scholarly journals Effect of Designing and Implementing Nursing Guidelines on Nurses' Performance in Caring Women with Ectopic Pregnancy

2019 ◽  
Vol 1 (3) ◽  
pp. 13
Author(s):  
Hanan A. F. Mohamed ◽  
Mahmoud R. Fayed ◽  
Somaya O. Abd El Meneam ◽  
Ola M. El-Sayed
Keyword(s):  
Ectopic Pregnancy ◽  
Nursing Care ◽  
University Hospital ◽  
Obstetrics And Gynecology ◽  
Significant Difference ◽  
Before And After ◽  
Quasi Experimental ◽  
Knowledge And Practice ◽  
Nursing Guidelines ◽  
Nurses Knowledge

Context: Ectopic pregnancy is a condition presenting as a significant health problem for women of the childbearing period. Ectopic pregnancy remains one of the primary causes of maternal mortality. Aim: The study aimed to evaluate the effect of nursing guidelines for improving maternity nurses' performance regarding ectopic pregnancy. Methods: A quasi-experimental design used to achieve the aim of the study. The study conducted at Obstetrics and Gynecology Department at Benha University Hospital. A convenient sample of all nurses (90 nurses) working in Obstetrics and Gynecology departments at Benha university hospital. Tools of data collection included a structured self-administrated questionnaire to assess nurses' knowledge regarding ectopic pregnancy, an observational checklist to evaluate nursing practice regarding ectopic pregnancy before and after the implementation of the nursing guidelines. Results: shows that 78.9% of the studied nurses had total incorrect knowledge pre-program, which improved to 88.9% of them, had correct knowledge post-program. The study also shows that 47.2% of the studied nurses had unsatisfactory total practice score pre-program, which improved to 54.4%  of the studied nurses had high satisfactory total practice post-program. There was a highly statistically significant difference before and after nursing guidelines of the studied nurses’ knowledge and practice regarding ectopic pregnancy (P ≤ 0.001). Conclusion: The study concluded that nursing guidelines have a positive effect on the nurses' performance in terms of their knowledge and practice regarding ectopic pregnancy. The study recommended that simple guidelines regarding ectopic pregnancy nursing care should be distributed to nurses in the emergency obstetrics department to standardized and optimized nursing care provided to women with ectopic pregnancy. Continuous refreshment courses and follows up programs for nurses regarding ectopic pregnancy.

scholarly journals Maternity Nurses’ Performance Regarding Management of the Intrapartum Woman With Cardiac Disease

2018 ◽  
Vol 3 (3) ◽  
pp. 60
Author(s):  
Eman Mohammed Abd-Elhakam ◽  
Amira Mohammed Salama
Keyword(s):  
Nursing Care ◽  
Cardiac Disease ◽  
Statistical Significance ◽  
Neonatal Morbidity ◽  
University Hospital ◽  
Cardiac Diseases ◽  
Post Intervention ◽  
Quasi Experimental ◽  
Knowledge And Practice ◽  
Nurses Knowledge

Background: Cardiac disease in pregnancy is a leading cause of maternal and neonatal morbidity and mortality. Effective management is based upon close fetal and maternal monitoring during pregnancy and labour. The aim of the present study was to evaluate maternity nurses’ performance regarding management of intrapartum woman with cardiac disease. Research design: A quasi-experimental design was utilized to fulfil the aim of the study. Sample: A convenient sample of a total 64 maternity nurses was included in the present study. Setting: The present study was conducted in Obstetrical and Gynecological Department at Benha University Hospital. Tools: Two tools were utilized for data collection. I-A structured interviewing questionnaire which include two parts; Part 1: Socio demographic characteristics. Part2: Assessment of nurses’ knowledge regarding cardiac disease during pregnancy and labour which includes Physiological changes of cardiovascular system during pregnancy. Causes and risk factors, etc. II-Maternity nurses' practice observational checklistwhich focus on management of cardiac women during labor including four stages of labour and Nursing care for moderate and high risk cases immediately after labour. Results: Shows significant improvement in nurses' knowledge 57.8% compared to 90.6% post intervention. Also, improvement is clear in satisfactory level of practice after intervention, in first stage for example was 32.8 % pre intervention compared to 87.5% post intervention. there were highly statistical significance differences between mean score of both knowledge and practice regarding management of intrapartum woman with cardiac diseases between the pre and post intervention phases (p<0.001).Conclusion: the study concluded that research hypotheses are supported and educational intervention had appositive effect on improvement nurses 'knowledge and practice and in turn their performance regarding management of intrapartum woman with cardiac diseases. Recommendation: Periodic educational program for nursing staff in Obstetrics and Gynecology Department regarding nursing care of cardiac patients.

