The main purpose of the study was to evaluate the amount of time which was spent in giving preventive pressure area care in both a sample of hospital patients (n = 88) and a sample of community patients (n = 30). Bedfast or chairfast patients were studied from admission to the selected hospital wards or community nursing areas for a period of a maximum of 6 weeks or until they were discharged from care, developed pressure sores, died or became mobile. Data were collected by means of a diary sheet which was designed for use by nurses in the hospital and by nurses and relatives in the community. They were asked to record pressure area care as it was given on the diary sheets. The researcher also collected data about the patients' appetite, Norton score, age, sex and diagnosis. The outcome measure used was whether or not the patient developed a pressure sore, which was defined for this study as a break in the skin due to pressure. Some descriptive analysis of the data has been carried out. Results available so far show that a higher percentage of the hospital patients developed pressure sores (29%) than among the community patients studied (20%). The study appears to show that nursing care devoted to the prevention of pressure sores in terms of time and frequency is significantly related to outcome and thus to effectiveness.
Background: Nursing students are frequently exposed to dying patients during their clinical placement. Research studies that examined nursing students’ attitudes toward caring for dying patients were limited in the Gulf Region, including Bahrain.Objective: The purpose of this study is to examine the attitudes of fourth-year baccalaureate nursing students regarding caring for dying patients.Methods: A descriptive cross-sectional design was utilized to recruit a convenience sample of fifty-four nursing students. Frommelt’s Attitudes towards Caring of the Dying (FATCOD) five Likert scale was used.Results: The overall findings revealed that participants had a neutral attitude toward caring for dying patients. The overall attitudes mean score was 3.4 ± 0.3. The majority of participants were female (83%, n = 45). The difference in the mean score in relation to gender was statistically significant (p = .049). Although the majority of all participants (80%) reported having dealt with the terminally ill people in the past, the association between previous experience and reported attitudes was not statistically significant (p = .31).Conclusions and recommendations: Literature revealed that students who received end of life education where found to have positive attitudes. Therefore, it’s crucial to introduce a standalone educational module regarding end of life care early on in the undergraduate curriculum. It is recommended that future studies recruit nursing students from other baccalaureate year levels to reassess the attitudes and level of preparedness following a curriculum reform and implementation of end of life care education. Additionally, a qualitative research method is recommended to explore the lived experience of the nursing students when they are caring for dying patients.
Back pain and associated sickness absence is common among nurses. Nurses experiencing painmay influence rates of patient injuries such as falls whilst in hospital. Specifically training student nurses in safe patient transfer techniques may potentially reduce the prevalence of back pain. However this requires tailored training curricula which are relevant and appropriate. Bahrain is unique among Arabian Gulf states in its move to increase the numbers of locally trained Bahraini nationals thus reducing reliance on nurses that were trained outside The Gulf region. Student nurses, involved in their clinical practicum, were surveyed regarding episodes of self-reported back pain and their clinical experiences of patient handling. Fewer than four out of ten students considered their clinical exposure to be a pain-free experience. Episodes of back pain were strongly linked to an attitude of acceptance of unsafe patient transfer techniques thus demonstrating a theory-practice gap in Bahrain. Method This was a cross-sectional survey. The study was undertaken at a university specialising in health science (medicine and nursing) in the year 2015 in Bahrain. The participants consisted of 230 student nurses, studying on a degree programme. Participants were selected through convenience sampling and were included only if they had completed one block period of clinical practice in a healthcare setting. Nursing practicum's were carried out in three different teaching hospitals in Bahrain. A formal course in safe manual handling training was included as a module on the degree programme. The course delivered theory on the safe moving and handling of patients, and included practical aspects involving the use of mechanical patient transfer equipment. The course ran for a total of 12 hours spread over two weeks. The data collection instrument consisted of a 25-item questionnaire. This questionnaire focused on incidence of back pain experience since starting clinical practicum, identifying the types of techniques for safe patient transfer studied at university, identifying the types of techniques for safe patient transfer practiced in the work place and reasons as to why certain types of mechanical patient transfers were sometime not used, plus basic demographic data. The questionnaire was in English and all of the students had met the institute's minimum standard of English as an entry requirement. The study received approval from the local Research Ethics Committee and all participants gave informed consent. Data were inputted directly into the software SPSS version 22for descriptive and inferential statistical analysis. Comparisons of ratio were performed using chi-squared and Fisher's exact tests, with a significance level set at α= 0.05. Results 205 questionnaires were returned, giving a response rate of 89%. 193 questionnaires were completed with all key questions answered. Four participants were aged 24-29 years and all others were aged 18-23 years. They were drawn from years 2 to 4 of the degree course. The majority of the par...
Background:Assessing the prevalence of pressure ulcers is widely used as a clinical indicator for the standard of care in the Western countries. Unfortunately, there is very little relevant information available in Bahrain. This cross-sectional descriptive study was used to determine a baseline as foundation for further research.Objectives: This study investigated the point prevalence of pressure ulcers in acute care settings in Bahrain where is currently an incremental gap with regards to both, information about the frequency and the quality of sustained care pertaining to the occurrence of pressure ulcers. This research was conducted in order to develop a practical framework for assisting nursing practitioners in developing preventive measures of pressure ulcers care. Methodology:The study sample included qualified nurses working in four general hospitals who had completed inspection of the skin on their patients. Pediatric, maternity, emergency department, day care and psychiatric unit patients were excluded. Questionnaires were delivered to participating nurses in accordance with the European pressure ulcer advisory panel framework.Results: Results indicated that the prevalence of pressure ulcers (grade1-4) was 16%. The sacrum and heels were the most affected sites. Sixty-four percent of patients were admitted without any evidence of a risk assessment being undertaken which demonstrated that there is a need to ensure that nurses are better trained to deal with the prevention of pressure ulcers. Conclusion:A unique aggregated framework and a series of guidelines were formulated to serve as a benchmark for future practice which nursing practitioners in Bahrain may implement as part of routine care to their patients. article is distributed under the terms of the Creative Commons Attribution 4.0 International License benchmark quality improvement and ensure the information is warranted and of recognizable value. Results indicate more care and attention to train nurses in assessment and prevention of pressure ulcers is needed in Bahrain.The main concern is the risk assessment nurses knowledge and the use of preventive care to patients at risk of pressure ulcers development. The study will be repeated one and a half year.
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