Compliance Of Nurses Research Articles

Nurse's Compliance with Pain Assessment Documentation at Aceh General Hospital

Nurse's Compliance with Pain Assessment Documentation at Aceh General Hospital

Standard precautions for preventing Tuberculosis and HIV: Compliance of Eswatini university student nurses.

Tuberculosis and Human Immunodeficiency Virus are among the top ten causes of death globally. To prevent the spread of these infections, health workers and student nurses should comply to infection prevention and control measures called standard precautions. The aim of this study is to assess compliance of Eswatini university student nurses regarding standard precautions for preventing Tuberculosis and Human Immunodeficiency Virus. A non-experimental quantitative approach was used to conduct a survey on all senior student nurses of Eswatini University using questionnaires. IBM SPSS Statistics version 26 software was used to analyse the data. Results from this study showed that out of the 105 student nurses who were asked only 51.4% (n = 54) said they always used personal protective equipment. However, they did comply well on disposing sharps as 92.4% (n = 97) reported that they always used designated containers. There is a need for close supervision of student nurses in the clinical area. The researcher recommends that clinical facilitator should always accompany student nurses in the clinical area and that preceptors should be exempted from other nursing duties when there are student nurses in the hospitals so that they can mentor the students.

The Effect of Education Program on Registered Nurse Perceptions, Satisfaction and Compliance towards Bedside Handover in a Private Hospital, Malaysia

A nursing handover involves one nurse handing over the responsibility of care for a patient to another nurse. Failure of ineffective nursing handover is associated with medication errors, delayed diagnostic testing, adverse reactions, and sentinel events. Critical information related to patient care must be efficiently communicated among registered nurses during bedside handover. This study examined registered nurses' perception, satisfaction, and compliance with bedside handovers in a private hospital in Malaysia. A quasi-experimental study using one group pre and post was conducted. A purposive sampling of 154 registered nurses who had experienced practising bedside report handover participated in the study. Compliance of registered nurses with clinical bedside handover practices was assessed using the bedside handover audit tool. The researchers used the handover evaluation scale to assess the perception of nurses regarding bedside handover. A researcher self-developed questionnaire with seven items on a 5-point Likert scale was used to assess satisfaction among registered nurses. Data was collected from 1st July 2020 to 30th December 2020. The researcher organised a bedside handover training program for the participants, and data was collected pre and post-training. The result shows the perception mean score of the pre-intervention phase as M= 5.68 (SD =.58) and post-intervention phase as M = 5.71 (SD =.38). Satisfaction level before the intervention was M = 4.13 (SD =.47) and after M = 4.31(SD =.41). This study confirmed that compliance with bedside handover (M = 66.69, SD = 5.95) was greater than in the post-intervention phase (M = 99.06, SD = 1.96). Data demonstrated an increase in perception, satisfaction, and compliance after the bedside handover education program. In conclusion, the handover practice of bedside reports and education training promotes positive working conditions, employee satisfaction, and a safe work environment, resulting in significantly increased efficiency, patient outcomes, and preservation of a safe workplace.

To assess the nurses compliance towards catheter care bundle for prevention of catheter associated urinary tract infection among patients admitted in tertiary care hospital Bathinda (Punjab)

