Nurse attıtudes towards cleanıng blood pressure cuffs: profile in Turkey

Purpose: Presenting how blood pressure cuffs are cleaned by nurses and which disinfectant agents are used in cleaning the cuffs will allow conducting detailed studies that can establish a standard procedure for cuff cleaning. However, there is no study on the views of nurses and application procedures regarding the cleaning of blood pressure cuffs. Therefore, this study aimed to determine nurses' attitudes regarding cleaning the blood pressure cuffs in Turkey. Materials and methods: The study sample was composed of nurses working in Turkey who were invited and agreed to participate in the study from February to March 2021. This study was completed with 286 nurses with 90% power. Research data were collected online via Google Forms. Results: In the study, 64.3% of the nurses stated that the cleaning staff should be responsible for cleaning the cuffs. 29.4% reported that the cuffs were cleaned several times a month, and 20.3% stated that cuffs were cleaned only when they were infected. 52.1% reported that alcohol was used for cleaning the cuffs. Conclusions: Nurses agreed on the necessity of cuff cleaning and that the cuffs could be a source of infection when they were not cleaned. Since nurses have an important role in infection control, they should play an active role in cuff cleaning and receive training on this issue.

Nurses’ Attitudes Towards Their Job in Outpatient HIV Facilities in Namibia: A Qualitative Descriptive Study

Background Nurse attitudes such as job satisfaction and burnout affect nurses’ ability to do their job well. Positive nurse attitudes have been associated with better patient outcomes, while negative job attitudes have been associated with increased nurse turnover and negative patient outcomes. The Job Demand Resource Model theorized that job attitude mediates the relationship between a job’s demands and resources and organizational outcomes. In Namibia’s outlying located hospitals, health centers and clinics, nurses are key prescribers and managers of antiretroviral therapy. It is vital to understand nurses’ job attitudes, factors that contribute to nurses’ job attitudes and how nurses perceive the impact of their job attitudes, in order to best understand how policy makers can empower nurses to do their jobs well. This paper seeks to examine: 1) factors that contribute to nurses’ job attitudes, and 2) how nurses’ job attitudes affect their ability to do their jobs well. Methods This study is a qualitative descriptive study of 18 semi-structured interviews with nurses working in outlying located hospitals, health centers, and clinics in northern Namibia. Interviews were analyzed using directed content analysis, with codes derived from the Job Demand Resource Model. Results Job factors that influence job attitudes included support from coworkers, workload, access to material resources, access to information, and patient rapport. Personal resilience factors included spirituality and emotional awareness. Patient outcomes were reported to shape nurses’ job attitudes by increasing the drive to learn more at work, improve patients’ satisfaction, decrease mistakes, decrease peer conflicts, increase the drive to coach patients on medication adherence, increase focus while at work, and decrease missed nursing care. Conclusions This study’s finding support the importance of investing in factors that promote positive nurse attitudes such as making investments when feasible in human resources (improving support form coworkers), providing material resources, facilitating positive patient relations, and supporting nurses by providing opportunities to increase their knowledge. This study also highlights the importance of nurse resilience against negative job attitudes, coming from intrinsic factors amongst nurses helping them to deal with stress at work.

Nursing Attitudes and Practices in Code Documentation Employing a New Electronic Health Record

Objective Based on feedback from nurses regarding the challenges of code documentation following the implementation of a new electronic health record (EHR), we sought to better understand inpatient nurse attitudes and practices in code documentation and to identify opportunities for improvement. Methods An anonymous electronic survey was distributed to all inpatient nurses working at a single, 999-bed, university-based, and quaternary care hospital. Participation in the study was voluntary and consent was implied by survey completion. Results Overall, 432 (14%) of 3,121 inpatient nurses completed the survey. While nearly 80% of respondents indicated feeling very comfortable using computers for personal use, only 5% felt very comfortable navigating the EHR to document codes in real time. While 53% had documented codes in the new EHR, most admitted to documenting on paper with retroactive entry into the EHR. About 25% reported having participated in a code that was not accurately documented in the new EHR. All respondents provided specific suggestions for improving the EHR interface, and over 90% expressed interest in having opportunities to practice code documentation using simulated code events. Conclusion Despite completion of training modules in code documentation in a new EHR, many inpatient nurses in a single institution feel uncomfortable documenting codes directly into the EHR, and some question the accuracy of this documentation. Improving EHR functionality based on specific recommendations from end-users coupled with more practice documenting simulated codes may ease EHR navigation, leading to nurses' acceptance of the EHR tool, more accurate and efficient documentation, greater nurse satisfaction and more appropriate quality improvement measures.

