The nursing handover is a key moment for guaranteeing the continuity of care and the patient's safety. Poor communication information is the main possible factor and related risk factor for sentinel events.1 To assess the Aims: nursing handover practices among the staff nurses of ICU at selected hospital Guwahati, Assam. Exploratory survey approach was Methodology: adopted to assess the nursing handover practices among 60 staff nurses of ICU by using purposive sampling technique. The study nding Results: reveals satisfactory handover practices among staff nurses in ICU as majority of the ndings showed 100%. The physical factors of the staff nurses also play an important role in the patient care. Regarding psychological factors, the present study also revealed that 91.97% of the staff nurses did not get rest at work place. Social factor also had an impact on the staff nurses. The nding related to the professional factor was satisfactory as majority of the aspects in it were fullled. Keeping in view with the Conclusion: ndings it is recommended that regular educational programs and training to the staff nurses for developing the nursing handover.
The timing of ICU admission is associated with mortality outcome for critically ill patient, and delayed ICU admission has been related to increased death for critically ill patient who requires close monitoring and intensive treatment. Early or delay in initiation of treatment to stroke and head injury patient may have an impact on the health status of the patient. So, the study was conducted to assess the duration in initiation of treatment by the health care professionals to stroke and head injury patient admitting in emergency and ICU. The objective of the study is to assess the duration in initiation of treatment by the staff nurses and Doctors to patient admitting in emergency department and ICU of selected hospital of Kamrup (M ), Assam. Hence a descriptive research design was used to assess the duration in initiation of treatment by the health care professionals to stroke and head injury patient admitting in emergency and ICU with the objective of assessing the duration in initiation of treatment by the staff nurses and Doctors to patient admitting in emergency department and ICU of selected hospital of Kamrup (M ), Assam. Sample size for the study was on 78 health care professionals in which 26 were staff nurses and 52 were doctors working in emergency department and ICU of selected hospitals Convenience sampling technique was used for obtaining the adequate sample for the study. Respondents were selected on the basis of inclusion and exclusion criteria. The duration of initiation of treatment were checked by using observation checklist. The result shows that in the analysis of duration in initiation of treatment by the staff nurses and doctors, the investigator found that the minimum time taken for brief history collection was 4mins 18secs and the maximum time was 9mins 12secs. The minimum time for performing physical examination was 4mins 32secs and maximum time was 6mins 43 secs. For initiation of medication, the minimum time taken was 13mins 16secs and the maximum time was 14mins 2secs. The minimum time taken for initial visit by the doctors was 2mins 17secs and maximum time was 55mins 55secs.Hence the study concluded that early initiation of treatment to stroke and head injury patient may improve the patient outcome and also the quality of care of the organisation whereas delay in initiation of treatment may deteriorates the condition of the patient and also increase the hospital mortality rate.
Patient falls are the most common adverse event in hospital. Falls in hospitals are the most frequently reported incidents among all safety incidents To assess knowledge, attitude and practices of Aims: nurses regarding patient falls in ICU. Methodology: Descriptive research design was undertaken on 140 nurses by using convenience sampling technique. Participants were selected on the basis of inclusion criteria. Structured knowledge questionnaires, 5-point Likert scale and inventory checklist were used to assess knowledge, attitude and practices. The data was collected and analysed in terms of descriptive and inferential statistics. Majority 61.5% Results: had moderately adequate knowledge with mean score 13.82±2.95, 60% had moderately favorable attitude with mean score of 50.59±5.99 and 95.7% of nurses had adequate practice with the mean score of 15.84±3.84. There is weak positive correlation between knowledge and attitude (r=0.072), between knowledge and practices (r=0.047), between attitude and practices (r=0.021). There was signicant association between knowledge with working experience (2=16.420, p=0.012), attitude with gender (2=4.752, p=0.029), and practice with gender (2=12.182, p=0.002). Keeping in view the ndings, it is recommended that regular incentive programs Conclusions: , training and in-service education to improve nurses' knowledge, attitude and practices regarding patient safety and patient falls should be done in these areas.
Cardiac Catheterization is an invasive diagnostic procedure used widely in which radio-opaque arterial and venous catheters are introduced into selected blood vessels of the right and left sides of the heart. Coronary angiography is the gold standard test for identifying the presence and extent of atherosclerotic coronary artery disease. The study aims to assess the knowledge Aim: and practices among staff nurses regarding patient safety after cardiac catheterization in selected hospitals of Guwahati. descriptive Method: research study was conducted among 45 staff nurses working in ICCU & Cath Lab in selected hospitals of Guwahati, Assam. The nurses were selected by using convenience sampling technique. Semi-structured questionnaire, for assessing knowledge, inventory checklist and observation checklist for assessment of practices were used. It was found that majori Result: ty 35(77.8%) of the staff nurses had moderately adequate knowledge and remaining 10(22.2%) of the respondents had adequate knowledge. Majority 25(56%) of the staff nurses had moderately adequate practice and 20(44%) staff nurses had adequate practices regarding patient safety after cardiac catheterization. The mean of knowledge score and practice score were 11.4 and 72.1 respectively. Low positive correlation was found between knowledge and practice. There was no association of knowledge with the selected demographic variables i.e age, experience, training attended. The nurses need Conclusion: continuous in-service education in a regular basis. Standard practice checklist for patient safety after cardiac catheterization will help the nurses in delivering the care to the patient.
Background of the study: Chest tube drainage which is also known as Under water seal drainage (UWSD), tube thoracotomy, or intercostal drainage, has a paramount importance in some emergencies or critical care situation. Inefcient nursing care or malfunction in chest tube drainage may associated with life threatening complications, or can be deadly for a patient in a matter of second. The aim of the study was to assess knowledge of staff Aim: nurses regarding care of patient with chest tube drainage. Method: Descriptive research design was adopted and 178 staff nurses working in ICU were selected by using non probability convenience sampling technique in selected hospitals, Kamrup (M), Assam and who fullls the inclusion criteria. It was found that majority 97(55%) of the Results: respondents had moderately adequate knowledge, 68(38%) respondents had inadequate knowledge, and 13(7%) had adequate knowledge. The mean and standard deviation of knowledge level is 15 and 4 respectively. The association was statistically tested by using Chi square at p≤0.001 level of signicance. The study shows that, out of 178 respondents, 68 (38%) had inadequate Conclusion: knowledge, 97 (55%) had moderately adequate knowledge and 13 (7%) had adequate knowledge regarding care of patient with chest tube drainage. So the investigator concluded that the in-service education in regular basis is very important for continuous learning.
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