Perioperative management of gastrointestinal surgery in a resource-limited hospital in Niger: Cross-sectional study

Adamou, Harissou; Magagi, Ibrahim Amadou; Adakal, Ousseini; Doutchi, Mahamadou; Habou, Oumarou; Boukari, M.; Didier, Lassey James; Sani, Rachid

doi:10.1016/j.amsu.2020.03.009

Cited by 2 publications

(5 citation statements)

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“…In agreement with another study nurses with no motivation or with no job attribute factors there were more likely to have poor practice as compared to those who have job attributes. Which was consistent with study done in Nigerien hospital (19). Studies have demonstrated that presence of motivational factors were highly associated with nurses practice of care.…”

Section: Discussionsupporting

confidence: 92%

“…Those nurses who had work over load were 3 times more likely to have poor practice as compared to those who hadn't work over load. This result agree with study conducted in Nigerien hospital caregivers which shows that, poor practice of Perioperative management was statistically associated with work over load (OR = 4.04, p = 0.013) (19). The possible reason might be due nurse's burnout and shortage of nurses in the setting(16).…”

Section: Discussionsupporting

confidence: 89%

“…Those below Six years of professional seniorities were 3 times likely to have poor practice of preoperative patient care as compared to above ten years of professional seniority. The result of this study is supported by related study in Nigeria at 2014 with n = 146 which shows that years of experience was associated with the practice of preoperative visit (20).The result of this study is also in contrary with the result reported in Niger at 2017 with n = 56; the length of professional exercise of caregivers was not statistically associated with the application of standard norms in the Perioperative care (19). As year of service increase nurses might advance their practice of care through repeated exposure to care.…”

Section: Discussionsupporting

confidence: 49%

“…Regarding associated factors, in this study, being diploma nurses were 8.7 times more likely to have poor practice as compared to BSc nurses (Table 5), which was supported by related study done in Niger hospital (West Africa) at 2017. poor practice of Perioperative management was associated with poor professional quali cation (p = 0.0026, OR = 8.04 [1.95, 33.08]) (19).The reason for this is when professional quali cation increase the tendency of having poor practice decrease due advanced knowledge, increased length of learning time and demonstration (23).…”

Section: Discussionmentioning

confidence: 99%

“…Poor practice-When respondents who scored below the mean value from preoperative patient care practice questions. The mean score was calculated out of 29 by adding each participant's score on the preoperative patient care practice questionnaires and dividing it to the total number of participants (19).…”

Section: Data Collection Toolsmentioning

confidence: 99%

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Practice of Preoperative Patient Care among Nurses Working In Surgical Units of Specialized Hospitals in Southern Ethiopia

Lonsako,

Geda,

Gobena

et al. 2024

Preprint

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Background: Preoperative patient care is preparing patient physically and psychologically for surgical procedure and recovery in the postoperative period. More than Four million peoples die worldwide within 30 days of surgery each year. Poor assessment and management of risk factors were prone to adverse postoperative outcomes. Literatures indicate that the implementation of a preoperative care minimizes post operative complications through risk assessment of surgical patients. Even though some studies conducted across the globe on preoperative care; As far as my search only limited studies were conducted on preoperative care in Ethiopia Methods: Institution based cross-sectional study was employed among 366 randomly selected nurses of southern Ethiopian Specialized hospitals. The data was entered into Epidata version 3.1 and exported to SPSS version 21 for analysis. Both descriptive and inferential analysis were done, all covariates that were significant at p-value < 0.25 in binary logistic regression analysis were considered for further multivariable logistic regression analysis and the results were declared as statistically significant at P < 0.05 using odds ratio and 95% CI. Result: From the finding of this study the prevalence of poor practice of preoperative patient care among surgical unit nurse in three southern Ethiopian Specialized hospitals were AOR 45.4% (95% CI: 39.9, 50.3 ) and AOR 61.4% (95% CI: 54.5, 71.7) by self-administered and observational check list respectively. Being diploma nurses AOR 8.55(95% CI: 4.56, 16.02), professional experience of less than 6years AOR 3.01(95% CI: 1.45, 6.25), Poor knowledge of nurses AOR 2.78(95% CI:1.52, 5.08), Work over load of nurses 2.95(95% CI: 1.36, 6.41), Resources unavailable AOR 2.36(95% CI: 1.34, 4.14), and Job attributes factors AOR 3.51(95% CI: 1.77, 6.97) were factors significantly associated with poor practice of nurses. Conclusion: In this study, nearly two-third and nearly half of nurses working in surgical units of southern Ethiopian comprehensive specialized hospitals have poor practice of preoperative care using observational check list and self administered questionnaire respectively. Being diploma nurse, less than 6 years of professional seniority, poor knowledge of nurses, work over load to nurses, resource unavailability, and job attributes were significantly associated with poor practice of preoperative nurse. The hospitals administrator’s need to enhance nurse’s knowledge and avail resources.

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Section: Discussionsupporting

confidence: 92%

Section: Discussionsupporting

confidence: 89%