scholarly journals Implementing structured model of clinical handover (SHARED): Its influence on nurses’ satisfaction

2018 ◽  
Vol 7 (1) ◽  
pp. 71
Author(s):  
Sohair Mabrouk Mohammed ◽  
Sanaa Moustafa Safan
Keyword(s):  
Staff Nurses ◽  
University Hospitals ◽  
Structured Model ◽  
Clinical Handover ◽  
Healthcare Settings ◽  
Knowledge Questionnaire ◽  
Refresher Training ◽  
Quasi Experimental ◽  
Training Courses ◽  
Knowledge And Practice

Objective: Clinical handover is acting an important role which nurses are usually involved numerous times in daily working for providing patient care. In spite of the importance of clinical handover, there is no standardized handover practice in our healthcare settings. This study aimed to explore the effect of implementing a structured model of clinical handover (SHARED), and its influence on nurses’ satisfaction.Methods: Design: The quasi-experimental design was utilized. Settings: Conducted at Menoufia University Hospitals at inpatient departments/units. Subjects: A convenient sample of 167 staff nurses who had at least a year of experience and accept to participate in this study. Tools: Tool I, Handover Knowledge Questionnaire; Tool II: clinical handover questionnaire; and Tool III, nurses’ satisfaction questionnaire.Results: Nurses’ levels of total knowledge regarding practices of the current clinical handover were poor at pre-implementation and improved after implementation of the structured model as SHARED. Additionally, there was an improvement of clinical handover attitude after implementation of a SHARED framework among studied subjects and had a good level of attitude than pre-implementation phases.Conclusions: There was the highest level of nurses’ satisfaction regarding clinical handover practice at the post-implementation of SHARD model than pre-implementation.Recommendations: Ongoing educational sessions for nurses and periodic refresher training courses should be provided in order to keep nurses updating knowledge and practice regarding structured and standardized handover models.

scholarly journals Clinical supervision coaching program for head nurses and its relation to their professional identity

2020 ◽  
Vol 8 (1) ◽  
pp. 41
Author(s):  
Sanaa Moustafa Safan ◽  
Amal Refat Gab Allah ◽  
Rehab Abd Allah Nassar
Keyword(s):  
Professional Identity ◽  
Clinical Supervision ◽  
Formal Education ◽  
Nurse Manager ◽  
Leadership Roles ◽  
University Hospitals ◽  
Knowledge Questionnaire ◽  
Wide Range ◽  
Manager Support ◽  
Quasi Experimental

Background: While formal education and training establish the basis for new leadership roles, coaching helps the nurse manager to put this training into use.Aim: To explore the effect of clinical supervision coaching program in relation to head nurses’ professional identity.Methods: Quasi-experimental research design was employed in conducting the study. This study was conducted at Menoufia University Hospitals, Egypt. A group of (41) head nurses and a group of (205) staff nurses were selected for this study. Three tools were used; Knowledge questionnaire about clinical supervision, clinical supervision effectiveness scale and professional identity questionnaire.Results: The majority of the studied head nurses had inadequate levels of knowledge (95.1%) and clinical supervision effectiveness (65.9%) at the pre coaching phase and had significantly improved in the post and follow up phases. Professional identity was also low (80.5%) at the pre coaching phase and had significantly improved after coaching.Conclusions: There was a positive correlation between the head nurse’s clinical supervision knowledge and effectiveness and their professional identity at all study phases. Coaching was effective in improving clinical supervision and professional identity.Implications: It is recommended that coaching be used to support head nurses in a wide range of situations: orientation as a new nurse manager, support during role transitions, during new initiatives and during changing responsibilities as well as for ongoing development and succession planning that maximize their professional capabilities.

scholarly journals Assessment of The Nurse Interns' Medication Administration Safety Performance

2020 ◽  
Vol 2 (4) ◽  
pp. 9
Author(s):  
Asmaa S. Saber ◽  
Harisa M. A. Elshemy
Keyword(s):  
Rating Scale ◽  
Medication Administration ◽  
Safety Performance ◽  
University Hospitals ◽  
Knowledge Questionnaire ◽  
Knowledge And Practice ◽  
Attitude Rating ◽  
Internship Programs ◽  
Safety Knowledge ◽  
Safety Attitude

Contents: Medication administration is an integral part of delivering quality nursing care. The nurse intern should follow the specific guidelines to enhance their medication administration safety. Aim:  The study aims to assess the nurse intern's medication administration safety performance. Methods: The study conducted at Ain Shams University Hospitals using the descriptive design on 90 nurse interns by using three tools, namely, medication administration knowledge questionnaire, the observational checklist for nurse interns' safety performance, and Medication Administration safety Attitude Rating Scale. Results: Findings of the study revealed that the minority of nurse interns (4.3%) had satisfactory total knowledge, 39% had adequate total practice, and around two-thirds of them (62.6%) had a positive attitude.  Conclusion: It is concluding that the nurse interns had unsatisfactory knowledge of medication administration safety, and their related practices are mostly inadequate, although the attitude tends to be high. The study recommended that nurse internship programs should emphasize medication administration safety knowledge and practice with more focus on identified gaps and deficiencies. Further research is proposed to assess the effect of training strategies on the nurse intern's medication administration safety.