4470 Are nurses’ attitudes toward caring for hospitalized adults with intellectual disabilities associated with nurse and nursing unit characteristics?

OBJECTIVES/GOALS: (1) Determine nurse (age, education level, years of experience, ID education/training, contact with people with ID, communication apprehension, beliefs about patient quality of life), and nursing unit (teamwork, staffing and resources, person-centered care) characteristics that are associated with and predictive of nurses’ attitudes, positive emotions, and negative emotions toward caring for adults with ID. (2) Explore nurses’ perspectives of perceived barriers and facilitators to providing nursing care to hospitalized persons with ID and medical comorbidity, and how nursing care differs when caring for a person with ID. METHODS/STUDY POPULATION: This mixed methods nested analysis will employ an internet survey of medical-surgical registered nurses to collect nurses’ attitudes and emotions toward caring for hospitalized persons with ID and medical comorbidity, nurse characteristics, and nursing unit characteristics. We intend to recruit 150 medical surgical nurses currently practicing in the United States via email invitation to the membership of the Academy of Medical Surgical Nurses. Purposeful maximum variation sampling will be used to invite a subset of respondents for qualitative, semi-structured telephone interviews to elicit barriers and facilitators to nursing care of persons with ID and how nursing care differs when caring for persons with ID. RESULTS/ANTICIPATED RESULTS: We hypothesize that lower nurse education level, fewer years of experience, less ID education/training, lower amount of contact with people with ID, increased communication apprehension, and lower beliefs about the quality of life of persons with ID will be associated with negative nurse attitudes and emotions toward caring for people with ID. Further, we hypothesize that lower levels of nursing unit teamwork, staffing and resources, and person-centered care practices will be associated with negative nurse attitudes and emotions toward caring for people with ID. DISCUSSION/SIGNIFICANCE OF IMPACT: The proposed research is an important first step in determining potential nurse and nursing unit factors influencing nurses’ attitudes toward caring for people with ID. It will lead to targeted interventions to enhance nursing care quality and reduce hospital-associated healthcare disparities among people hospitalized with intellectual disabilities and medical comorbidities.

PENGETAHUAN PERAWAT TENTANG KESELAMATAN PASIEN DENGAN PELAKSANAAN PROSEDUR KESELAMATAN PASIEN RUMAH SAKIT (KPRS)

Patient safety is a system created by the Hospital so that patient care safe. Which issupported by the knowledge and attitudes that are the result of the idea through to a particularobject sensing and social interaction so that the formation of one's actions. The aim of researchto determine the relationship of the nurse's knowledge about patient safety by implementinghospital patient safety procedures in Hospital Nursing Waluya Sawahan Malang.This study used a correlational design with cross sectional approach. The population inthis study nurses were 60 respondents using simple random sampling technique. Diggerquestionnaire data. The data obtained were analyzed with a computerized program usingSpearman Rank Test. The results of the research data showed the majority of 49 respondents (81.7%) havesufficient knowledge and fraction 3 respondents (5.0%) knowledgeable good. Whereas in theimplementation of Hospital Patient Safety mostly 41 respondents (68.3%) Less Patient Safetyimplementation and fraction 3 respondents (5.0%) Patient Safety good execution. Analysis of thedata by the Spearman Rank test was obtained (p value) (0,001) <α (0.05) means that there is arelationship between knowledge of nurses with the implementation of a hospital patient safetyprocedures in hospital Panti Waluya Sawahan Malang. While the correlation coefficient 0.420means that relationships are.Recommended Suggestions for further research conduct further research to measureother variables that have not been studied as a nurse attitudes towards implementation. Researchcan be done by the method of observation and in-depth interview since Patient Safety is verycomplex.