scholarly journals Effect of implementing epilepsy educational guidelines on nurses’ performance and patients’ outcomes

2021 ◽  
Vol 9 (2) ◽  
pp. 20
Author(s):  
Walaa El-khanany Zahran ◽  
Wafaa Ismail Sherif ◽  
Hanan Abo-Bakr Mohamed
Keyword(s):  
Neurological Diseases ◽  
Active Role ◽  
University Hospital ◽  
Self Management ◽  
Control Group ◽  
Quasi Experimental ◽  
Knowledge And Practice ◽  
Nursing Guidelines ◽  
Patients With Epilepsy ◽  
Nurses Knowledge

Objective: Epilepsy is considered one of the most common neurological diseases affecting 65 people worldwide. People with epilepsy are more likely to get injured and die prematurely than the general population. Nurses must acquire professional knowledge related to epilepsy and should strengthen patients to play a more active role in their care to improve their understanding of their diseases. The study aimed to evaluate implementing epilepsy educational guidelines on nurses’ performance and patients’ outcomes.Methods: A quasi-experimental research design was conducted at the Neurology department in Mansoura University Hospital. This study sample is a convenient sample of 28 nurses and a purposive sample of 60 adult patients with epilepsy who attend the neurological department in Mansoura University Hospital.Results: The results indicate a significant improvement in nurses’ knowledge and practice regarding epilepsy. Also, it helped to improve patients’ knowledge and thus promoted epilepsy self-management behaviors in the study group.Conclusions: The designed nursing guidelines have achieved their objectives by improving nurses’ knowledge and practice regarding epileptic patient care, in addition to improving patients’ knowledge and epilepsy self-management scale for the study group compared with the control group.

scholarly journals Role of the nurse in preventing or reducing increase intracrani-al pressure following craniotomy

2017 ◽  
Vol 6 (2) ◽  
pp. 92
Author(s):  
Rasha Abdelmowla ◽  
Abdelhakeem Essa ◽  
Esmat Abdelmaged
Keyword(s):  
Intracranial Pressure ◽  
Educational Program ◽  
Demographic Data ◽  
Quality Care ◽  
Adult Patients ◽  
University Hospital ◽  
Control Group ◽  
Significant Difference ◽  
Before And After ◽  
Nurses Knowledge

Background: Increase intracranial pressure following craniotomy is common and different measures should be taken to prevent or treat it promptly. Aim: Preventing or reducing increase intracranial pressure following craniotomy. Research design: Quasi-experimental.Subjects and methods: All nurses (26) in neurosurgery department at Assiut Neurological, Psychiatric and Neurosurgery University Hospital, in addition to a sample of 124 patients after craniotomy. Control group (62 adult patients before implementing the nursing     educational program) and study group (62 adult patients after implementing the nursing educational program). Nurses’ knowledge and practice were assessed before and after implementation of the nursing educational program. Tools: Structured questionnaire to assess nurses` demographic data and knowledge about intracranial pressure, observation checklist for nurses` practice, patients’ assessment sheet, and teaching booklet for nurses about postoperative increase intracranial pressure. Results: Highly significant differences were found as regarding nurses` knowledge and nurses` practice pre and post implementing the nursing educational program. Significant difference was found between study and control groups as regarding increase intracranial pressure following craniotomy. Conclusion: Nursing educational program had a significant effect on preventing or reducing postoperative increase intracranial pressure.Recommendation: Nurses should have continuous education through programs, workshops, seminars and/or training courses to maintain high quality care.

scholarly journals Implementation of the Format for the Nursing Problem Oriented Record (Por) Performance in Investment Health Center in Ternate City 2018

2019 ◽  
Author(s):  
Amira . ◽  
Muhlisa . ◽  
Tri Johan
Keyword(s):  
Health Center ◽  
Nursing Care ◽  
Statistical Tests ◽  
Sampling Technique ◽  
Control Group ◽  
P Value ◽  
Nursing Documentation ◽  
Significant Difference ◽  
Before And After ◽  
Quasi Experimental