scholarly journals Effect of nutrition education by health professionals on pregnancy-specific nutrition knowledge and healthy dietary practice among pregnant women in Asmara, Eritrea: a quasi-experimental study

2021 ◽  
pp. bmjnph-2020-000159
Author(s):  
Lidia Ghirmai Teweldemedhin ◽  
Helen Gebretatyos Amanuel ◽  
Soliana Amanuel Berhe ◽  
Ghidey Gebreyohans ◽  
Zemenfes Tsige ◽  
...  
Keyword(s):  
Experimental Study ◽  
Pregnant Women ◽  
Nutrition Education ◽  
Health Professionals ◽  
Repeated Measures ◽  
Nutritional Knowledge ◽  
Dietary Practice ◽  
Quasi Experimental ◽  
Knowledge And Practice

BackgroundHealthy pregnancy and birth outcomes are greatly influenced by the intake of adequate and balanced nutrition. Pregnant women’s nutritional knowledge and practice have been identified as an important prerequisites for their proper nutritional intake. The antenatal period with the opportunities for regular contact with health professionals appears to be the ideal time and setting to institute the intervention which could maximise pregnant women’s outcome and that of their baby by motivating them to make nutritional changes.ObjectiveTo assess the effect of nutrition education on the appropriate nutritional knowledge and practice of pregnant women.MethodologyA facility-based single-group pre–post quasi-experimental study design was employed in five health facilities providing antenatal care (ANC) service in Asmara on 226 pregnant women. A predesigned and pretested questionnaire was used to collect data regarding nutritional knowledge via interview by trained data collectors during the pretest, immediate post-test and 6 weeks later. The practice was assessed at pre-intervention and 6 weeks later only. Repeated measures analysis of variance and paired t-test were used to make comparisons in knowledge and practice scores, respectively, using SPSS (V.22).ResultsTraining provided to pregnant women resulted in a significant increase on the mean scores of their knowledge from 29.01/47 (SE=0.35) pre-intervention to 42.73/47 (SE=0.24) immediate post-intervention. However, the score declined significantly from immediate after intervention to 6-week follow-up by 1.79 (SE=0.22). Although the score declined, knowledge at 6-week follow-up was still significantly greater than that of pre-intervention (p<0.0001). Health professionals (70.2%) were the primary source of information for pregnant women. The pregnancy-specific dietary practice score at 6-week follow-up (M=13.13/16, SE=0.09) was significantly higher than that of pre-intervention (M=12.55/16, SE=0.16). There was no significant interaction between the categories of demographic characteristics and change in practice and knowledge.ConclusionThis study has shown that the nutrition messages given to pregnant women by trained health professionals using a holistic approach in a sustained manner played a huge role in increasing their knowledge and in introducing positive dietary practices among them. Thus, ANC clinics must play a leading role in coordinating the effort of awareness creation regarding nutrition during pregnancy.

Educating Post-Partum Women: Interventions to Improve Engagement

2021 ◽  
pp. 105477382110183
Author(s):  
Pamela C. Spigelmyer ◽  
Austin Winberg ◽  
Michael Heyd
Keyword(s):  
Experimental Design ◽  
Length Of Stay ◽  
Adverse Effects ◽  
Post Partum ◽  
Intervention Group ◽  
Staff Nurses ◽  
Significant Finding ◽  
Group I ◽  
Eta Squared ◽  
Quasi Experimental

Women giving birth in in-patient maternity units are required to complete certain education. The aim of this study was to investigate the effects of prompting on post-partum women’s education engagement (time from assignment to completion) while testing the feasibility of staff nurses assisting in research. A quasi-experimental design was used with 141 women allocated by admission date to one of three groups (usual care and two intervention) between September 2014 and December 2015. Intervention group I women were quickest to engage in their education and had the shortest length of stay. Significance was found for academic attainment ( df = 1, F = 6.218, p = .014), partial eta squared = 0.053 and R2 = 0.124. Women who had attended college engaged more quickly in all groups than those who had not. This statistically significant finding indicates how nurses can identify patients needing more assistance. Nurses reported no adverse effects on care.

