scholarly journals Effect of Educational Program on Nurses' Performance Regarding Prevention and Management of Intravenous Extravasation Chemotherapy

2020 ◽  
Vol 2 (3) ◽  
pp. 12
Author(s):  
Nehal M. Abo El-Fadl
Keyword(s):  
Program Implementation ◽  
Educational Program ◽  
Clinical Importance ◽  
University Hospital ◽  
Convenience Sample ◽  
Curative Therapy ◽  
Hematological Neoplasms ◽  
Knowledge And Practice ◽  
Oncology Unit ◽  
Nurses Knowledge

Context: Systemic chemotherapy plays a pivotal role in curative therapy for patients with hematological neoplasms and several types of advanced solid tumors. Extravasation describes an anticancer agent's accidental leakage from a vessel into the surrounding tissues, leading to irreversible local injuries and severe disability. Despite its considerable clinical importance, evidence-based information on extravasation in chemotherapy is lacking. Aim: This study aimed to evaluate the effect of an educational program on nurses' performance regarding the prevention and management of intravenous extravasation chemotherapy. Methods: The following hypotheses were formulated to achieve the study aim. H1: Nurses' performance related to the prevention and management of intravenous extravasation chemotherapy will be improved after implementing the educational program compared to the pre-program. H2: There will be a significant correlation between nurses’ knowledge and practice post-program implementation. A quasi-experimental research design was utilized to conduct the current study in the oncology unit at Benha University Hospital. A convenience sample consisted of all available nurses (n=40) working in the oncology unit were recruited to achieve the aim of this study. Two tools were used, the nurses' knowledge assessment questionnaire and the nurses' practice observational checklist regarding the prevention and management of intravenous extravasation chemotherapy. Results: This study shows that most nurses had an unsatisfactory level of total knowledge and inadequate total practice regarding the prevention and management of intravenous extravasation chemotherapy pre-program implementation (85% and 56%). This result improved significantly regarding all knowledge and practice elements immediately post-program implementation, where the majority of the nurses had a satisfactory level of their total knowledge and adequate total practice (95% and 94%) that was slightly decreased three months after program implementation (75%) for both knowledge and practice. Conclusion: The majority of the nurses surveyed had an unsatisfactory performance level (knowledge and practice) concerning the prevention and management of intravenous extravasation chemotherapy pre-program implementation. In contrast, most of the studied nurses had statistically significant improvement in their performance immediately and after three months from program implementation, which supported the current study hypotheses. The study recommended continuous in-service training programs and establishing guidelines to help the oncology nurses revise, acquire, and develop their knowledge and practice regarding preventing and managing intravenous extravasation chemotherapy.

scholarly journals EFFECT OF EDUCATIONAL PROGRAM ON NURSES’ PERFORMANCE FOR CHILDREN WITH IDIOPATHIC THROMBOCYTOPENIC PURPURA

2021 ◽  
Vol 13 (2) ◽  
Author(s):  
Sahar Wasfy ◽  
Rahma Soliman ◽  
Ebtisam El-Sayed ◽  
Basma Mahmoud
Keyword(s):  
Idiopathic Thrombocytopenic Purpura ◽  
Educational Program ◽  
Clinical Skills ◽  
Structured Interview ◽  
University Hospital ◽  
Basic Knowledge ◽  
Thrombocytopenic Purpura ◽  
Pediatric Hematology ◽  
Blood Disorder ◽  
Knowledge And Practice

Introduction: Idiopathic Thrombocytopenic Purpura is an autoimmune blood disorder associated with decrease platelets level less than normal, which may result in bleeding occurrence. The actual cause is unknown. It may be progressive if untreated, but may remit spontaneously for several years. The aim of this study was to evaluate the effect of health educational program on nurses’ performance for children with Idiopathic-Thrombocytopenic-Purpura. Methods: The study was Quasi- experimental research design used for 50 nurses working at Pediatric Hematology Unit of Tanta University Hospital and Pediatric Hematology Unit of Al- Mabra Tanta Hospital. Two Tools were used to collect required data: structured interview schedule to collect biosocial data of nurses and observational check list regarding nursing practice. Results: The present study-represented that, three quarter of nurses had poor-knowledge and all of them had unsatisfactory level of practice before the-educational-program-implementation. While immediately and after one month from the implementation of the program the total-scores-of-nurses' knowledge and practice improved. Conclusion: There was a-significant improvement in nursing knowledge and practice in relation to nursing care for children with Idiopathic-Thrombocytopenic-Purpura. Recommendations: In-service-training program should be conducted periodically for nurses' teaching the basic knowledge and clinical skills.

