Standards Of Nursing Care Research Articles

Efektifitas The 6 Steps Reasoning Diagnosis Method dan Intan,s Clinical Reasoning Model (ICRM) dalam Penentuan Standar Asuhan Keperawatan (SAK) pada Setting Keperawatan Maternitas

Nurses doing their task and function need to have a standard to be able to be controlled, to be paid, to be taught, to be applied, and to be a hospital legal decision, thus the arrangement of the standard should be adjusted according to patient and hospital condition. The nursing care standard arrangement with ISDA and ICRM approach will be tested in this study. This study aimed to identify nursing diagnosis with The 6 steps of diagnostic reasoning method, to identify NIC, NOC and to test effectivity of the arranged nursing care standard. Methods: Stage I: identify nursing diagnosis in the six most prevalent cases patients in the ward using the six steps. Stage II: according to the nursing diagnosis that has been identified researcher decides NIC choice using Intan’s Clinical Reasoning Model (ICRM), then selected NOC and NIC be tested its effectivity using t-test analysis. Stage I result shows that using the 6 steps of diagnostic reasoning method in section caesarean patients researcher identifies 13 diagnoses, 9 diagnoses in spontaneous birthing, 7 diagnoses in antepartum hemorrhage, 2 diagnoses in postpartum hemorrhage, 7 diagnoses in preeclampsia/ eclampsia, 4 diagnoses in early amniotic membrane rupture, 36 (94.4%) NOCs identification and 28 (93.3%) NICs are applicative. Meanwhile, on stage II which is to test the nursing care standard effectivity, 16 nursing care standard are effective with p-value<0.05.

Quality of Nursing Care Based on Analysis of Nursing Performance and Nurse and Patient Satisfaction

Introduction: Nurses who frequently often contact to patients and most of their time serve patients in 24 hours, have an important role in caring for the patient. Patient satisfaction as quality indicator is the key success for competitiveness of service in hospital. The aim of this research was to develop nursing service quality model based on the nursing performance, nurse and patient satisfaction.Methods: The research method used cross sectional study, at 14 wards of Gresik Hospital. Research factors were namely: oganization characteristic (organization culture and leadership), work factors (feedback and variety of nurses work), nurse characteristics (motivation, attitude, commitment and mental model), nursing practice, interpersonal communication, nurse and patient satisfaction. Statistical analysis of study data was analyzed by Partial Least Square (PLS).Results: The results of nursing performance revealed that nurse characteristic were not affected by organization culture and leadership style, nurse characteristics were affected by work factors, nurse characteristics affected nursing quality service (nursing practice, nursing professional, nurse and patient satisfaction), nurse satisfaction did not affect nursing professionals.Conclusion: Based on the overall results of the development of nursing care model that was originally only emphasizes the process of nursing care only, should be consider the input factor of organizational characteristics, job characteristics, and characteristics of individual nurses and consider the process factors of nursing care standards and professional performance of nurses and to consider the outcome factors nurse and patient satisfaction. So in general the development model of quality of existing nursing care refers to a comprehensive system of quality.

Effect of nursing care standards on nurses’ performance in caring for patients with cardiac arrhythmias