Urinary catheterization is one of the most common procedures performed in hospitals especially in intensive care units. The urinary catheter is considered as a single biggest risk factor for acquired urinary tract infections (UTIs), and more than 80% of all acquired UTIs are attributable to catheter use. Thus the present Study was planned to assess the nurses compliance towards catheter care bundle to prevent CAUTI among Patients Admitted in Tertiary Care Hospital, Bathinda (Punjab). Objectives 1. To assess the nurses compliance towards catheter care bundle regarding prevention of CAUTI among patients.2.To find out the association between nurses compliance towards catheter care bundle for prevention of CAUTI among patients with their socio demographic variables. Descriptive survey design was used. A Quantitative Non experimental Approach was adopted to conduct the Study. 300 staff nurses were selected using Non Probability convenience Sampling Technique .The present study included staff nurses working in all wards/units of hospital. A prevalidated tool comprising Socio demographic variables and standardized compliance tool as per CDC guidelines were used to collect the data. Results: 300 staff nurses that most of staff nurses i.e. 185 (61.6%) were in the age group of 21-30 years. Most of them i.e. 222 (74%) were females. About 75(25%) each of staff nurses were presently working in ICU and CCU followed by 67(22.3%) in surgery. Most of staff nurses 178 (60%) were GNM by qualification followed by 100(34%) were B.sc and only 22 (7%) were having M.Sc. nursing qualification. Most of staff nurses 104(34.5%) were having more than 5 years of experience followed by 100 (33.3%) having 3-5 years years of experience in present ward .Half of the staff nurses 188(62.6%) had not attended training regarding infection control whereas most of staff nurses 220 (73.3%) had not attended any training regarding catheter care. Almost Half of staff nurses 126(42%) were having inadequate compliance towards CCB regarding prevention of CAUTI. There was Statistically Significant Association found between compliance and age, gender, professional qualification, any training attended regarding infection control and any training attended regarding catheter care. Conclusion: In the present study it is concluded that most of the participants have inadequate compliance towards catheter care bundle for prevention of CAUTI and needs further focus and support to improve nursing care quality.

Analysis of the Transformational Leadership of the Head of the Inpatient Room and its Relationship with Nurse Compliance in Implementing Nursing Care Standards at Labuang Baji Regional Hospital Makassar

The aim is to determine the relationship between the Transformational Leadership of the Head of the Inpatient Room and Nurse Compliance in Implementing Nursing Service Standards at Labuang Baji Regional Hospital, Makassar. This type of research is analytical descriptive and correlational with a quantitative approach. From the results of this research, it was found that there was a significant but weak relationship between the transformational leadership of the head of the inpatient room and nurses' compliance in implementing SAK.

Nurses’ Individual Characteristics Associated with Five Moments Handwashing Compliance

Introduction: The most effective way to control infection is to ensure that hospital staff carry out handwashing according to the protocols. This study aims to determine the characteristics of nursing individuals that affect the compliance of the five moments of handwashing in the hospital inpatient room.Methods: The method used was a quantitative with a cross-sectional approach. The population was all nurses in five inpatient rooms totalling 84 nurses selected using purposive sampling. The dependent variable was the compliance of nurses' handwashing. The independent variableswere the individual characteristics of the nurses, including knowledge, gender, age, attitude, motivation, skin condition, years of service, education, employment status, infrastructure, and type of room. The data were collected using a questionnaire and observation of handwashing compliance. The handwashing observation was based on the hospital guidelines, and the relationship between the variables was analyzed using Chi square and logistic regressions test.Results: The study indicates that there is a significant relationship between motivation, education, and room type on compliance with the five moments handwashing (p <0.05). The most dominant factor was type of room, and there is no relationship between gender, age, years of work, skin condition, knowledge, attitude, employment status and infrastructures (p> 0.05).Conclusion:It is hoped that nurses can increase self-motivation to wash their hands for five minutes while working, as a form of dedication at work and to protect patients and themselves from nosocomial infections. Besides, hospital management needs to make efforts to increase the motivation of nurses.

Analysis of the Effect of PDCA Cycle on Hand Hygiene Compliance of Outpatient Nurses

Analysis of the Effect of PDCA Cycle on Hand Hygiene Compliance of Outpatient Nurses

Knowledge and Compliance of Pediatric Nurses Related to Hospital Isolation Precaution and Symbols

Knowledge and Compliance of Pediatric Nurses Related to Hospital Isolation Precaution and Symbols

Nursing Students’ Perceptions of Barriers to Standard Hand Hygiene Practice Amidst COVID-19 in the Tamale Teaching Hospital of Ghana: A Study conducted on First Degree Rotation Nurses of University for Development Studies