Effectiveness of Lecture cum demonstration on Knowledge and practice regarding Intravenous cannulation among staff nurses working in selected hospital

2021 ◽  
pp. 275-282
Author(s):  
Patricia Reddy ◽  
Ancy Ramesh
Keyword(s):  
Work Experience ◽  
Demographic Variable ◽  
Knowledge Score ◽  
Staff Nurses ◽  
Medical Procedure ◽  
Success Rates ◽  
Post Test ◽  
Level Of Knowledge ◽  
The Mean ◽  
Knowledge And Practice

Background: The skill of intravenous cannulation must be practiced regularly to maintain a high level of competency. This is important to gain quick and efficient intravenous access in populations when required. The insertion of intravenous catheters into peripheral veins is probably the most commonly performed invasive medical procedure in hospitals. This procedure could be difficult sometimes requiring several attempts and causing distress to patients. The high success rates of nurses in intravenous cannulation have been due to the frequent performance of intravenous cannulation Objectives: 1. To assess the existing knowledge regarding intravenous cannulation among staff nurses working in selected hospital. 2. To observe the existing practice regarding intravenous cannulation among nurses. 3. To assess the effectiveness of lecture cum demonstration regarding Intravenous cannulation among staff nurses. 4. To observe the practice of staff nurses regarding intravenous cannulation after lecture cum demonstration. 5. To correlate the knowledge and practice of staff nurses regarding intravenous cannulation .Methodology: Pre experimental one group pre test post test design. Material: Structured knowledge questionnaire and Observational checklist adopted as per WHO guidelines.Sample size: 60. Result: Among the 60 samples, according to age, 39(65%)of subjects were of 21-30 years of age, 14(23.33%) were of 31-40 years, 7(11.67%) were of 41-50 years and no subjects were above 50 yearsAccording to the educational qualification, 38(58.33%) of the subjects were with the qualification of general nurse midwives, 12(20%) were B.sc nursing, 13(21.67%) were PB.B.sc Nursing.Majority of the subjects 45% have work experience of less than 2 years, 23.33% have 3-5 years, 20% have 6-8 years and 11.67% of them have work experience of more than 8 years In relation to area of work, 26.67% of the subjects each were from the Medicine ward and surgical ward, 21.66%were from Intensive care unit and 25% of them were from Casualty/Emergency ward. post test majority of the subjects gained Knowledge regarding intravenous cannulation. 34 (56.67%) subjects had good level of Knowledge score and 23(43.33%) subjects had average level of Knowledge. None of the samples have poor level of Knowledge. the post test the findings shows that 57(95%) subjects had satisfactory level of practice whereas only 3(5%) of subjects had unsatisfactory level of practice. The mean pretest knowledge score was 15.28 and post test knowledge score was 26.58. The mean practice score 7.61 and posttest practice score was 13.76. Student’s paired ‘t’ test is applied at 5% level of significance and The calculated‘t’ value for overall knowledge score of subjects was 35.51 and the calculated ‘t’ value for overall practice score of subjects was 23.44 that statistically interpreted that the lecture cum demonstration regarding intravenous cannulation was effective in increasing the Knowledge and practice of subject. There was significant association between selected demographic variable of year of experience with their pretest knowledge, whereas other demographic variables are not significantly associated.The correlation coefficient of post test knowledge and post test practice score was ‘r’ 0.21, which is indicates a positive correlation. Conclusion: The knowledge of the target population was significantly increased, and there was significant improvement in the level of practice after receiving lecture cum demonstration regarding intravenous cannulation. The improvement in knowledge and practice was found in all subjects irrespective of their demographic variable

scholarly journals Practices of injectable antibiotics preparation and administration among healthcare practitioners in multidisciplinary wards

2019 ◽  
Vol 10 (SPL1) ◽  
Author(s):  
Lih Ling Kwek ◽  
Shu Mei Lai ◽  
Fatin Sarahani Samedrik ◽  
Wei Yang Lee ◽  
Keerthy Venthen
Keyword(s):  
Cross Sectional Study ◽  
Staff Nurses ◽  
Contributing Factors ◽  
Cross Sectional ◽  
Personal Problems ◽  
Demographic Profiles ◽  
Healthcare Settings ◽  
Care Systems ◽  
Low Incidence ◽  
Collection Form

Injectable antibiotics with rapid deliveries to infection sites are preferable in healthcare settings. Low incidence of appropriate injectable antibiotics preparation and administration (IAPAA) among healthcare practitioners will cause antimicrobial resistance, thrombophlebitis, and mortality. This study aimed to identify rates of appropriate IAPAA, possible contributing factors, implement strategies, and evaluate their effectiveness.A cross-sectional study involving direct observation was conducted in Hospital Tanjung Karang (HTK) multidisciplinary wards from August 2018 to February 2019. 148 samples fulfilling criteria were randomly selected. Data collection form was used to record demographic profiles from bed-head-ticket (BHT) and observed IAPAA processes. Rates of appropriate IAPAA were determined and analyzed with SPSS Statistics. Descriptive statistics were employed. The rate of appropriate IAPAA upon verification was only 14.2%. All uncommon and slow intravenous (SIV) antibiotics demonstrated 0% appropriateness. Possible factors included unaware of rare procedures, inadequate references, knowledge, and monitoring. The rate was successfully improved to 49.3% after various implementations, including "SWeFT." Among all six IAPAA categories, reconstitution concentration and administration duration revealed the most improvements, from 33.8% to 93.8% and 18.9% to 52.7%. Staff nurses found antibiotics rarely initiated by visiting specialists less familiar. The least appropriate administration duration was mostly come from SIV antibiotics, whereby inadequate equipment and personal problems were the possible reasons. Inappropriate IAPAA practices are preventable with proper measures. Further innovations or inward patient care systems, containing electronic BHT and nursing injections preparation and administration alert systems, should be implemented to improve clinical outcomes and safety of patients.

