Effectiveness of an Educational Program on Head Nurses’ Knowledge about Nursing Leadership at Medical City Hospitals in Baghdad City

2019 ◽  
Vol 13 (4) ◽  
pp. 1031
Author(s):  
Enas Ghany Abdulhussein ◽  
Wissam Jabbar Qassim

Background: Post-operative nausea and vomiting (PONV) continues to be among the main concerns after general anesthesia, impacting approximately 30% of all postoperative patients. PONV is still reported by patients as their most distressing post-surgical outcome even surpassing that of pain. In spite of the presence of PONV prophylaxis guidelines and the availability of multimodal and novel anti-emetics, it is clear that these guidelines are poorly applied with insufficient prescription of pre-emptive anti-emetics. This study aimed at evaluating the effect of educational intervention with general surgeons and anesthesiologists on prophylactic antiemetic prescribing practice. Methods: An interventional study was carried out at Al-Sader Medical City/ Al-Najaf province/ Iraq. In the observational phase of the study, patients were selected from the general surgery ward to observe the baseline prescribing pattern of the prophylactic anti-emetics and PONV incidence among them. After implementing the educational program, another group (interventional group) of patients was taken to see if there was any alteration in the practice of pre-emptive anti-emetics prescription and the incidence of PONV. Results: Two groups each of 50 patients were enrolled, namely, observational group and interventional group. In the observational group, only 7 patients (14%) received preoperative prophylactic anti-emetics compared to 24 patients (48%) in the interventional group, (P<0.001). No statistically relevant difference was observed in the use of post-operative anti-emetics. The incidence of PONV within the first 24 hours was significantly lower among the interventional patients’ group, (28%) versus (54%) before the educational intervention, (P<0.05). Conclusion: This study revealed that the educational program done by the researcher has a positive impact on the prescription of pre-operative prophylactic anti-emetics with subsequent reduction in PONV incidence.


2008 ◽  
Vol 17 (4) ◽  
pp. 338-346 ◽  
Author(s):  
Carol Tweed ◽  
Mike Tweed

Background Critically ill patients are at high risk for pressure ulcers. Successful prevention of pressure ulcers requires that caregivers have adequate knowledge of this complication. Objective To assess intensive care nurses’ knowledge of pressure ulcers and the impact of an educational program on knowledge levels. Methods A knowledge assessment test was developed. A cohort of registered nurses in a tertiary referral hospital in New Zealand had knowledge assessed 3 times: before an educational program, within 2 weeks after the program, and 20 weeks later. Multivariate analysis was performed to determine if attributes such as length of time since qualifying or level of intensive care unit experience were associated with test scores. The content and results of the assessment test were evaluated. Results Completion of the educational program resulted in improved levels of knowledge. Mean scores on the assessment test were 84% at baseline and 89% following the educational program. The mean baseline score did not differ significantly from the mean 20-week follow-up score of 85%. No association was detected between demographic data and test scores. Content validity and standard setting were verified by using a variety of methods. Conclusion Levels of knowledge to prevent and manage pressure ulcers were good initially and improved with an educational program, but soon returned to baseline.


2017 ◽  
Vol 6 (2) ◽  
pp. 92
Author(s):  
Rasha Abdelmowla ◽  
Abdelhakeem Essa ◽  
Esmat Abdelmaged

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.


Sign in / Sign up

Export Citation Format

Share Document