Background: Hand hygiene is recognized as the leading measure to prevent cross-transmission of COVID-19. The compliance of nurses with handwashing guidelines is vital in preventing COVID-19 disease transmission among patients. Globally, few studies have explored this subject, especially on the nursing students’ perceptions and barriers of standard hand hygiene precautionary measures amidst the COVID-19 pandemic. 
 Purpose: The study aimed to assess the perceptions and barriers associated with standard hand hygiene practice during the COVID-19 era among first degree nursing students undertaking their clinical rotation at the Tamale Teaching Hospital of Ghana. This study was conducted in April 2021. 
 Materials and methods: The study employed a descriptive cross-sectional design with a quantitative approach. The study population consisted of first degree student nurses of the University for Development Studies who were on clinical rotation at the Tamale Teaching Hospital in the Northern Region of Ghana. The exclusion criteria were nursing students from other tertiary institutions who were having their vacation practicum at the hospital. A simple random sampling technique was used to select the study participants from the wards of the hospital.
 A standard statistical formula was used to arrive at a sample size of 120. Data was collected by using a paper-based self-designed structured questionnaire in English language that has closed- and open-ended questions. Descriptive statistics involving frequencies and percentages were used in representing data.
 By using a chi-square test, a p-value <0.05 was considered statistically significant when the association between independent and dependent variables was cross-tabulated. The statistical software that was used for analyzing the data was SPSS version 23. 
 Results: The study had a total of 120 participants with a mean age of 26.48 and a standard deviation of 3.49. On the distribution of perception about hand hygiene, findings indicated that 105 (87.5%) had good perception. Religion and sex respectively were significantly associated with hand hygiene perceptions (χ2= 13.118, p=0.011; χ2=12.49, p=0.014).
 Conclusion: Though few of the student nurses had a satisfactory perception regarding hand hygiene, it is a cause to worry about since there exist other barriers influencing standard hand hygiene practices at the Tamale Teaching Hospital.
 Recommendation: There is the need for the quality assurance unit of the hospital to ensure strict compliance to COVID-19 protocols by all categories of health professionals by seeing to it that standard hand hygiene practices are adhered to, irrespective of religious background.

Compliance of Professional Nurses at Primary Health Care Facilities to the South African Cervical Cancer Screening Guidelines.

Despite the availability of the South African cervical cancer screening guidelines at clinics, women still present in district hospitals of Thulamela Municipality with no cervical cancer screening results. Thus, many cervical cancer screenings done at the hospitals often come back positive for cervical cancer at advanced stages. This study was conducted to investigate the compliance of professional nurses at primary health care facilities (PHCs) in Thulamela Municipality to the South African cervical cancer screening guidelines. The study adopted a qualitative approach. Purposive, non-probability sampling method was used to select PHCs and recruit eligible participants. Sample size was determined by data saturation. A digital recorder was used to log individual responses during interview sessions. Data from the digital recordings were transcribed verbatim. Results were analysed and interpreted in accordance with the consolidated criteria for reporting qualitative research (COREQ) checklist. This study established that clinic professional nurses are non-compliant to the South African cervical cancer screening guidelines owing to several challenges they face, such as inadequate knowledge of the cervical cancer screening guidelines, shortage of resources, shortage of staff and patients’ factors. We recommend a strengthening of the South African cervical cancer screening guideline, in-service trainings and workshops on cervical cancer and cervical cancer screening guideline as well as improvement on patients’ education.

