Education Intervention ◽  
Care Practices ◽  
Nurses Knowledge

Communications problems affecting patient care in hospitals

JAMA ◽  
1966 ◽  
Vol 195 (1) ◽  
pp. 36-37 ◽  
Author(s):  
J. C. Quint
Keyword(s):  
Patient Care

Teletinnitus Program at the VA Gulf Coast Veterans Health Care System

2014 ◽  
Vol 4 (1) ◽  
pp. 23-29
Author(s):  
Constance Hilory Tomberlin
Keyword(s):  
Health Care ◽  
Patient Satisfaction ◽  
Patient Care ◽  
Health Care System ◽  
Gulf Coast ◽  
New Technology ◽  
Cost Effective ◽  
Veterans Health ◽  
Potential Benefits ◽  
Care System

There are a multitude of reasons that a teletinnitus program can be beneficial, not only to the patients, but also within the hospital and audiology department. The ability to use technology for the purpose of tinnitus management allows for improved appointment access for all patients, especially those who live at a distance, has been shown to be more cost effective when the patients travel is otherwise monetarily compensated, and allows for multiple patient's to be seen in the same time slots, allowing for greater access to the clinic for the patients wishing to be seen in-house. There is also the patient's excitement in being part of a new technology-based program. The Gulf Coast Veterans Health Care System (GCVHCS) saw the potential benefits of incorporating a teletinnitus program and began implementation in 2013. There were a few hurdles to work through during the beginning organizational process and the initial execution of the program. Since the establishment of the Teletinnitus program, the GCVHCS has seen an enhancement in patient care, reduction in travel compensation, improvement in clinic utilization, clinic availability, the genuine excitement of the use of a new healthcare media amongst staff and patients, and overall patient satisfaction.

Sign in / Sign up

Export Citation Format

Share Document