scholarly journals An Observational Study to Assess the Surgical Asepsis among Nurses Working in Narayana General Hospital, Nellore, Andhra Pradesh

2019 ◽  
pp. 713-718
Author(s):  
V. Jayanthi ◽  
Indira Arumugam ◽  
Latha P
Keyword(s):  
Sampling Method ◽  
Good Practice ◽  
Demographic Variables ◽  
Cross Infection ◽  
The Body ◽  
Staff Nurses ◽  
Level Of Knowledge ◽  
Convenience Sampling ◽  
Knowledge And Practice ◽  
Care Worker

Background: Surgical asepsis refers to destruction of organisms before they enter the body, it is used in caring for open wounds and in surgical procedure. Surgical asepsis is the medical practice of maintaining sterility whenever dressing wound or performing any kind of surgery to prevent cross infection. Aseptic technique are used in infection control to prevent cross infection between health care worker and between patients. Aim: The aim of the study was to assess the level of knowledge and practice of staff nurses regarding surgical asepsis. Objectives: 1. To assess the practice regarding surgical asepsis. 2. To find an association between practice with socio demographic variables. Methodology: 100 staff nurses working in NMCH, Nellore were selected by using convenience sampling method. Results: Regarding the level of practice among staff nurses, 10(10%) of them had good practice 80(80%) of them had moderate practice and 10(10%) had poor practice.

Determinants of Implementation of Isolation Precautions Against Infections by Multidrug-Resistant Microorganisms: A Hospital-Based, Multicenter, Observational Study

2017 ◽  
Vol 38 (10) ◽  
pp. 1188-1195
Author(s):  
Thomas Bénet ◽  
Raphaele Girard ◽  
Solweig Gerbier-Colomban ◽  
Cédric Dananché ◽  
Elisabeth Hodille ◽  
...  
Keyword(s):  
Clinical Sample ◽  
Generation Cephalosporin ◽  
Multidrug Resistant ◽  
University Hospitals ◽  
Medical Prescription ◽  
Multicenter Observational Study ◽  
Factors Associated ◽  
Healthcare Settings ◽  
Microbiological Laboratory ◽  
Main Factor

OBJECTIVESWe aimed to ascertain the factors associated with lack of isolation precautions (IP) in patients infected or colonized by third-generation cephalosporin-resistant Enterobacteriaceae (3GCR-E) and methicillin-resistant Staphylococcus aureus (MRSA) in hospital settings.DESIGNProspective surveillance and audit of practices.SETTINGThe study included 4 university hospitals in Lyon, France.PARTICIPANTSAll patients hospitalized between April and June in 2013 and 2015 were included. Case patients had ≥1 clinical sample positive for MRSA and/or 3GCR-E.METHODSFactors associated with the lack of IP implementation were identified using multivariate logistic regression. The incidence of MDRO infections was expressed per 10,000 patient days.RESULTSOverall, 57,222 patients accounting for 192,234 patient days of hospitalization were included, and 635 (1.1%) MDRO cases were identified. MRSA incidence was 2.5 per 10,000 patient days (95% confidence interval [95% CI], 2.1–3.0) and 3GCR-E incidence was 10.1 per 10,000 patient days (95% CI, 9.2–11.0), with no crude difference between 2013 and 2015 (P=.15 and P=.11, respectively). Among 3GCR-E, the main species were Escherichia coli (43.8%) and Klebsiella pneumoniae (31.0%). Isolation precautions were implemented in 78.5% of cases. Lack of IP implementation was independently associated with patient age, year, specialty, hospital, colonization compared with infection, and lack of medical prescription for IPs (adjusted odds ratio, 17.4; 95% CI, 8.5–35.8; P<.001).CONCLUSIONSMRSA and 3GCR-E infections and/or colonizations are frequent in healthcare settings, and IPs are implemented in most cases. When IPs are lacking, the main factor is the absence of medical prescription for IPs, underscoring the need for alerts to physicians by the microbiological laboratory and/or the infection control team.Infect Control Hosp Epidemiol 2017;38:1188–1195

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