Nurses Practice Regarding Infection Control Measures during The Second Stage of Labor: A Multicenter Study

Context: Infection prevention remains a significant public health challenge for healthcare systems, especially in maternity and delivery units. Good understanding and compliance of nurses with infection control measures during delivery are essential factors that improve maternal and neonatal outcomes and decrease morbidity and mortality.
 Aim: This study aimed to assess nurses' practice regarding infection control measures during the second stage of labor in multiple centers.
 Methods: Cross-sectional descriptive observational study was adopted in this study. The study population included all nurses working in labor rooms of four hospitals (100 nurses), namely Suez Canal University Hospital, Zagazig University Hospital, Ismailia General Hospital, And Zagazig General Hospital. Data collection tool encompassed a structured interviewing questionnaire to assess nurses' general characteristics, physical and organizational barriers that prevent nurses from complying with infection control measures, infection control practice checklist to assess nurses` compliance with infection control measures during the second stage of labor.
 Results: The highest percentage of the studied nurses' age was between 19-<29 (56.6%, 63.8%). Near half were technical nurses (43.4%, 44.7%). The majority of the studied nurses had not had periodic checks. Also, most of them were vaccinated against viral hepatitis B (86.8%, 91.5%). There was a statistically significant difference between Ismalia and Zagazig hospitals in physical barriers. The highest mean percent for infection control practice was for perineal care 100%, using the invasive device during labor 92%, preparing birthing room and its equipment 75.9%. A satisfactory infection control practice was revealed among 88% of the studied nurses. The satisfactory practice of nurses was 100%, 92.1%, 86.9%, 44.1% in Zagazig General Hospital, Ismalia University Hospital, Zagazig University Hospital, Ismalia General Hospital, respectively.
 Conclusion: The result of the study concluded that most nurses' practice regarding infection control in the delivery room was satisfactory. The study recommended upgrading and qualifying nurses in the labor room to improve their practical skills in Obstetric Nursing.

Nurses’ versus patient’s awareness about patient rights and nurses’ compliance to these rights

Background In spite of the achievements concerning patient rights and ethical problems in healthcare in Egypt, several problems still persist, including the unethical behavior of some healthcare workers, and patient understanding of the concepts of the patient rights. Aim To assess nurses’ versus patient’s awareness about patient’s rights and nurses’ compliance to these rights. Research design Comparative descriptive design. Setting The study was conducted in two types of hospitals in Egypt, three governmental hospitals (university hospital, health insurance hospital, and ministry of health hospital) and one of them private hospital. Study sample Two groups of the patients were included in the present study: a total of 400 nurses who provide direct care to patients (100 in each hospital), and a total of 400 patients who present at the time of the study (100 in each hospital). Tool There were three tools used for data collection: I. nurses’ awareness toward patient rights’ questionnaires, II. patient’s awareness toward patient rights’ questionnaires, and III. nurses’ compliance to the patient’s rights from patients’ point-of-view questionnaire, these structured questionnaires were adopted by Said (2010) to assess nurses’ versus patients’ awareness toward the patient’s rights and compliance of nurses to these rights. Results The results revealed that 60.75% of nurses had a high level of awareness to patients’ rights and 34.23% of patients had good awareness toward their rights, in addition, there was a statistical significant difference in the compliances of nurses about patients’ rights between private hospitals and governmental hospitals (P=0.001). Conclusion The study findings showed that there was a significant difference in nurses’ compliance regarding patients’ bill of rights in four hospitals, especially in governmental hospitals. Recommendations The study recommended that the concept of patients’ rights should be given as a regular and specialized educational program and retraining and putting it as a course in curriculum.

HUBUNGAN TINGKAT PENGETAHUAN PATIENT SAFETY TERHADAP KEPATUHAN PERAWAT DALAM PENERAPAN SURGICAL SAFETY CHECKLIST DI RUANG PRE OPERASI INSTALASI KAMAR OPERASI RSD MANGUSADA BADUNG

