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The Effect of Bedside Handover Sheet on Nursing Care in Hepatobiliary Surgery
Wang Xiao-lan,
Li Wei-rong,
Zhu Hua-lan,
Shi Yan-hua,
Liu Cui-qing
Issue:
Volume 7, Issue 3, June 2018
Pages:
84-87
Received:
27 March 2018
Accepted:
23 April 2018
Published:
18 May 2018
Abstract: Objective To explore the clinical effectiveness of bedside handover sheet and verbal handover note in hepatobiliary surgery. Methods A comparative study was conducted between the bedside handover sheet designed for patients in department of hepatobiliary surgery and verbal handover note. N-A handovers from January to June in 2017 in the Department of First Affiliated Hospital of Jinan University were included into the controlled group and N-A handovers from July to December were into the observation group. Handover time, unclear handovers, handover omission and adverse events in the two groups were observed and recorded. Results N-A handover duration in the observation group was 28.1±3.57s and no unclear handover was observed. The occurrence of handover omission and adverse events in the observation group was much lower than that of the controlled group (P<0.05) but nurse satisfaction was much higher. Conclusions Handover sheet of hepatobiliary surgery is of much more advantages than verbal handover note thus are worth of being generalized.
Abstract: Objective To explore the clinical effectiveness of bedside handover sheet and verbal handover note in hepatobiliary surgery. Methods A comparative study was conducted between the bedside handover sheet designed for patients in department of hepatobiliary surgery and verbal handover note. N-A handovers from January to June in 2017 in the Department ...
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Nurses’ Medication Administration Errors at Medical Surgical Units
Kennedy Nyongesa Simiyu,
Haneya Mohammad El-Banna,
Mervat Abdel Fattah,
Lilian Adhiambo Omondi
Issue:
Volume 7, Issue 3, June 2018
Pages:
88-99
Received:
14 February 2018
Accepted:
5 March 2018
Published:
25 May 2018
Abstract: Medication administration errors (MAEs) are among the key concepts of patient safety in clinical care settings that have long been the focus of study and exploration because they contribute directly to patient injury, death and health care costs. Medication errors are recurrent and expected to be a prolonged problem in the health care system. The administration of medication is predominantly an important part of nursing practice that has a dimension of quality of care and organizational performance. The study sought to assess nurses’ medication administration errors at the general medical and surgical units. A descriptive cross sectional study design was used where stratified random sampling using the medical and surgical units as strata was used to proportionately recruit 100 Nurses. Each nurse was further observed twice during medication administration process making a total of 200 observations included in the study. Two tools were used to collect data for the current study. The interviewer administered medication administration errors questionnaire and a concealed medication administration observation checklist. Data was collected for a period of four months and analyzed using descriptive and inferential statistics to check for relations between variables. The study findings imply that the wrong rate of administration, the wrong time of administration and medication being administered after the order to discontinue was written were the highly perceived MAEs reported respectively as occurring ‘most of the time’ by 27%, 23% and 15% of the studied nurses. For observed MAEs, the wrong time error type had the highest estimated error rate of 51%, followed by the documentation error at 29% and technique error at 27.5%. There was statistical significant difference between the pharmacy reasons subscale of causes of MAEs and the age (F= 5.465, p=0.006), clinical experience (F=3.922, p=0.011) and type of shift (F=2.507, p=0.035) the nurse works most. Further, there was statistically significant mean differences between the medical and surgical units with regard to the medication packaging subscale (t=4.160, p=0.044). The findings also revealed negative significant correlation between the observed MAEs scores and the nurses’ reported scores on types of IV & non-IV MAEs (rs=-0.266, p=0.007) and the pharmacy reasons subscale (rs=-0.266, p=0.046). Updating, developing, disseminating and implementing medication administration guidelines and protocols in the hospital settings is required. Nurses have to embrace the occurrence of MAEs as a patient safety indicator that should be viewed as an opportunity to learn and prevent MAEs through rationalized medication management protocols and guidelines.
Abstract: Medication administration errors (MAEs) are among the key concepts of patient safety in clinical care settings that have long been the focus of study and exploration because they contribute directly to patient injury, death and health care costs. Medication errors are recurrent and expected to be a prolonged problem in the health care system. The a...
