-
Perception of Patient Safety Among Nurses at Teaching Hospital
Ghada Abdelsalam Ahmed Eldeeb,
Azza Abdallha Moustafa Ghoneim,
Entsar Kamel Eldesouky
Issue:
Volume 5, Issue 4, August 2016
Pages:
122-128
Received:
21 May 2016
Accepted:
31 May 2016
Published:
17 June 2016
Abstract: Background: All healthcare professionals are susceptible to commit adverse events. Nurses are the key to safety improvements in many aspects. Aim of this study was to investigate perception of patient safety among nurses at Shebin ElKom Teaching Hospital. The Design of this study was descriptive research design. A convenient sample of 114 nurses was selected to carry out this study. Setting of this study was Shebin ElKom Teaching Hospital. Tool of this study was Nurse Questionnaire [1]. Results showed that there was significant difference in the nurses' perception of work environment (80.16± 15.8; P< 0.000). The majority of nurses (57.9%) perceived low patient safety. The majority of nurses (63.2, 52.6, 57.9, 57.9 & 52.6) perceived never occurrence of adverse events. The majority of nurses did not formally report adverse events. Conclusion: nurses perceive negative work environment, job dissatisfaction, low patient safety and underreporting trend of the adverse events. Recommendation: Strategies for improvement should include non-punitive adverse event reporting system, develop patient safety policy and set clear guidelines for improving the work environment dimensions.
Abstract: Background: All healthcare professionals are susceptible to commit adverse events. Nurses are the key to safety improvements in many aspects. Aim of this study was to investigate perception of patient safety among nurses at Shebin ElKom Teaching Hospital. The Design of this study was descriptive research design. A convenient sample of 114 nurses wa...
Show More
-
Effect of Nursing Intervention on Activities of Daily Living of Older Adults with Chronic Respiratory Impairment
Amal Ibrahim Fouad,
Sahar Ahmed Shafik,
Safia Belal
Issue:
Volume 5, Issue 4, August 2016
Pages:
129-140
Received:
25 May 2016
Accepted:
20 June 2016
Published:
6 July 2016
Abstract: Background: Chronic respiratory impairment among older adults is associated with substation mortality, morbidity and was the third leading cause of death. Aim: Evaluate the effect of nursing intervention on ADL of older adults with chronic respiratory impairment. Design: A quasi-experimental design was used in this study. Sample: A purposive sample of 100 older adults patients with chronic respiratory impairment chosen from Government Hospital, half of them were study group and the other half was a control group. Tools: First: An interviewing questionnaire to assess demographic data, medical history and their knowledge. Second: An observational check list to assess their independency for activity of daily living. Third: A structured questionnaire to assess home environment. Results: Showed that there were highly statistical significant differences throughout intervention program phases (pre, post, and follow up) among the study group regarding their knowledge about chronic respiratory impairment, modify their home environment, and increase their independency level. The intervention had effect on their ADL, physical, psychological, and social conditions. Conclusion: There was a positive improvement compared with control group, and increasing the total satisfactory knowledge about chronic illness. Also increase the independency on practicing with ADL and enhancing psychological well-being among study group. The study recommended that: There is a need to increase of knowledge about; examination, checkup and follow up, simple modification of home environment to improve ventilation and degree of independence of daily activities such as bathing, grooming, dressing, precautions to infection prevention and social activities to improve the psychological status.
Abstract: Background: Chronic respiratory impairment among older adults is associated with substation mortality, morbidity and was the third leading cause of death. Aim: Evaluate the effect of nursing intervention on ADL of older adults with chronic respiratory impairment. Design: A quasi-experimental design was used in this study. Sample: A purposive sample...
