Background: Nursing documentation is the recording, documenting or charting of nursing care that is planned or given to the patients in intensive care unit (ICU) by qualified nurses. It is any written or electronically generated information about a client that describes the care or service provided to that client. The aims of this study were: 1. Assessing nurses' performance toward quality documentation for patients in ICU. 2. Suggesting guidelines for quality documentation for patients in ICU. Study design: a descriptive study was used to achieve the aim of this study Subject: A convenient sample includes all registered nurses (50). Setting: This study was conducted in intensive care unit affiliated to Mansoura Emergency Hospital Tools: three tools were used for data collection; self-administered questionnaire, nurses' practice observational checklist and nurses' attitude likert scale. Results and conclusion the results of this study showed that, more than half of the studied nurses had got satisfactory level of knowledge, near three quarter of studied sample had got unsatisfactory level of practice, and more than three fifth had got negative attitude toward quality documentation for patients in ICU. Recommendation Training program including the suggested guidelines toward quality documentation for patients in ICU must be implemented for nurses based on their need assessment, and evaluate its effectiveness on their performance.
The ECG is a non-invasive, effective, simple cardiac test and useful in diagnosing cardiac disorders and detecting any arrhythmia. It plays a critical role in reducing morbidity and mortality in patients with coronary artery disease. Nurses working in critical care areas are responsible for monitoring and interpreting ECGs. Aim of this study is to evaluate the effect of an education program on nurses' performance (knowledge and practice) regarding electrocardiography. Design: A quasi-experimental design was used. Setting: this study was conducted in the coronary units at Benha University Hospital. Sample: all nurses (n = 32) working at coronary units. Tools: Two tools were used a self administered questionnaire sheet to assess knowledge and observational checklist to assess practice regarding electrocardiography. Results: this study showed that the majority of the nurses had unsatisfactory knowledge and practice regarding electrocardiography pre program implementation (96.9% and 87.1% respectively) which improved significally immediately post program (90.6% and 87.5% respectively) p value <0.001, while this improvement lowered slightly post 3 months at follow up (78.1% and 81.2% respectively). Conclusion: the majority of the nurses were having an unsatisfactory performance (knowledge and practice) regarding electrocardiography pre the program implementation. Meanwhile, the majority of the studied nurses had got statistically significant improvement in their performance post the program implementation, while this improvement lowered slightly post three months at follow up, which supported the study hypothesis. Recommendation that the importane of continuous in-service training programs about ECG for the purpose of refreshing, updating the nurses knowledge and practice regarding ECG.
Abstract:Aim: of this study is to evaluate the effect of educational program for cardiopulmonary resuscitation (CPR)
Background: Problems with medication are often referred to medication errors. Its effect on patient results in harm as it can vary widely. This depends on the particular knowledge and practices of nurses, as well as how the problem is picked up. Both serious and non-serious errors are often referred to as preventable incidents. So, medication errors that are commonly occurring among nurses in the intensive care units (ICU) can be prevented by improving nursing performance during the medication administration process. Aim: To assess the effect of medication safety guidelines on prevention of medication errors among nurses in the intensive care unit. Setting: This study was conducted at Kfr elsheikh University Hospital, in three main units Medical, surgical & Cardiac ICUs. Sampling: A convenient sample of 59 nurses working in the mentioned setting. Tools: Two tools were used for data collection. First tool: A self-administered questionnaire consisted of two parts. Part I concerned with nurses' demographic data. Part II concerned with nurses' knowledge assessment. Second tool: Nurses' practice observational checklist. Results: There was a highly significant difference between pre and post intervention using medication safety guidelines in relation to knowledge (p value= 0.000), practice (p value = 0.000) and medication errors (p value = 0.000) Conclusion: The application of medication safety guidelines had a statistically significant positive effect on the studied nurses' knowledge and practice and consequently decreased the frequency rate of all medication errors' types; which support the stated research hypothesis. Recommendations: The study recommended that; arranging continuous educational programs for nurses, construction of training endeavours based on the identified gaps to respond to unmet needs of nurses, and building a safety culture in health care setting.
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