Nurses In Tertiary Care Hospital Research Articles

Knowledge, Attitude, and Practices Regarding Epilepsy among Nurses in Tertiary Care Hospitals

Background: Epilepsy is a prevalent neurological disorder marked by recurrent seizures, which can significantly impact quality of life. Understanding how epilepsy is managed in healthcare settings, particularly by nurses who play a critical role in direct patient care, is essential. However, knowledge gaps and varied practices exist among nurses, influencing their efficacy in managing epilepsy patients. Objective: This study aimed to assess the knowledge, attitudes, and practices regarding epilepsy among nurses in a tertiary care setting, with a focus on identifying areas of strength and those needing improvement. Methods: A descriptive cross-sectional study was conducted at Jinnah Hospital, Lahore. The sample comprised 138 registered and diploma nurses working in medical, surgical, and emergency units, excluding head nurses, student nurses, and those in outpatient departments. An adapted questionnaire was employed to evaluate knowledge about epilepsy, attitudes towards patients, and practical care approaches. Data analysis was performed using descriptive statistics in SPSS version 25, with checks for data normality and distribution. Results: The age distribution of participants showed 50.0% (69 nurses) within the 31-35 age group, 73.2% (101 nurses) were females, and experience levels varied with 53.6% (74 nurses) having 1-5 years of experience. Knowledge assessments revealed that 60.9% correctly identified epilepsy as non-contagious, yet misconceptions about epilepsy being a mental disorder were evident in 29.7% of responses. Practice-related responses indicated proper seizure management actions were inconsistently recognized, with only 29.0% knowing to avoid inserting objects in the patient's mouth during a seizure. Conclusion: The study identified critical gaps in the knowledge and practices of nurses regarding epilepsy care, emphasizing the need for targeted educational programs to enhance nursing competence in epilepsy management. Effective training could lead to better patient outcomes and reduce misconceptions associated with the condition.

A Comparative Study of Doctors and Nurses Regarding the Knowledge, Attitude and Practice of Basic Life Support in Tertiary Care Hospitals of Peshawar

Background: Basic Life Support (BLS) is a critical skill set for healthcare providers, enabling them to offer immediate assistance in cardiac emergencies. In Peshawar, Pakistan, the knowledge, attitude, and practice of BLS among doctors and nurses in tertiary care hospitals have not been extensively studied, despite the region's significant healthcare demands. Understanding these aspects can inform targeted improvements in BLS training and preparedness. Objective: This study aimed to evaluate and compare the knowledge, attitudes, and practices regarding BLS among doctors and nurses working in tertiary care hospitals in Peshawar, identifying gaps and areas for enhancement. Methods: A comparative cross-sectional study was conducted from July to October 2023. The sample comprised 249 healthcare professionals (102 doctors and 147 nurses) selected through convenience sampling. Participants were assessed using a validated questionnaire adapted from previous research, covering demographics, knowledge, attitude, and practice related to BLS. Data analysis utilized SPSS version 27, with descriptive statistics summarizing demographics, and inferential statistics (independent samples T-test) examining associations between knowledge levels and demographic variables. Results: The majority of participants were aged 26 to 30 years (47.4%), with nurses representing 59% of the sample. Knowledge assessment showed that 86.3% correctly identified the BLS abbreviation, but only 10.8% knew the correct first response for an unresponsive individual on the road. About 33.3% of participants displayed poor knowledge, with 49.0% demonstrating average knowledge. In practice scenarios, 56.2% exhibited poor practice. No significant differences were found in knowledge and practice based on gender or experience. Conclusion: The study highlights significant gaps in BLS knowledge and practice among healthcare providers in Peshawar's tertiary care hospitals, despite generally positive attitudes towards BLS. The findings underscore the need for enhanced BLS training programs, emphasizing practical skills and regular updates to guidelines. Addressing these educational gaps is crucial for improving patient outcomes in cardiac emergencies.