Completeness of nursing documentation is one of the quality indicators of nursing care. Based on the nursing practice law no. 38 article 37, nurses in carrying out Nursing Practices are obliged to document Nursing Care in accordance with the standards. Documentation in Inpatient PKM consisting of Siko, Jambula, and Sulamadaha PKM itself, based on the observations of researchers found several obstacles, namely, the lack of nurses given the large number of PKM programs that must be run, varying levels of education so documentation has a different understanding, this also supported by the lack of education and training related to temporary nursing care documentation relating to the Nursing Process and Documentation experiencing some recent changes. The purpose of this study was to determine the effect of applying the nursing documentation format for the model Problem-Oriented Record (POR) on the performance of nurses in the Inpatient Health Center in Ternate City. The design of this study is quasi-experimental, namely, pre and post-test without control group. The population is nurses with 41 people in PKM Inpatient who are in Ternate City. Samples were taken by total sampling technique and analyzed using statistical tests t-test, Anova, and correlation. The results of the study found a significant difference between the performance of nurses before and after the application of the documentation format for nursing care in the POR model (p-value: 0,0005 α: 0.05) while the characteristics of respondents included age, sex, marital status, length of work and education had no effect on performance.

scholarly journals Effect of a Comprehensive Total Parenteral Nutrition Training Program on Knowledge and Practice of Nurses in NICU

2016 ◽  
Vol 8 (10) ◽  
pp. 135 ◽  
Author(s):  
Zahra Daneshvar Ameri ◽  
Ali Vafaee ◽  
Tahere Sadeghi ◽  
Zhila Mirlashari ◽  
Djavad Ghoddoosi-Nejad ◽  
...  
Keyword(s):  
Parenteral Nutrition ◽  
Training Program ◽  
Total Parenteral Nutrition ◽  
Preterm Neonates ◽  
Multiple Choice Questions ◽  
Significant Difference ◽  
Before And After ◽  
The Mean ◽  
Knowledge And Practice ◽  
Nurses Knowledge

<p><strong>Background: </strong>Parenteral nutrition is a lifesaving therapy for many infants who are unable to tolerate enteral feedings. It fulfils preterm neonates’ needs for growth and development when their sizes or conditions preclude enteral feeding. Virtuous nursing care and close biochemical monitoring are absolutely essential for successful parenteral nutrition therapy. Since poor knowledge in parenteral nutrition can causes severe impairment to neonatal infants, the conduction of this study is essential.</p><p><strong>Aims: </strong>The present study aims to: (1) examine the knowledge and practice of nurses in total parenteral nutrition (TPN); (2) employ training programs for improving knowledge and practice in management of TPN in new-borns.<strong></strong></p><p><strong>Method: </strong>A quasi-experimental study was carried out in Sarem Maternity Hospital in Tehran, Iran. The study population included nurses working in Neonatal Intensive Care Unit (NICU) who were included in the study using headcount census method (n=30). A two-part questionnaire including demographic information; 20 multiple choice questions on the nurses’ knowledge of TPN therapy and 19-item 3-point Likert-type checklist on administration of TPN completed by observing the nurses’ practice. To examine the reliability of the practice part, Cronbach's alpha method was used (α=0.78). Study interventions were mentoring education by the researcher and researcher-developed training manual and educational video and guidelines about neonatal parenteral nutrition. Before and after intervention data were collected and compared using paired t-test.<strong></strong></p><p><strong>Results: </strong>The mean scores of nurses' knowledge before and afterward parenteral nutrition (PN) training program were 11.93±1.91 and 17.56±1.59, respectively. The mean scores of the nurses' practice earlier and after training program were 38.84±2.96 and 40.15±3.02, respectively. Comparing the mean scores of the nurses' familiarity, before and after taking the training course, demonstrated a significant difference (p&lt;0.0001). The knowledge of the nurses in all areas of parenteral nutrition prescription was significantly improved after the employment of mentoring method (p&lt;0.05). Despite an increase in the post-intervention total score, the nurses’ practice, before and after, the intervention was not statistically significant (p&lt;0.05).<strong></strong></p><p><strong>Conclusion: </strong>There is a breach between nursing knowledge and practice in prescribing parenteral nutrition. The gap between knowledge and practice in this area can lead to more morbidity and negative influences on the infant. Therefore, it is required that the gap between knowledge and practice is known as the infant gets less damage.</p>

scholarly journals Implementation of a training program to increase knowledge, improve attitudes and reduce nursing care omissions towards patients with dementia in hospital settings: a mixed-method study protocol

BMJ Open ◽  
2019 ◽  
Vol 9 (7) ◽  
pp. e030459
Author(s):  
Melina Evripidou ◽  
Anastasios Merkouris ◽  
Andreas Charalambous ◽  
Evridiki Papastavrou
Keyword(s):  
Observational Study ◽  
Nursing Care ◽  
Training Programme ◽  
Positive Attitudes ◽  
People With Dementia ◽  
Before And After ◽  
Quasi Experimental ◽  
Level Of Knowledge ◽  
Missed Care ◽  
Nurses Knowledge