Patient safety has now become a global issue and a critical component of hospital quality management. One of the components in patient safety that must be carried out in the operating room is the application of the surgical safety checklist. Adherence in implementing the surgical safety checklist is influenced by several factors such as the knowledge of patient safety that nurses have. This study aims to determine the relationship between the level of patient safety knowledge and the compliance of nurses in implementing the surgical safety checklist in the Pre-Operation Room, the Operation Room, RSD Mangusada Badung. This study used a quantitative observational method with a cross sectional design. The sample was all nurses in the operating room installation room RSD Mangusada Badung who were selected by a total sampling of 41 people. The research was conducted from 01-31 October 2020. The results of data analysis using the rho Spearman nonparametric statistical test at a significance level of ? 0.05, the p value was 0.000 <0.05. This shows that there is a significant relationship between the level of patient safety knowledge on nurses' compliance in implementing the surgical safety checklist in the Pre-Operation Room for the Operation Room, RSD Mangusada Badung. It is hoped that health workers, especially nurses in the operating room, can increase knowledge about patient safety and be more obedient in implementing the surgical safety checklist.

PRESSURE ULCER PREVENTION FOR HOSPITALIZED ADULT PATIENTS: EVIDENCE-BASED NURSING

Objective To explore the factors affecting nurses’ compliance with repositioning policy. Methods An integrative review was conducted following the Whittemore and Knafl methodology to identify the problem related to repositioning policy compliance. We searched the following databases: Coherence Wounds Group Specialized Register (Jan 1997 to Jun 2019), Ovid MEDLINE (Jan 1997 to Jun 2019), EBSCO CINAHL (Jan 1997 to Jun 2019), and Clinical Key database (Jan 2014 to Oct 2018). Results The review revealed three factors that influence repositioning compliance: nurse-related factors, patient-related factors, and Environment-related factors. Conclusions These factors directly impact one another and, in turn, influence the compliance of nurses to the repositioning policy. However, there is no evidence currently available that explains the collective impact of these factors and how they interact to affect repositioning policy compliance. Nevertheless, all these factors are important and should...

Nurses' Knowledge, Practice And Compliance About Aseptic Technique For Patient Undergoing Hemodialysis

Abstract: Background: The quality of hemodialysis patient nursing care should be consistent with national standards of care, which are used as a starting point for better, more exceptional practice, and adherence ensures efficacy. Aim: To assess nurses' knowledge, practice, and compliance with aseptic technique for hemodialysis patients. Design: Descriptive research design was used. Setting: The research was carried out in a hemodialysis unit at Assiut University Hospital in Egypt. A convenience sample of 40 nurses was taken. Tools: (1) Nurses' questionnaire, (2) Observation Checklist Sheet, (3) Assessment of Nurses' Aseptic Technique Compliance Sheet. Results: The majority of them had a diploma education with ≥10 years of experience and 75% attained infection control training programs. 55% of the studied nurses had a poor knowledge level about infection control regarding hemodialysis and not compliance to standard precaution for patients undergoing hemodialysis. Conclusion: Majority of the nurses had a poor level of knowledge regarding infection control in hemodialysis unit, aseptic techniques were noncompliance to the standard of nursing care for hemodialysis patient. Recommendations: Continuous education and refreshment for nurses' knowledge and practice regarding infection control education in hemodialysis units

The Effect of Education on the Compliance of Nurses Working at Surgical Units to Isolation Measures

The Effect of Education on the Compliance of Nurses Working at Surgical Units to Isolation Measures

Hubungan Pengetahuan Universal Precaution dengan Kepatuhan Perawat dalam Penggunaan Alat Pelindung Diri (APD) di Ruang Instalasi Bedah Sentral RSD Mangusada

The incidence of infectious diseases in hospitals is a serious problem because it threatens the health and safety of patients and healthcare workers. Experts agree that compliance with the use of PPE is considered very important to protect the body from infection contamination. There are many factors that can affect nurses compliance in using PPE, one of which is knowledge of universal precaution. This study aims to determine the correlation of universal precaution knowledge with nurses compliance using PPE in the Central Surgical Installation Room Mangusada Hospital. This type of research is quantitative with cross-sectional design, the sample in this study were all nurses in the Central Surgical Installation Room of Mangusada Regional Hospital selected by the total sampling method of 41 respondents. Data were analyzed by nonparametric rho spearman statistical test at the significance level α 0.05, obtained p-value of 0.000<0.05. This shows that there is a very significant correlation between universal precaution knowledge and nurses compliance in the use of PPE in the Central Surgery Installation Room at Mangusada Hospital, so it is expected that health workers, especially nurses, will increase knowledge related to universal precaution and be more obedient in using PPE.