Screening for sleep deprivation and mood states among staff nurses of tertiary care hospital in central India

Background: A Nurse’s fatigue raises significant concerns for individual and patient safety. The impact of sleep deprivation on the quality of patient care is an important consideration in today’s health-care environment. Aims and Objectives: The aim of this study was to find the proportion of sleep deprivation among nurses in a tertiary care hospital and to find the association between sleep deprivation and mood states among staff nurses. Materials and Methods: It was a cross-sectional design done in a duration of 2 months from September to October 2022. The study group consisted of nurses working in a tertiary care hospital located in Jabalpur district. A sample size of 70 nurses was calculated through the statistical formula. The questionnaire has three sections: Demographics (nine questions), Epworth sleep scale (eight questions), and Profile of mood states (65 questions). The collected data were tabulated and analyzed using MS Office Excel and SPSS version 21. Results: Interviews were conducted with 70 nurses and 8.6% of them were found to be excessively sleepy and should seek medical attention. Significant results have been obtained for the association with tension, depression, anger, fatigue, and confusion with sleep deprivation. Conclusion: The findings suggest that sleep deprivation exists in a considerable state. Some workplace interventions need to be done to make the efforts of nurses worthwhile and to increase their vigor and positive mood.

Knowledge of nurses about safety measures during the use of injections in public hospitals in Pakistan

Aim: Injection safety has over the years become important in view of the many diseases that are transmitted through unsafe injection practices. The objective was to assess the knowledge and practice of injection safety by nurses in Tertiary Care Hospitals (Bolan Medical Complex, Sandmen Provincial Hospital, and Fatima Jinnah Chest and General Hospital) in Quetta City, Pakistan. Methods: A descriptive cross-sectional study was carried out. A structured questionnaire was the tool for data collection. All the nurses (358) who gave their consent in the Tertiary care hospitals were studied. Data were analyzed using SPSS version 16. The study was conducted from January 2023 till August 2023, it took eight months to complete. Results: The mean age of the respondents was 28.84 ± 8.6 years. The knowledge of injection safety among the respondents was adequate (84.6%) while their safety practice was found to be good (68.2%). Knowledge was significantly influenced by the age, sex, and years of experience of the nurses. One hundred and twelve (31.0%) detached needles and two hundred and sixty-two (73%) respondents recap the used needles regularly and sometimes respectively. Conclusion: This study showed that the knowledge of injection safety was encouraging among the nurses in Tertiary care hospitals of Quetta City but their practice of injection safety was adequate. There is a need for these hospitals to organize regular training workshops and symposia.

The Influence of Demographic and Job-related Characteristics on Nurses’ Compassion Satisfaction and Fatigue

Introduction: Growing stress and declining job satisfaction are the major challenges in nursing. Demographic and work-related factors may influence nurses’ compassion satisfaction and fatigue levels. Therefore, the study examined the impact of demographic and occupational factors on nurses’ professional quality of life. Methods: A cross-sectional study was conducted on 172 nurses working in two tertiary care hospitals in Pokhara using proportionate stratified random sampling. Data was gathered using the Professional Quality of Life (ProQOL) scale version 5 in September 2019. SPSS was used for bivariate and multivariate analysis to determine a significant relationship between socio-demographic and work-related variables and three professional quality-of-life subscales. The ethical approval was taken from the Institutional Review Committee (IRC) of Pokhara University (Reference Number: 83-075-76). Results: Most of the participants showed an average level of compassion satisfaction (79.1%, n=136), burnout (77.9%, n=134), and secondary traumatic stress (85.5%, n=147). The study revealed a significant mean difference between demographic characteristics (marital status and having children at home) and three professional quality of life subscales. Similarly, the study did not yield significant mean differences between the work-related variables and three professional quality-of-life subscales. Conclusion: Nurses in tertiary care hospitals exhibited moderate to high levels of compassion satisfaction while experiencing moderate to low levels of burnout and secondary traumatic stress. Despite moderate to low levels of burnout and secondary traumatic stress, it is imperative to address these issues as they have the potential to lead to medical errors and compromise patient care standards.