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 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 Effect of Educational Program on Nurses' Knowledge, Practices and Patients' Outcomes Post Total Knee Arthroplasty

2021 ◽  
Vol 3 (4) ◽  
pp. 16
Author(s):  
Amal S. Taha ◽  
Rawia A. Ibrahim
Keyword(s):  
Total Knee Arthroplasty ◽  
Patient Outcomes ◽  
Knee Arthroplasty ◽  
Program Implementation ◽  
Educational Program ◽  
Knowledge Practices ◽  
Orthopedic Department ◽  
Total Knee ◽  
Nurses Knowledge

Context: Total knee arthroplasty (TKA) is a surgical procedure in which the damaged parts of the patient's kneecap, thighbone, and shinbone are replaced with artificial parts. Aim: This study aimed to evaluate the effect of an educational program on nurses' knowledge, practices, and patients' outcomes post total knee arthroplasty. Methods: A quasi-experimental design was utilized in the orthopedic department and outpatient orthopedic clinic affiliated to Benha University Hospital from the beginning of July 2020 to the end of June 2021. A convenience sample of all available nurses (50) working in the orthopedic department. A purposive sample of 64 adult patients from both genders was divided into (32) control and (32) study groups. Three tools were used: The nurses' knowledge assessment questionnaire, nurses' practice observational checklist, and patient’ outcomes assessment sheet. Results: The present study revealed that 58% of nurses age was from 40 to less than 60 years old, 92% were females, 66% had secondary nursing education, 28 % of studied nurses had total satisfactory knowledge pre-program implementation, which reached 80%, 58 %, respectively immediately after and in follow up of program implementation. 22% of studied nurses had a competent level of practice scores pre-program implementation, which improved to 82%, 74 %, respectively, immediately after and in follow up of program implementation. There were highly statistically significant differences between study and control group patients regarding the frequency of most of the general and local complication and lower extremity function scale after two weeks and one month post-surgery at p-value<0.00. Conclusion: Implementing the educational program had statistically significantly improved the knowledge and practices of the studied nurses that could reflect positively on patient condition. The study recommended a continuous educational program for all nurses working in the orthopedic departments. Further study to search the correlation between the nurses' performance and the patient outcomes is recommended.

scholarly journals Effect of Designed Practice Guidelines on Nurses’ Performance and Outcome of Children with Head Injuries

2020 ◽  
Vol 1 (2) ◽  
pp. 12
Author(s):  
Khadiga M. Said ◽  
Safaa F. Deraz ◽  
Amal G. Sebaq
Keyword(s):  
Brain Injury ◽  
Head Injury ◽  
Practice Guidelines ◽  
Head Injuries ◽  
Management Strategies ◽  
Pediatric Neurosurgery ◽  
Personal Characteristic ◽  
University Hospital ◽  
Knowledge And Practice ◽  
Nurses Knowledge

Contexts Acute head injury resulting from a trauma to the head, leading to brain injury or bleeding within the brain, it can cause edema and hypoxia. Head injury is the leading cause of death in the first four decades of life. Effective nursing management strategies for children with severe traumatic brain injury are still a remarkable issue and a difficult task for neurologists, neurosurgeons, and nurses. Aim: To evaluate the effect of designed practice guidelines on nurses' performance regarding the care of children with head injuries. Methods: A quasi-experimental research design utilized to conduct the current study on pediatric neurosurgery departments of Benha University Hospital and Benha Teaching Hospital. A purposive sample of 72 children with head injuries and a convenient sample of all available nurses. They were 62 nurses who are working on the previously mentioned study settings. Four tools used to collect data in this study. A structured interviewing questionnaire sheet developed to assess the studied nursing personal characteristic of the studied nurses and nurses' knowledge regarding head injuries. Child medical data record developed to assess children's personal and head injuries characteristics for children. Glasgow coma scale adopted to assess the child conscious level. Observational checklists to assess the actual nurses' practices regarding the care of children with head injuries. Results: There was a statistically significant improvement in nurses' knowledge and practice regarding the care of children with head injuries before and after the implementation of designed practice guidelines (p˂0.001). There was a statistically significant improvement regarding the occurrence of convulsion after the implementation of the program. Conclusion: The study concluded that the implementation of designed practice guidelines for nurses improves their knowledge and practice as well as reduced occurrence of frequency, duration, and timing of convulsion, which support the current research hypotheses. The study emphasizing the importance of implementing of designed practice guidelines for nurses caring of children with a head injury to reduce the occurrence of head injury complications, which is an effective and safe non-invasive intervention in neurosurgery and emergency departments as a standard of care for all head-injured children.

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.

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