HUBUNGAN TINGKAT PENGETAHUAN DENGAN KEPATUHAN PERAWAT DALAM MENJALANKAN EARLY WARNING SCORE DI RUMAH SAKIT BIMC KUTA

Early Warning Score (EWS) is an early warning system starting from early detection, making decisions before the patient experiences an emergency condition. The parameters in the EWS method are level of consciousness, respiration or exhalation, oxygen saturation, supplemental oxygen, temperature, pulse rate, and systolic blood pressure. The purpose of this study was to determine the correlation between knowledge level and nurse compliance of nurses in carrying out early warning score at BIMC Hospital Kuta. The EWS assessment is supported by nurses’ education level and work experience. This study used a cross-sectional approach correlation design with a total sampling technique of 58 nurses. In this study, it was found that the good knowledge level of nurses at BIMC Hospital Kuta was 86.2%, while the compliance level of nurses in carrying out the early warning score was found that the nurses obeyed in carrying out an early warning score of 86.2%. Data processing used the chi square statistical test. The results of the statistical test p value 0.000, which showed that there was a significant correlation between knowledge level and nurse compliance in carrying out the early warning score and r value = -0.619.

Multidimensional Nursing Interventions: It's Effect on Reducing Risk of Infection and Burnout Syndrome among Nurses Caring Covid-19 Patients.

Background: Nurses more than other health care workers (HCWs) are susceptible to numerous job-related hazards, as acquiring infection of Covid-19 and burnout syndrome due to their nature of their occupations. Aim of the study: to evaluate the effect of multidimensional nursing interventions on reducing risk of infection and burnout syndrome among nurses caring Covid-19 patients. Design: Quasi Experimental design used to conduct this study. Setting: The current study was carried out at isolation setting for Covid 19- patient (isolation ward and ICU) at Menoufia University Hospital. Subject: a convenience sample of 62 nurses caring Covid-19 patients at intensive care unit and isolation ward was selected. Tools of the study: four tools used to collect the current data: Tool I: A structured interviewing questionnaire about burnout syndrome. Tool II: Questionnaire for assessing Burnout symptoms; Tool III: Questionnaire for Assessment Nurses compliance of prevented measures for Burnout Prevention and Tool IV: Observational checklists for Protection and preventions procedures. The results: after interventions most of studied nurses had good level of knowledge and practices regarding burnout management and infection control procedures; reduction of nurses' burnout symptoms after intervention within the different measurements; additional incidence rate of Covid-19 infection decreased. Conclusion: implementation of multidimensional nursing interventions was successful in reducing burnout symptoms and risk of infection among studied nurses. It was effective to improve nurses' knowledge and practice. Recommendation: establishing educational program or workshop on burnout management for all hospital nurses and nurse supervisors. Perform periodic evaluation of stressors at work place for nurses.

Improving hand hygiene in hospitals: comparing the effect of a nudge and a boost on protocol compliance

AbstractNudging has become a well-known policy practice. Recently, ‘boosting’ has been suggested as an alternative to nudging. In contrast to nudges, boosts aim to empower individuals to exert their own agency to make decisions. This article is one of the first to compare a nudging and a boosting intervention, and it does so in a critical field setting: hand hygiene compliance of hospital nurses. During a 4-week quasi-experiment, we tested the effect of a reframing nudge and a risk literacy boost on hand hygiene compliance in three hospital wards. The results show that nudging and boosting were both effective interventions to improve hand hygiene compliance. A tentative finding is that, while the nudge had a stronger immediate effect, the boost effect remained stable for a week, even after the removal of the intervention. We conclude that, besides nudging, researchers and policymakers may consider boosting when they seek to implement or test behavioral interventions in domains such as healthcare.