Evaluation of Knowledge of Breaking Bad News among Doctors and Nurses in Tertiary Care Hospitals Across Pakistan

Objective: To establish the knowledge and skill of breaking bad news (BBN) among doctors and nurses in tertiary care hospitals of Pakistan.Study Design: Cross-sectional descriptive study.Place and Duration of Study: The study was carried out on doctors and nurses in tertiary care hospitals across Pakistan from 20th March 2021 to 21st May 2021.Materials and Methods: A total of 60 responders from different tertiary care hospitals completed a questionnaire-based survey on the knowledge and skill of breaking bad news. The questionnaire was designed with the help of the guidance of experts of the Shaheen palliative care project, and its reliability and validity were checked by SPSS.For data collection, convenience sampling was used and to present the distribution of responses, frequencies and percentages were used. The sample size was calculated from the previous study using the WHO sample size calculator (2.2a for population proportions). Data was entered in Excel and analyzed using SPSS version 16.Results: Of the total participants, almost all 59 (98.3%) had the experience of breaking bad news to patients, 32 (53.3%) knew SPIKES protocol, whereas only 10 (18.2%) followed SPIKES model in delivering bad news.Conclusion: Among Pakistani doctors and nurses, the knowledge and skill of delivering breaking bad news is not satisfactory. Although breaking bad news is a part of training at different levels, it should be a part of the curriculum at all doctors and nurses to improve their communication skills, especially in terminal care.

Assessment of Knowledge, Attitude and Practices Related to Occupational Hazards among Nurses of Tertiary care Hospitals of Rawalpindi

Occupational hazards associated with health are present in every occupation, and they are the leading cause of death. In the medical profession, Nurses constitute the largest group of healthcare workers, and experience a higher rate of workplace hazards exposure than other health care workers. Objective: To assess the knowledge, attitude and practices of occupational hazards among nurses in tertiary care hospitals of Rawalpindi. Methods: A sample of 422 nurses having clinical experience of more than one year were recruited through multistage sampling. A modified, validated and pretested questionnaire was administered. Data were coded into SPSS version-23. Mean ± SD were calculated for (numerical) variables. Frequency and percentage were calculated for categorical variable. For the association, p-value <0.05 was considered significant. Results: The results showed respondents with a mean age of 37.63±6.73. Most had high knowledge 370(87.7%) about hazards in Hospitals, with positive attitude 311(73.70%), Only 218(51.7%) comply safety practice whilst those that did not follow 204(48.3 %) generally associate as deficient of essential safety equipment 222(52.6. %). There was no association between knowledge, attitude, and practices. Conclusions: Satisfactory knowledge, positive attitude and poor practices of nurses are key impediments to nurses. Improve the practices and reduce the exposure of occupational hazards

Knowledge Regarding Needle Stick Injury among Nurses in Tertiary Care Hospital Jhapa Nepal

Background Needle Stick Injury (NSI) is the wound or cut caused by the needles that unintentionally tear/puncture the skin that may result in exposure to contaminated blood and the body fluids. Nursing workers are on high risk of exposure of blood borne germs i.e. HIV, HBV and HCV. According to WHO study, the annual estimated proportions of health- care workers (HCW) exposed to blood-borne pathogens globally were 2.6% for HCV, 5.9% for HBV, and 0.5% for HIV, corresponding to about 16,000 HCV infections and 66,000 HBV infections in HCW worldwide. Methods The quantitative research for approach was adopted for this study and descriptive survey research design was selected for this study. A study to assess knowledge regarding needle stick injury among nurses in tertiary care Hospital, Jhapa Nepal was conducted among the nurses from 13 th March 2022 to 20 th March 2022. Hundred nurses were selected by using convenient sampling. SPSS Version 20 was used for data analysis. Results The collected data was analyzed by using descriptive and inferential statistics. This study result showed that 73% had average knowledge, 7% had good knowledge and 20% had poor knowledge respectively. Chi–square value revealed that there was significant association between knowledge with demographic variables of educational qualification and working experiences, where p value was less than 0.05 (p<0.05). Conclusion This study concluded that the majority of nurses having average knowledge. They need to improve their knowledge.

