Background: Thalassemia is the most common autosomal abnormality in Syria. Its complications have an important effect on education; time off school; sport; difference from friends/ siblings; social interactions; and stigmatization. Knowledge of factors associated with quality of life in thalassemia patients is necessary for forming appropriate clinical programs, social support, and improving treatment outcomes. Purpose: The study was to assess the effects of Patients' and Care-givers' Knowledge, Attitude, & Practice (KAP) with Quality of Life among Thalassemia Major Patients' in Syria. Methods: Cross-sectional descriptive analytical design was conducted at the national thalassemia center in Damascus. WHOQOL-BREF and a questionnaire developed by the researcher were used to measure the participants’ knowledge, attitudes and practices of thalassemia. Results: Total of 238 thalassemia patients participated in the study. A statistical significance was found regarding improvement of skill and knowledge scores among caregivers and thalassemia patients before and after receiving the teaching guide from 12.52±1.77 to 14.07±1.01, t=11.447, p=0.000 and from 34.12±4.50 to 37.43±4.61, t=-8.58, p= .000 respectively. Stigmatization was significantly noticed among families caring for thalassemic patients. There were a significant differences in the mean score regarding nutritional status before and after teaching guide paired t test= 12.11, p= 0.000. A statistical significance was found in females regarding social domain p=0.04. However, mean scores for overall quality of life were better in females rather than males, but these mean scores were statistically insignificant p>0.05. A statistical significant difference in ferritin levels and patient’s age was found. Results also revealed that no statistical significant differences was observed between overall quality of life of the four domains in relation to the two treatment groups (subcutaneous vs oral) and age groups. Conclusion: Thalassemia is a socio-economic problem. The most efficient way to reduce risks of having affected patients is by increasing the knowledge through training of parents regarding the disease. Our findings highlighted that there was lack in patients’ knowledge and skills regarding the disease, but a remarkable improvement in both knowledge and performance was found after patients received the teaching guide, which lead to an increase in overall patient's quality of life.
The intensive care unit (ICU) is considered a high- risk area in the hospital because of the severity of injuries and the high liability of occurrences associated with ICU. Critically ill patients are at high risk for actual or potential life-threating health problems. Moreover, critical care nurses must develop their knowledge, skills, and safe practice in acute areas where patients require more detailed observation or intervention to deliver safe and effective care. Objectives: This study aimed to assess the effect of an educational program on nurses’ practices regarding the implementation of patient care and safety measures during enteral feeding. Design: The quasi-experimental design was used in this study. Methods: The study was conducted from June to September 2020. All registered nurses who were working in the intensive care units during the period of data collection comprised the sample. Based on the nurses’ needs regarding the condition of their competencies during the initial assessment, we developed and designed the educational program. This program consists of two parts: theory and practical. The program contains workshop (8 hours) per day and educational pamphlet handout. The workshop consists of PowerPoint presentations, group discussions, and training scenarios. Results: This study was carried out with 48 nurses working in the previous intensive care units. The nurses’ score were improved after the program regarding to nurses’ age, qualification, and experience. The overall study found a statistically significant relationship of this procedure before and after the implementation of the educational program (p<0.001). Conclusion: There has been remarkable and variation improvement of nurses performance after they received the education program. The results show that a statistically significant difference was found before and after implementing the program regarding the nurses’ age, qualification, and experience. It is recommended to pay more attention to these nurses by helping them to improve their knowledge and practices in all nursing interventions. Furthermore, it is necessary to improve nurses’ awareness regarding the quality of care and patient safety. It was also found that the poor knowledge and practice and its complications have a negative impact on the quality of care and patient safety.
Background: The Intensive Care Unit (ICU) is a unit in the hospital which provides intensive care for critically ill or injured patients and is staffed with specially trained medical personnel and has equipment that allows for continuous monitoring and life support. Moreover, critical care nurses (CCNs) should have strong analytical, interpersonal, and decision-making skills. Also they need to continuously improve their knowledge, skills, and safe practice to deliver safe and effective care to their patients. Objectives: This study aimed to assess the effect of the teaching program on CCNs performance during endotracheal suctioning. Design: The quasi-experimental design was used in this study. Methods: The study was conducted from June to September 2020. This study was conducted to assess the effect of the teaching program on nurse’s performance during endotracheal suctioning in the critical care units at Al-Assad University Hospital, Damascus. All available registered nurses (48 nurses) who were working in the previous ICUs during the period of data collection were included in this study. An observational checklist sheet was developed by the researcher after reviewing the related literature. The duration of data collection was about three months, and each nurse was observed once for each procedure during different shifts. Based on the nurses’ need according to their performance during the initial assessment, the researcher developed and designed the teaching program. This program continued for two weeks consisting of four phases and contains workshop-practices (8hours) per day and educational pamphlet handout. The workshop practice consists of lectures, group discussion, and training scenarios. Every nurse must attend the training sessions daily, at least one hour. Results: The results showed that the level of knowledge and practice of the studied nurses in endotracheal suction was average and poor before the teaching program and the nurse’s level improved after the program. There was a variation of improvement regarding the nurses age, qualification, and experience. The best performance was for nurses with age group between 20-24 years, nurses with a master degree, and nurses with less than five years of experience. Overall, this study found a statistically significant relationship before and after the implementation of the educational program (p<0.001). Conclusion: There has been an obvious improvement of nurses’ knowledge and performance after the teaching program in relation to age, qualifications, and experience in all selective procedures. It is essential to help the nurses to expand their knowledge and practices to provide a high quality of care and promote patient safety.
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