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Effectiveness of Structured Teaching Program on Knowledge and Practice of Adult Basic Life Support Among Staff Nurses
Vinil Upendrababu,
Dipeesh Kunjumon
Issue:
Volume 7, Issue 3, June 2018
Pages:
100-105
Received:
22 April 2018
Accepted:
10 May 2018
Published:
28 May 2018
Abstract: According to sudden cardiac arrest associations, It has been estimated that SCD claims more than 7,000,000 lives per year worldwide [1]. It is proved that Effective basic life support giving soon after cardiac arrest doubles the chance of survival [2]. Basic life support by nurses who are usually first on the scene provides the best opportunity to minimize the time to initiate cardio pulmonary resuscitation. Hence the main objective of the study was to find out the knowledge and practice of adult basic life support among staff nurses and to evaluate the effectiveness of structured teaching program on knowledge and practice regarding adult basic life support. 30 staff nurses from Upasana hospital, kollam were selected as the samples by using non probability convenient sampling technique. Pre experimental one group pretest posttest study design was employed to collect the data from staff nurses before and after the implementation of structured teaching program. The study was statistically significant at.001 level. The total mean post- test knowledge score (26.80) was significantly higher than the mean pretest score (12.36). The total mean posttest practice score (26.80) of adult basic life support was significantly higher than the mean pretest practice score regarding adult basic life support. Therefore, the study proved that the structured teaching program was an effective technique in imparting knowledge and practice regarding adult basic life support among staff nurses.
Abstract: According to sudden cardiac arrest associations, It has been estimated that SCD claims more than 7,000,000 lives per year worldwide [1]. It is proved that Effective basic life support giving soon after cardiac arrest doubles the chance of survival [2]. Basic life support by nurses who are usually first on the scene provides the best opportunity to ...
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The Effect of Nursing Intervention of Postoperative Thirst in Patients after Laparoscopic Cholecystectomy
Wang Xiaolan,
Liu Cuiqing,
Zhou Yulan,
Huang Lu
Issue:
Volume 7, Issue 3, June 2018
Pages:
106-108
Received:
21 April 2018
Accepted:
7 May 2018
Published:
28 May 2018
Abstract: Objective To explore the best method to relieve thirst in patients after laparoscopic cholecystectomy through comparison. Methods 60 patients after undergoing laparoscopic cholecystectomy were randomized into Q-tip group and spraying group. In the Q-tip group, warm boiled water-absorbing Q-tips were applied to embrocate the lips of patients and in the spraying group warm boiled water was sprayed into the oral cavity of the patients once per hour or given when needed within 6 hours after operation so as to compare which method was more effective to relieve thirst. Results Operations were performed well in both groups and there was no postoperative complication. It was shown that warm boiled water spraying achieved better result in relieving thirst 6 hours after operation (P<0.05). Conclusions Warm boiled water spraying is more effective than warm boiled water-absorbing Q-tip unction to relieve thirst in patients after laparoscopic cholecystectomy.
Abstract: Objective To explore the best method to relieve thirst in patients after laparoscopic cholecystectomy through comparison. Methods 60 patients after undergoing laparoscopic cholecystectomy were randomized into Q-tip group and spraying group. In the Q-tip group, warm boiled water-absorbing Q-tips were applied to embrocate the lips of patients and in ...
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Assessment of Bed Bathing Methods in the Faroe Islands
Lis Horstmann Nøddeskou,
Naina Túgvustein,
Asta Marjunardóttir,
Ingun Gaardbo,
Lars Hemmingsen,
Britta Hørdam
Issue:
Volume 7, Issue 3, June 2018
Pages:
109-114
Received:
21 April 2018
Accepted:
15 May 2018
Published:
1 June 2018
Abstract: There are two types of bed baths: the traditional basin used with soap and water, and the disposable bath, which is pre-packed in single-use units and heated before use. From earlier studies it was recommended with further studies witch would strengthen the evidence. To compare the traditional basin bed bath to a disposable bed bath, there are three factors that need to bed considered: (1) duration and quality of the bath, (2) patient satisfaction and (3) nurse satisfaction.31 patients received bed baths on two consecutive days. The patients were bathed by the same nurse on both days. The bed baths were observed in relation to duration and quality. Nurses and patients were interviewed about their preferences. The study was performed in both surgical and medical floors. Both types of bed baths scored very highly in the area of quality. Significantly less time was used with the disposable bed baths (p< 0.001). The registered nurses prefer the disposable bath (78%). The patients were satisfied with both types of bed baths. There was no significant difference in the results. Even when we adapt the results in relation to the patients’ gender and age, there is still no significant difference. Patients rated the bed baths equally in most cases. By this study we applied further research in the area of personal hygiene. When all aspects of bed baths are considered (time, cost, quality, and patient and nurse preferences), both types of bed baths are secure and well received. Due to the times savings achieved and the importance of this for patients (who are weak and need nursing assistance to perform personal hygiene), we recommend the use of disposable bed baths.
Abstract: There are two types of bed baths: the traditional basin used with soap and water, and the disposable bath, which is pre-packed in single-use units and heated before use. From earlier studies it was recommended with further studies witch would strengthen the evidence. To compare the traditional basin bed bath to a disposable bed bath, there are thre...
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