Epidemiological Features, Extent of Reinfection with COVID-19 Virus and Coping Strategies among Nurses in Tertiary care hospitals

Epidemiological Features, Extent of Reinfection with COVID-19 Virus and Coping Strategies among Nurses in Tertiary care hospitals

Family Needs of Patients Admitted in Intensive Care Units, as Perceived by Family Members and Registered Nurses in Tertiary Care Hospitals of Karachi, Pakistan

Admission into the Intensive Care Units of the patient is a crucial time not only for the patient but also for the family. The family is faced with various challenges. Healthcare professionals are required to understand their needs. The objective of the study was to identify and compare the family needs of patients admitted to intensive care units as perceived by family members and registered nurses. An analytical cross-sectional study was conducted at Ruth Pfau Civil Hospital and Dow University Hospital Karachi from December 2020 to February 2021. An adopted self-administered questionnaire of the Critical Care Family Need Inventory (CCFNI) was utilized for data collection. The tool consisted of 45 items of family needs in the form of a Likert scale having options rated from 01 to 04. The tool was divided into five subscales of Comfort, Information, Assurance, Support and Proximity. Frequencies and percentages were calculated for the categorical variables. Means and standard deviations were calculated for measuring the responses of the Likert scales. An Independent t-test was applied to compare the means of subscales. A total of 162 participants were included in the study. The total sample comprised 30 nurses and 132 family members. The most important need identified by the family members was to talk to the doctor every day (3.60±0.604) while the staff nurses identified to have a religious leader visit (3.90±0.305). The findings of the current study demonstrate that gap exists between the doctor and family members. The highest score for the dimension of comfort indicated that critical units lack the essential facilities.

The Palliative Care Knowledge Questionnaire-Basic (PCKQ-B): Development and Validation of a Tool to Measure Knowledge of Health Professionals about Palliative Care in India.

Objectives:A well-educated and aware staff are the needed to overcome barriers to palliative care provision in the face of ever-increasing needs of palliative care in developing countries like India. Lack of a standardised and locally validated need assessment tool is felt as one of the important requirements for any successful educational program. This project is to develop and validate a basic palliative care knowledge needs assessment questionnaire.Materials and Methods:Development of Palliative Care Knowledge Questionnaire-Basic (PCKQ-B) for Indian nurses working in a tertiary care hospital in Delhi-NCR, India was undertaken with four basic processes, that is, item generation, content validity, pilot testing and field testing. Literature search helped us to find appropriate domains and items; content validity obtained with a panel of seven experts, pilot testing and finally field testing was done on 102 nurses working in 6 branches of Max Super Specialty Hospital, Delhi-NCR, India. The field study data were used to do item analyses including item difficulty, item discrimination and calculate reliability indicators including test-retest correlation and KR-20.Results:Content Validity index (CVI) of all the items was >0.78 (except 1 item) and Scale-CVI was 0.98 (excellent content validity). Items were selected on the basis of item difficulty index of 0.1 to 0.9 and an item discrimination index greater than 0.2. A total of 25 questions were selected that elicited KR-20 value of 0.65 and intra class correlation (test-retest reliability) of 0.52.Conclusion:Overall, PCKQ-B is a 25 item questionnaire with a moderate reliability. Although validated for nurses in tertiary care hospitals, this tool might find utility in education of primary health workers, community health workers, social workers, or physiotherapists in palliative care teams.