Show More
-
Perception of Preceptor and Student Nurse Partnership on Clinical Teaching and Learning
David Kaniaru,
Elijah Nyagena,
Nebart Kathuri,
Alex Chebor
Issue:
Volume 5, Issue 4, August 2016
Pages:
141-145
Received:
13 June 2016
Accepted:
27 June 2016
Published:
13 July 2016
Abstract: Preceptorship is a model of clinical training in which a qualified nurse, referred to as a preceptor, is assigned to one or a group of nursing students, for the purpose of facilitating learning in the clinical setting. This study was done in Maua Methodist {M. M. H (Meru County, Kenya)} and Preyspeterian Churches East Africa (P. C. E. A) Chogoria (Tharaka-Nthi County, Kenya) hospitals in Meru, Kenya and its main objective was to determine the perceived need for preceptor-student nurse partnership in nursing training institution. A sample size of one hundred (100) respondents was randomly selected from a target population of one hundred and eighty (180) preceptees, by use of convenient sampling method. Ten (10) preceptors were also selected conveniently to participate in the study. One hundred and ten (110) questionnaires were distributed out of which ninety nine (99) were received back {(ninety-one -91) from preceptees and eight (8) from preceptors)}. Both, qualitative and quantitative descriptive survey designs was utilized. Descriptive statistics were used to analyse the resultant data. Regarding to the importance of having preceptors, results showed that eighty five out of ninety {85/90 (94.44%)} of the student nurses agreed that they are important while three (33.33%) disagreed. Eight out of nine {8/9 (88.88%)} of the preceptors agreed on the importance of preceptorship while one {1/9 (11.11%)} was not sure. The reasons according to students why they need these preceptors included; provision of directions and guidelines (90%), supervision (79%), resolve clinical conflicts between them and staff nurses (76%) and to have a role model to emulate (83%). For the preceptors –to have a good working environment (78%) and to act as role model (56%). Hence the need for the student- preceptor partnership during students nurses training period.
Abstract: Preceptorship is a model of clinical training in which a qualified nurse, referred to as a preceptor, is assigned to one or a group of nursing students, for the purpose of facilitating learning in the clinical setting. This study was done in Maua Methodist {M. M. H (Meru County, Kenya)} and Preyspeterian Churches East Africa (P. C. E. A) Chogoria (...
Show More
-
Effects of Sucrose and Kangaroo Care on Pain Alleviation Among Preterm Neonates Undergoing Invasive Procedures
Issue:
Volume 5, Issue 4, August 2016
Pages:
146-151
Received:
22 June 2016
Accepted:
1 July 2016
Published:
28 July 2016
Abstract: Background: Persistent neonatal pain due to numerous painful procedures can result in serious consequences of the newborn. Effective pain management is required to promote physiologic stability and positive developmental outcomes in preterm infants. Aims of this study were to examine the effect of sucrose and kangaroo care on pain alleviation among preterm neonates undergoing invasive procedures and compare between sucrose versus kangaroo care on pain alleviation among preterm neonates undergoing invasive procedures. It hypothesized that sucrose and kangaroo care would be effective measures to alleviate procedural pain. The Design of this study was quasi-experimental research design. A sample of 60 neonates was selected to carry out this study then they were randomized to receive (a) sucrose (n =20), (b) kangaroo care (n =20), or (c) routine care (n =20). Setting of this study was health care center for neonates. Tool of this study was Premature Infant Pain Profile (PIPP) (Stevens et al., 1996). Results showed that there was significant difference in PIPP score among preterm neonates within the three groups at 30 seconds and 1 minute (P < 0.001**). Mean PIPP scores for sucrose, kangaroo care and routine care were 8.1 ±3.22, 9.76 ±3.04 and 10.15 ±2.64 respectively. Conclusion: sucrose is the most effective intervention for alleviation of procedural pain in neonates. Therefore, sucrose is a recommended analgesic for premature neonates.
Abstract: Background: Persistent neonatal pain due to numerous painful procedures can result in serious consequences of the newborn. Effective pain management is required to promote physiologic stability and positive developmental outcomes in preterm infants. Aims of this study were to examine the effect of sucrose and kangaroo care on pain alleviation among...
Show More
-
Implementation of the Nursing Process in Naivasha District Hospital, Kenya
Mangare N. L.,
Omondi A. L.,
Ayieko O. A.,
Wakasiaka S.,
Wagoro M. C. A.
Issue:
Volume 5, Issue 4, August 2016
Pages:
152-157
Received:
6 July 2016
Accepted:
15 July 2016
Published:
3 August 2016
Abstract: The Nursing Process (NP) is a systematic rational method of planning and providing individualized quality Nursing Care (QNC). Training curricula for nurses and midwives in Kenya have incorporated the NP as a framework for nursing care. In addition, many institutions in Kenya have initiated continuous education to nurses on the nursing process. However, there are no studies indicating the level of utilization of this framework in Kenyan health institutions. This study was aimed at establishing the implementation of the NP in Naivasha District Hospital. This was a cross sectional study conducted on 83 nurses and midwives selected using quota sampling. A structured questionnaire and an observation checklist was used to collect data then analyzed using the statistical package for social sciences (SPSS). Descriptive statistics were used to summarize the data and Pearson’s Correlation Coefficient was used to establish correlation between variables. The nursing process has been initiated in Naivasha District Hospital but nurses use it in an incomplete and unsystematic manner. Nurses in this hospital have a positive attitude towards the NP but have difficulties performing all the phases of the NP.