Background Nursing care should be guided by clearly defined standards to ensure a high quality of care. Standards of care are authoritative statements that describe a common or acceptable level of patient care or performance. Aim The aim of this study was to evaluate the effect of nursing care standards (NCSs) on nurses’ performance in the care of patients with cardiac arrhythmias in the coronary care unit (CCU) at Benha University Hospital. This research was based on the hypothesis that the mean score of nurses’ knowledge and practice level after NCS implementation may be higher than their score before NCS implementation. Participants and methods A quasi-experimental research design was utilized. This study was conducted in the CCU at Benha University Hospital. Two groups of participants were included in the study: experts and staff nurses working in the CCU. Three data collection tools were used in the different phases of this study: first tool, an experts opinion sheet was designed to test the face and content validity of the designed NCSs; second tool, a self-administered questionnaire was administered to nurses to assess their knowledge; and third tool, a nurses’ practice observational checklist based on the designed NCSs was completed. Results The results of the study showed that the majority of the jury was satisfied with the general form (face and content validity) of the NCS. The jury agreement ranged between 85.7 and 100%. Furthermore, the findings revealed a statistically significant improvement in the total mean knowledge scores of nurses in all items of the study after implementing the standards (P=0.000) as compared with the preimplementation period. There was also statistically significant improvement in the total mean practice scores of nurses in all items of the study after implementing NCSs (P=0.000). Conclusion There is a statistically significant improvement in nurses’ performance in the care of patients with cardiac arrhythmias in the CCU after NCS implementation. The study recommends that NCSs for management of patients with cardiac arrhythmias should be revised, updated, and available in the CCU in both Arabic and English language.

Effect of Nursing Care Standards for Preventing Deep Vein Thrombosis among Patients Undergoing Hip Surgery on Nurses' Performance and Patients' Outcome

Effect of Nursing Care Standards for Preventing Deep Vein Thrombosis among Patients Undergoing Hip Surgery on Nurses' Performance and Patients' Outcome

Developing Postoperative Nursing Care Standards for Patients Undergoing High Tibial Osteotomy Surgery

High tibial osteotomy an osteotomy is an operation where a bone is cut and re-positioned . The aim of this study explores and developing postoperative nursing care standards for patients undergoing high tibial osteotomy surgery. Subject and methods: Descriptive exploratory research design was utilized. The study was carried out in the department of orthopedic surgery at Assiut University Hospital. The study sample of all available nurses working in orthopedic department and who are willing to participate in this study (30).Tools utilized for data collections were Nurse's questionnaire sheet, Observation nursing practice checklist sheet and post-operative basic competencies Opinionnaire sheet. Results showed the knowledge about standards of post operative interventions for high tibial osteotomy patients, more than half of nurses (53.3%) had good knowledge regarding standards of post operative interventions for high tibial osteotomy patients. Nurses showed inadequacy in their practice about standards of post operative interventions for high tibial osteotomy patients .majority of nurses agree with basic post-operative nursing care standards. Conclusion: Formulation of standards is the first step toward evaluating nursing care delivery. Recommendation: an In-service training program for nurses is important in orthopedic surgery department. Application of the nursing care standards for post-operative high tibial osteotomy patients.

Developing Postoperative Nursing Care Standards for Patients Undergoing High Tibial Osteotomy Surgery.

Developing Postoperative Nursing Care Standards for Patients Undergoing High Tibial Osteotomy Surgery.

Going the extra mile

Going the extra mile

Neuroscience nurses: a European perspective

The European Association of Neuroscience Nurses (EANN) is an organisation that aims to promote high standards of neuroscience nursing care and professional education through supporting the exchange of information between nurses across Europe. EANN was established in 1979; Figure 1 highlights its missions. The association actively supports evidence-informed education that is integrated with professional competence and supported by life-long learning to enhance and improve European neuroscience nurses’ knowledge and competence. The organisation has two active forums that are concerned with supporting the development of neuroscience nursing practice: ■Research forum ■Education forum. The association provides opportunities for European neuroscience nurses to meet together to discuss relevant issues Neal Cook

Determining the Relationship between Nurses’ Professional Ethics and Observance of Nursing Care Standards