Impact of imparting emotional intelligence skills training program to enhance emotional intelligence and work stress among staff nurses of tertiary care hospital of North Gujarat

Context: Nurses play a pivotal role in patient care and at the same time, face stressful situations due to workload, so the need of the hour is to create awareness about emotional intelligence (EI) among nurses to tide over such situations. Aims: This study aimed (1) to measure baseline levels of EI in the control and intervention group of staff nurses, (2) to find the association between the sociodemographic factors and EI, (3) to give EI training skills program to the experimental group, (4) to measure any enhancement in EI Skills after the intervention, and (4) to assess any improvement in work performance (WP) after EI intervention. Settings and Design: An experimental study was conducted among nurses working in GMERS Hospital, Patan, who were working in critical care units and general hospital wards. Materials and Methods: One-third of nurses from each of the two blocks were taken (convenience sampling) from the two blocks (critical care units and general units), i.e., 24 and 42 nurses, respectively, and allocated into experimental and control groups, respectively. Questionnaire containing questions related to sociodemographic variables, the Schutte Self-Report EI test, and WP survey questionnaire by the University of Michigan Health System were used. Statistical Analysis Used: Quantitative data were summarized using means and standard deviation. The data were assessed for normality and suitable tests such as t-test and paired t-test were used. Results: A significant enhancement in mean EI score i.e 145.16±5.938 after intervention from base mean EI score of 132.42±4.21 was noticed. Furthermore, the job performance showed a statistically significant improvement after EI Intervention. None of the sociodemographic variables showed a statistically significant association with the EI scores of intervention group. Conclusions: The Study highlights the importance of EI Training among Staff nurses as an essential part of their training program, to cope up with stress level in their day to day life and this training also has a positive impact on their Job performance thereby enhancing the quality of patient care.

KNOWLEDGE & PRACTICE ABOUT ADMINISTRATION OF HIGH ALERT MEDICATION IN THE TERTIARY CARE HOSPITAL IN LAHORE

Purpose: High alert medications are enlightened as those medicines that bear the maximum threat of causing major patient harm when administered incorrectly. Nurses are accountable for the administration of high alert medication; inappropriate administration can show a substantial clinical result and at times can be deadly for the patients. High Alert Medication is commonly used in the emergency room, intensive care unit, pediatric ward and medical ward. Because high alert medication is used in emergency situations, they bear a heightened risk of causing patient harm when used incorrectly. Some high alert medication has a narrow therapeutic index e.g., warfarin, when used improperly, rapidly causes the undesirable side effect of bleeding. Further, well-known chemotherapeutic agents, such as vincristine, require special handling, and should be administered according to the manufacturer’s recommendation. Current investigation targeted to evaluate the level of knowledge of high alert medication among nurses in tertiary care hospital. Methodology: A quantitative, descriptive cross-sectional study design was used to explore the level of knowledge and regulations of high alert medication and obstacles faced by nurses during the administration of high alert medication in tertiary care hospital. The instrument used for the data collection was adopted questioner and convenient sampling technique was used.
 Results: Outcome of current study deliver confirmation that nurses have deficient knowledge of high alert medication and its administration and regulation. Deficiency of knowledge was the significant obstacles that nurses faced during administration of high alert medication. Participants reported that conflicting views between nurses and doctors, were the most commonly encountered obstacles during administration of high alert medication these contribute to the possibility of Medicine Errors.

Knowledge, Attitude and Practice regarding Prevention and Control of COVID-19 among Nurses of Tertiary Care Hospital

Background: COVID-19 has become a global health threat and the disease burden is expected to increase more. Nurses are the front lines of COVID management. Because this work requires close personal exposure to patients with COVID-19, nurses are at high risk of infection, contributing to further spread. Nurses’ knowledge, attitudes, and practices can influence the prevention and control of pandemic. Thus, the aim of the study was to assess knowledge, attitude, and practice regarding the prevention and control of COVID-19 among nurses.
 
 Methods: Descriptive cross-sectional study design was carried out among 141 nurses from the central hospital, Kathmandu. A purposive sampling technique was used and the data collection date was June 5 to July 20, 2020. A self-administered semi-structured questionnaire was used. The data were analyzed using descriptive statistics.
 