IntroductionThere is an evidence showing that when nurses have to allocate their time because of a lack of resources, older patients and especially those with dementia have a secondary care priority. The purpose of this study is to advance the level of knowledge, promote positive attitudes of nurses and reduce care deficits towards people with dementia through the implementation of a training programme. The programme will be enriched by an observational study of the care of patients with dementia to identify areas of missed care.Method and analysisThis study will follow a mixed methodology consisting of three stages: (1) evaluation of the level of nurses’ knowledge and attitudes towards dementia care through the use of structured questionnaires, (2) observational study to evaluate nursing care in hospital settings, in order to detect any missed care and (3) quasi-experimental study, with a before-and-after design, through the implementation of the training programme in order to increase nurses’ knowledge, improve attitudes and consequently to promote care for patients with dementia. The data will be analysed with descriptive and inferential statistics with the use of the SPSS V.24.0 and with content analysis as regard to the observational data.Ethics and disseminationThe protocol was approved by the National Bioethics committee and other local committees (ΕΕΒΚ: 2018.01.02). The participants will give their informed consent and the anonymity and confidentiality. Also, the protection of data will be respected. The results of the study will be disseminated in peer-reviewed international journals and conferences. If the intervention is successful, the training package will be given to the continuous education unit of the National Professional Association in order to be used on a regular basis.

scholarly journals The Effect of Winter Mountaineering Training on Athlete Success and Permanency of Learning

2021 ◽  
Vol 7 (3) ◽  
pp. 275
Author(s):  
Burak Kural ◽  
Selami Yüksek ◽  
Vedat Ayan
Keyword(s):  
Test Data ◽  
Repeated Measures ◽  
Female Athletes ◽  
Achievement Test ◽  
Repeated Measurements ◽  
Significant Difference ◽  
Before And After ◽  
Post Test ◽  
Quasi Experimental ◽  
Knowledge And Practice

Introduction and Purpose: The aim of this research is to examine the effects of athlete success and permanency of learning the winter mountaineering training given by the Turkish Mountaineering Federation. The research group consists of a total of 105 participants, 21 women (20%) and 84 men (80%) who attended the winter mountaineering training course organized by the Turkish Mountaineering Federation. Materials and Methods: In this study, quasi-experimental design was used in the research. A multiple-choice achievement test of 25 questions which includes knowledge and practice issues related to winter mountaineering education was prepared. The reliability analysis of the achievement test was made with the “ITEMAN” program. The pre-test-post-test data of the study were collected on 20-27 January 2019 on Zigana Mountain, and 4 weeks later, the permanency test data was collected on 28 February 2019 on Erciyes Mountain. In data analysis, for correlated samples (repeated measures) one-factor ANOVA and for repeated measurements two-factor ANOVA analyzes were performed. Findings: There was a significant difference between the pre-test-post-tests-permanency test total, knowledge, and application scores of the athletes. It is seen that the achievement scores of male and female athletes before and after the training do not differ significantly. Results: According to the research results; It has seen that the winter mountaineering training given by the Turkish mountaineering federation has a positive effect on the knowledge and practice levels of the athletes and has an important contribution in the context of the permanency of learning. In addition, it was determined that the success scores of female athletes who received training were higher than male athletes.

scholarly journals Nursing Care Model Based on Knowledge Management in Preventing Nosocomial Infection After Caesarean Section in Hospital

Jurnal NERS ◽  
2016 ◽  
Vol 9 (2) ◽  
pp. 236
Author(s):  
Ahsan Ahsan
Keyword(s):  
Knowledge Management ◽  
Nosocomial Infection ◽  
Nursing Care ◽  
Nosocomial Infections ◽  
Population Data ◽  
Sectio Caesarea ◽  
Wound Culture ◽  
Significant Difference ◽  
Before And After ◽  
Quasi Experimental

Introduction: Nosocomial infection is one indicator of the quality of health services in the community, which also determines the image of health care institutions becauseit was a major cause of morbidityand death rate (mortality) in hospital. Nursing care based on knowledge management is established from identification knowledge which is required, prevention performance of nosocomial infections post section caesarea. Nosocomial infections component consists of wound culture result. Method: This study was an observational study with a quasi experimental design. The population was all of nursing staff who working in obstetrics installation in hospitals A and B as much as 46 people. Sample was the total population. Data was collected through questionnaire, observation sheets and examination of the wound culture. Data was analyzed using t test B 1.274 dan p=0.028 Result: The result showed that 1) there was difference in knowledge management implementation before and after training; 2) there was difference in nurse’s performance in preventing nosocomial infection before and after training; 3) there is significant relationship between nurse’s performance in preventing nosocomial infection and infection incidence; 4) there is no significant difference of nursing care impementation on nosocomial incidence. Discussion: In conclusion, the development of nursing care based on knowledge management as a synthesis or induction of findings directed at 1) nurses’ knowledge does not affect the performance of the prevention of nosocomial infections; 2) knowledge management has a positive effect on the performance of the prevention of nosocomial infections; 3) implementation of infection prevention is integrated capabilities between knowledge, skills and attitudes of nurses in implementing performance in care.Keywords: model prevention, nosocomial infections, nursing care, knowledge management, sectio Caesarea

