Background: Assessment of clinical competence is an essential, mandatory requirement and critical norm for accountability of educational objectives as the traditional testing tools cannot evaluate clinical competence. But it became a tough job for nurse educator as it poses several challenges in terms of objectivity and reliability. In spite of increasing usage of OSCE in nursing and the huge number of studies published about it, it is still debatable about advantages of its using. OSCE costs remain an obstacle facing its use. The aim of this study: was to assess challenges affecting quality of OSCE and suggestions of improvement as perceived by academic nursing staff. Design: A descriptive exploratory research design was used. Setting: Faculty of Nursing, Minia University. Subjects: A purposive sample of 40 clinical instructors and assistant lecturers at medical-surgical, pediatric, obstetric, and community health nursing that using OSCE in students' clinical evaluation. Tools: I-Socio-demographic data sheet II-Self-administered questionnaire to assess the perceived challenges affects quality of OSCE among study participants and to obtain their suggestions to overcome these challenges. Results: The highest manpower related challenges perceived by participants were insufficient faculty members (83%) and OSCE is stressful for students (81%). For non-human challenges, the most prominent ones were that some procedures require longer time than others (90%), unsuitability of the available settings to the number of students (83%) and insufficient needed materials/equipment (73%). Conclusion:The founded human and non-human challenges of the current study may affect the quality of OSCE in all steps, from preparation to application and subsequent suggestions are interrelated. Staff suggested improving in labs preparation and increasing labs numbers. Also, allocating sufficient budget and increasing number of trained staff. Recommendations: Increase the number of clinical instructors, budget and the work hours of OSCE to accommodate with the increased number of students and permit periods of rest for both staff and students.
Trauma injury is the leading cause of mortality and hospitalization worldwide and the leading cause of potential years of productive life lost. Hypercatabolism after trauma may lead to acute protein malnutrition that ultimately results in multiple organ failure. Therefore, nutritional support is an essential component of the care of critical trauma patients for optimizing outcomes. Evidence-based practice improves the quality of care through patient-centered care, the utilization of patient resources, provider resources and experiences, current research and scientific information. The main objective; of this study was to assess and evaluate the effect of evidence-based enteral nutrition (EN) protocol on complications prevention among trauma patients. The research hypothesis; evidence-based enteral nutrition protocol will prevent complications among trauma patients. The study subjects consisted of 50 adult patients diagnosed with trauma and divided equally into two groups; control group who received the routine hospital nutrition and study group who received evidence-based enteral nutrition protocol at the Intensive Care Unit (ICU) El-Minia University Hospital. The tools of data collection were; 1) Assessment sheet, it includes two parts, 1 st part included socio-demographic data of the patient. 2 nd part included five items that cover medical data, 2) Evidence-based enteral nutrition protocol, and 3) Evaluation sheet, it includes two parts, 1 st part included the laboratory investigations. 2 nd part covers the vital signs. Results: This study revealed that the majority of the control group less than thirty years old compared to study group equal or more than forty years old. There are statistically significant differences regarding mouth condition, severe infection, and nutritional assessment, among study and control groups. The result also revealed that the highest percent regarding the time of start enteral feeding and body positioning were among the study group. Conclusion: Evidence-based enteral nutrition protocol had significantly prevention of complications among trauma patients. Recommendation: Hospital should be following evidence-based enteral nutrition protocol to prevent complications among trauma patients at intensive care unit.
Background: Acid-base disorders are very common in critically ill as well as contribute significantly to morbidity and mortality. Aim: To evaluate the effect of acid-base disorders on mortality and level of consciousness for patients admitted to ICU. Design: descriptive exploratory research design was utilized to conduct this study .Setting: This study was carried out in anesthesia intensive care units at Assiut university hospital. Sample: One hundred sixty adult male and female patients. Tools: Two tools were used in this study, the Critically Ill Patients Characteristics tool, and Acid-base parameters assessment tool. Result: more than one third of the patients (36.3%) had respiratory alkalosis and was the most common acid-base disorder observed on admission . Metabolic acidosis and respiratory acidosis was associated with higher mortality (36.4%), and (22.75). Length of ICU stay was significantly higher in non-survivors (10.23±6.91 versus 7.60±4.69, p= 0.007). Mortality was significantly higher in the GCS < 9 group with metabolic acidosis (37.5 % versus 33.3 %, p=0.033). Conclusion: Respiratory alkalosis was a common acidbase disorder. Acidemia whether due to metabolic or respiratory acidosis is associated with increased mortality in ICU patients. Low GCS low is associated with increased mortality especially in the patients with metabolic acidosis. Recommendation: Closely monitoring and early managment is important to correct acid-base imbalance to avoid poor patient outcomes.
scite is a Brooklyn-based organization that helps researchers better discover and understand research articles through Smart Citations–citations that display the context of the citation and describe whether the article provides supporting or contrasting evidence. scite is used by students and researchers from around the world and is funded in part by the National Science Foundation and the National Institute on Drug Abuse of the National Institutes of Health.
hi@scite.ai
10624 S. Eastern Ave., Ste. A-614
Henderson, NV 89052, USA
Copyright © 2024 scite LLC. All rights reserved.
Made with 💙 for researchers
Part of the Research Solutions Family.