 Results: The study showed that 60.3% of the participants had good knowledge, 53.2% of them had acceptable practice and a cent percent (100%) of them had a positive attitude on the preventive and control measures against COVID-19. More than 3/4th (75.8%) of them were agreed to handle the COVID-19 outbreak confidently in their healthcare setup. Although, 85.8% of participants were worried that they and their family members will probably get infected with COVID-19 while working in the hospital. However, 39% of them were feeling isolated by their community, and relatives due to their profession.
 
 Conclusions: Nurses have good knowledge, a positive attitude, and acceptable practice about prevention and control of COVID-19. However, the level of some knowledge and practice was still lower than that expected. 
 
 
 Keywords: Attitude; COVID; Knowledge; nurses; prevention and control; practice
 

Knowledge, Attitude, And Practice Regarding Nursing Interruptions Among Nurses in Tertiary Care Hospital: A Cross-Sectional Study

Purpose: Nursing is a profession who belong to care of community, a universal perception. Nurses job criteria belongs to many distractions and obstacles in performing their job. Interruption is considered to be part of workplace. The nursing profession responsibility and reliability are of high concerns because it deals with the life of human beings. Interruption at workplace compromises the patient safety. The study sought to explore the knowledge, attitude, and practices regarding nursing interruption among nurses.
 Methodology: Descriptive cross-sectional study design used. Questionnaire a tool used to collect data from tertiary care hospital (n=115). The tool contains a dimension of knowledge attitude and practice scoring of questionnaires as knowledge 50 score, attitude 45 and practice 28, respectively number questions each domains knowledge 10, attitude 9 and practice 7.
 Results: The KAP regarding interruption among Pakistani nurses score range (26-123). The means of knowledge attitude and practices respectively 31.2957 ± 7.21229, 33.1478 ± 5.68507, 19.5826 ± 3.86841. the collective mean and standard deviation of knowledge attitude and practice 84.0261 ± 16.76577. correlation statistically significant in KAP (p<0.05). Coefficient of correlation knowledge enhance practices. The combined KAP of respondents was 69%. 
 Unique contribution to theory, practice and policy: Knowledge attitude and practice prime parameters of confirming the quality of understanding and performance. Study concluded that nurses have moderate level of knowledge attitude and practice 69%. The knowledge and attitude positive coefficient correlation, enhance each other. Gender, increased academic qualification, attention of leader and experience correlation with KAP. Experience and age group 10-15 years possess a high degree of knowledge attitude and practice. There is a need for interruption management training moreover requiring leader attention. Basic understating about interruption on a clinical place not considerably efficient. The dependent variable causes a 20% variance in the criterion variable.

Assessment of Perceived Stress among Nurses of Tertiary Care Hospital during COVID Pandemic – A Cross-Sectional Study

Assessment of Perceived Stress among Nurses of Tertiary Care Hospital during COVID Pandemic – A Cross-Sectional Study

Urinary Catheter Care Approach for Urinary Tract Infection among Nurses in Tertiary Care Hospital

Urinary tract infections (UTIs) are the most common infection in hospital setting, the period of hospital-derived waste that affects individuals today. A significant number of seventy-five percent of urinary tract infections acquired in the hospital are associated with the use of a permanent bladder catheter (IDC), considering that there are about 15-25% chance of an inpatient requiring catheter insertion during your stay [1].

Knowledge and awareness among nurses in tertiary care hospitals of Kolkata regarding HIV positive patient care: a cross-sectional study

Background: Nursing staff have immense contribution in the generation of healthcare and medical care services and act as pillars on which the entire hospital care facility is dependent. This can only be ensured if the hospital staff are well trained and fully updated about the recent treatment protocols to handle the complicated situation of the patients. Objectives of the study was to assess provider’s knowledge of HIV/AIDS, misconceptions and practices in the areas of virology, mode of transmission, prevention.Methods: This was a cross-sectional study conducted in five tertiary care hospitals of Kolkata, for a period of three months. The sample size of 250 nursing staffs from 5 hospitals were selected by applying simple random sampling technique. The data was collected by oral questionnaire method and results were analysed by appropriate statistical methods.Results: Among the 250 respondents, 62% received training on HIV/AIDS, 79.6% were aware of the fact that HIV/AIDS is caused by a virus, 86% of respondents correctly know that HIV is the agent that causes AIDS and 65% of respondents correctly answered that later stage of HIV is known as AIDS. It was observed that most of the respondents (94%) have good knowledge about spread of HIV via different modes of sexual contact. The fact that AIDS can be transmitted through blood in various ways is also known to most of nurses.Conclusions: The results of this study can be utilized in stressing on the importance of imparting training to the nurses and other healthcare workers related to HIV/AIDS patient care.