A multifaceted stewardship intervention helps curb steroid overprescribing in hospitalized patients with acute exacerbations of COPD

2021 ◽  
Author(s):  
Jennifer L Cole ◽  
Sarah E Smith
Keyword(s):  
Length Of Stay ◽  
Intervention Strategy ◽  
Audit And Feedback ◽  
Face To Face ◽  
Duration Of Therapy ◽  
Significant Difference ◽  
Acute Exacerbations ◽  
Before And After ◽  
Quasi Experimental ◽  
Prospective Audit And Feedback

Abstract Disclaimer In an effort to expedite the publication of articles, AJHP is posting manuscripts online as soon as possible after acceptance. Accepted manuscripts have been peer-reviewed and copyedited, but are posted online before technical formatting and author proofing. These manuscripts are not the final version of record and will be replaced with the final article (formatted per AJHP style and proofed by the authors) at a later time. Purpose Corticosteroid overprescribing is well documented in real-world practice. There is currently no evidence to guide best practices for steroid stewardship. The aim of this study was to assess the effects of a 3-part stewardship intervention strategy on inpatient steroid prescribing in patients with acute exacerbations of COPD (AECOPD). Summary Investigators implemented a 3-part stewardship initiative consisting of (1) an anonymous survey for providers on steroid prescribing in a simplified case of AECOPD, (2) face-to-face education and review of survey results, and (3) prospective audit and feedback from a clinical pharmacist. This was a quasi-experimental before-and-after study evaluating hospitalized adults diagnosed with AECOPD in two 12-month study periods before (April 2019-March 2020) and after (May 2020-April 2021) implementation. The primary outcome was mean inpatient steroid dosing. Secondary outcomes were duration of therapy, length of stay (LOS), 30-day readmissions, 30-day mortality, and incidence of hyperglycemia. Per power analysis, there were 27 patients per cohort. The interventions resulted in a significant reduction in prednisone equivalents during hospitalization: 118 mg vs 53 mg (P = 0.0003). This decrease was similar in ICU (160 mg vs 61 mg, P = 0.008) and non-ICU (102 mg vs 49 mg, P = 0.004) locations. There was no significant difference in duration of therapy (8 days vs 7 days, P = 0.44), length of stay (3.3 days vs 3.9 days, P = 0.21), 30-day mortality (4% vs 7%, P = 0.55), 30-day readmissions (15% vs 7%, P = 0.39), or rate of hyperglycemia (48% vs 44%, P = 0.78). Conclusion A multifaceted stewardship intervention significantly reduced steroid dosing in hospitalized AECOPD patients. This reduction was not associated with known deleterious effects.

scholarly journals Evaluation of bedbath in critically ill patients: impact of water temperature on the pulse oximetry variation

2010 ◽  
Vol 44 (4) ◽  
pp. 1039-1045 ◽  
Author(s):  
Aretha Pereira de Oliveira ◽  
Dalmo Valério Machado de Lima
Keyword(s):  
Water Temperature ◽  
Critically Ill ◽  
Critically Ill Patients ◽  
Age Groups ◽  
University Hospital ◽  
Convenience Sample ◽  
Level Ii ◽  
Before And After ◽  
Quasi Experimental ◽  
Water Temperature Data

This is a participant study, quasi-experimental, of a before and after type. A quantitative approach of biophysiological measures was used, represented by the saturation of oxygen measured by pulse oximeter (SpO2), and recorded on three occasions: before, during and after the bedbath in critically ill patients hospitalized at the ICU of a University Hospital in Brazil. Objective: to compare the SpO2 in various stages of the bath, with and without control of water temperature. Data collection was performed between December 2007 and April 2008 on a convenience sample consisting of 30 patients aged over 18 who had classification in TISS-28 from level II. Results show that water temperature control means a lower variation of SpO2 (p<0.05). No marked differences in variation of saturation between men and women or between age groups were established. In conclusion, heated and constant water temperature during the bedbath is able to minimize the fall of SpO2 that occurs while handling patients during procedures.

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