Abstract: The Nursing Process (NP) is a systematic rational method of planning and providing individualized quality Nursing Care (QNC). Training curricula for nurses and midwives in Kenya have incorporated the NP as a framework for nursing care. In addition, many institutions in Kenya have initiated continuous education to nurses on the nursing process. Howe...
Show More
-
Assessment, Training and Evaluation of Emergency Obstetric and Neonatal Care Competences for Midwives in Tharaka-Nithi and Embu Counties, Kenya
Issue:
Volume 5, Issue 4, August 2016
Pages:
158-161
Received:
12 July 2016
Accepted:
20 July 2016
Published:
3 August 2016
Abstract: Midwifery education in many countries currently follows a didactic curricular model where students learn through classroom lecture with little opportunity for skills practice, simulation and role play needed to develop critical thinking, values and the clinical decision making abilities needed for effective practice. Many midwifery students graduate having attended a limited number of women in labour and some with minimal clinical experience in antepartum, family planning or newborn care. In addition, the assessment of student progress and readiness for practice may not be linked to the intended outcomes of learning and targeted clinical competencies. The aim of the study was to assess, train and evaluate training in “Emergency Obstetric and Newborn Care” for midwives in order to improve the availability of emergency obstetric and Newborn care (EmONC) in Embu and Meru hospitals, Kenya. A three phase explorative study was used involving assessment, training and evaluation of 113 midwives from the maternity units of two hospitals I Kenya. Data was collected by use of a questionnaire, case study and checklist. Data was analysed using SPSS 2.0. Correlational analysis was also used. The results indicated that respondents on assessment of antenatal skills scored an average of 95.2% while on normal labor, childbirth and immediate newborn care skills they scored an average of 89.63% on postpartum care (mother and baby) an average of 87.92%, on management of complications they scored a mean of 88.22%. Based on the findings, CPD in EmONC should be provided to all midwives at all levels of health care delivery in the country including incorporating such activities in the induction programmes for midwives.
Abstract: Midwifery education in many countries currently follows a didactic curricular model where students learn through classroom lecture with little opportunity for skills practice, simulation and role play needed to develop critical thinking, values and the clinical decision making abilities needed for effective practice. Many midwifery students graduat...
Show More
-
Oncology Patients’ Satisfaction Towards Quality Health Care Services at Accredited University Hospital
Sabah Mahmoud Mahran,
Elham Al Nagshabandi
Issue:
Volume 5, Issue 4, August 2016
Pages:
162-168
Received:
26 May 2016
Accepted:
12 June 2016
Published:
6 August 2016
Abstract: Background: Patients’ satisfaction has become an important tool to assess the quality health care services, which is progressively required by accreditation agencies in the checking of quality of hospital care. Aim: evaluate oncology patient satisfaction towards health care services at University Hospital after accreditation. Methods: Quantitative, descriptive study was used. This study was conducted in five units as the medical; surgical (male and female) and gynecology wards at King Abdulaziz University Hospital. It is one of the first Hospitals in the eastern Mediterranean region implement health care accreditation standards. Sample: Total number of non-randomized convenience sample was 123 oncology patients who admitted to the above-mentioned setting. Patients were selected for their oncology diagnosis from each department and who is oriented and conscious included in the study. Data was collected by structured interview questionnaire for measuring patient satisfaction level towards health care services. Results: Studied sample was satisfied by the knowledge and an experience they give about illness; information about medical tests; and information is given about treatment at (mean = 4.67); highly statistically, significant difference's relationship was observed in the total level of patient's satisfaction, and care received from nurses to the oncology patient during his hospital staying and regarding to services care organization at p = .000. Conclusion: there was satisfaction with the information provided by the medical staff about the patient's illness and the course of treatment. This is followed by the time spent with the physician and the interpersonal skills of the physician and nurses. The implication of study: develop the training program for health care providers about effective documentation; guidelines for providers in care for similar patients, and different formal monitoring systems are used by health care providers or regulators.
Abstract: Background: Patients’ satisfaction has become an important tool to assess the quality health care services, which is progressively required by accreditation agencies in the checking of quality of hospital care. Aim: evaluate oncology patient satisfaction towards health care services at University Hospital after accreditation. Methods: Quantitative,...
Show More