Medication administration errors and contributing factors among nurses: a cross sectional study in tertiary hospitals, Addis Ababa, Ethiopia

BackgroundUnsafe medication practices are the leading causes of avoidable patient harm in healthcare systems across the world. The largest proportion of which occurs during medication administration. Nurses play a significant role in the occurrence as well as preventions of medication administration errors. However, only a few relevant studies explored the problem in Ethiopia. Therefore, this study aimed to assess the magnitude and contributing factors of medication administration error among nurses in tertiary care hospitals, Addis Ababa, Ethiopia, 2018.MethodsWe conducted a hospital-based, cross-sectional study in Addis Ababa, Ethiopia. The study involved 298 randomly selected nurses. We used adopted, self-administered survey questionnaire and checklist to collect data via self-reporting and direct observation of nurses while administering medications. The tools were expert reviewed and tested on 5% of the study participants. We analyzed the data descriptively and analytically using SPSS version 24. We included those factors with significant p-values (p ≤ 0.25) in the multivariate logistic regression model. We considered those factors, in the final multivariate model, with p < 0.05 at 95%Cl as significant predictors of medication administration errors as defined by nurse self-report.ResultTwo hundred and ninety eight (98.3%) nurses completed the survey questionnaire. Of these, 203 (68.1%) reported committing medication administration errors in the previous 12 months. Factors such as the lack of adequate training [AOR = 3.16; 95% CI (1.67,6)], unavailability of a guideline for medication administration [AOR = 2.07; 95% CI (1.06,4.06)], inadequate work experience [AOR = 6.48; 95% CI (1.32,31.78)], interruption during medication administration [AOR = 2.42, 95% CI (1.3,4.49)] and night duty shift [AOR = 5, 95% CI (1.82, 13.78)] were significant predictors of medication administration errors at p-value < 0.05.Conclusion and recommendationMedication administration error prevention is complex but critical to ensure the safety of patients. Based on our study, providing a continuous training on safe administration of medications, making a medication administration guideline available for nurses to apply, creating an enabling environment for nurses to safely administer medications, and retaining more experienced nurses may be critical steps to improve the quality and safety of medication administration.

Relationship of insomnia, stress, and anxiety with shift work among nurses in the Kingdom of Bahrain

Background and Aim: Insomnia, stress, and anxiety affect the mental wellbeing and distorts the work-life balance of health workers influencing their performance at work. This study aimed to assess the relationship of shift work with insomnia, anxiety, and stress among nurses in a tertiary care hospital in Bahrain. Methods: We used a cross-sectional study design. Our study population was 345 nurses in a major tertiary care hospital in Bahrain. The sample was selected based on the population probability to size method. Nurses completed a questionnaire that contained items, including sociodemographic data, Bergen’s Insomnia Scale, Perceived Stress Scale, and Shift Work Disorder scale. Results: The prevalence of insomnia was highest (85.7%) in the youngest nurses (20 to 30 years), Bahrainis (92.2%), nurses working in Surgical (85.5%) and Pediatrics (80.0%) departments, with 1 to 5 years of shift work experience (81.0%), and 1 to 3 night shifts a month (92.0%). Nurses with very high levels of stress were between the ages of 20-30 years, Bahrainis, had a B.Sc. degree, were in the Pediatrics Department, worked for 4 to 6-night shifts per month, and did not consume caffeinated drinks (p