Background and Objectives: As the largest group of healthcare providers and as professional individuals, nurses need to learn how to show ethical behavior in educational environment, which leads to an increase in wellbeing indices and patient satisfaction. Therefore, the present study was aimed at determining the relationship between the nurses’ professional ethics and observance of standards of nursing care in Bu Ali Sina Hospital, Sari in 2013-2014. Materials and Methods: The statistical population of the present descriptive-analytical study consisted of all 144 nurses working in Bu Ali Sina Hospital, Sari, Iran. They were selected as the study sample based on Krejcie and Morgan Table. A researcher-designed instrument was employed in order to collect the required data. Descriptive statistics (mean and standard deviation) and inferential statistics (one-sample t-test) were employed to analyze the data. Results: The results of the study indicated that there was a significant relationship between professional ethical learning and standards of nursing care. Statistically, the collected data rejected the null hypothesis (H0) at a confidence level of 95% (α = 0.05) and proved the study hypothesis. In other words, it can be claimed that there was a significant difference between the sample and the theoretical means. Conclusion: Since there is no appropriate relationship between ethical learning and standards of nursing care, it is necessary to evaluate the standards of nursing care and teach ethical principles constantly.

Establishing safety standards in liver transplantation operating room nursing care

ObjectiveThe liver transplant operation is a lengthy procedure where the operating room (OR) nurse is expected to maintain adequate safety measures to protect the patient from physical injuries such as hypothermia, position-related injuries and thermal-related injuries from electrocautery. Our aim is to review the effectiveness of our perioperative patient care precautions. MethodsA retrospective review of all perioperative liver transplant records from January 2006 to December 2008 of recipients and live liver donors was performed. From January 2007 onwards, a standardized nursing care protocol designated for liver transplant-related patients was developed by the nursing department. Perioperative injuries related to poor nursing preparation were recorded. ResultsA total of 462 patients were included. There were a total of 13 (13.5%) perioperative nursing complications which included 7 skin integrity defects, 3 temporary nerve injuries, and 3 hypothermia episodes below 36°C. All these injuries (13 out of 96 patients) were seen from January to December 2006 prior to the implementation of a standardized perioperative nursing protocol. From 2007 onwards, physical facilities׳ improvement was instituted with the acquisition of leg compression cuffs and silicon-based cushions. The OR air conditioning was improved by self-adjusting monitoring devices to keep the OR temperature and humidity at 24°C and 50%, respectively. There has been no reported complication from January 2007 to December 2008. ConclusionThe establishment of objectively assessable perioperative OR nursing care standards in liver transplantation operation is important to avoid installation-related complications.

EFFECT OF PRE ESTABLISHED NURSING CARE STANDARDS ON NURSES΄ KNOWLEDGE AND PERFORMANCE ABOUT HEMODIALYSIS VASCULAR ACCESS CARE

Hemodialysis nurses have an essential role in ensuring conformity to the hemodialysis standards and providing effective and safe patient care. Also, hemodialysis nurses play a vital role in providing efficient, coordinated, and focused patient care ,tasks that contribute to direct patient care are subdivided into three phases (the pre dialysis phase, the intradialytic phase and the termination phase). Education and training are two components of staff development that occur after an employee’s orientation. Methodology: quasi experimental research design was conducted in the hemodialysis unit of International Mansoura Hospital (IMH). Socio demographic data & Nurses' Knowledge about nursing care standards of hemodialysis vascular access patients questionnaire sheet was designed after reviewing the related recent literature to assess nurses' knowledge. It contains 12 questions related to nursing care standards of hemodialysis vascular access. Performance checklist regarding hemodialysis vascular access care including 12 steps was designed. All available nurses (30) during the study period employed in hemodialysis unit with various age, qualifications, years of experience, different level of education, and willing to participate voluntarily. Results: The present study revealed that: (a) the total means knowledge score of nurses was increased after sessions. (b) The total mean practice score of nurses was increased after sessions. Conclusion: Nursing care standards recommendations are essential for nurses working at the hemodialysis unit. Nurse's level of education and years of experience was positive correlation with their knowledge and performance, but it was not statistically significant.

Developing Nursing Care Standards for Venous Thromboembolism (VTE) for Patients with Orthopedic Surgery

Aims of this study; Develop nursing care standards for venous thromboembolism for patient with orthopedic surgery. Subjects and method; Descriptive exploratory research design were utilized to conduct this study. This study was conducted in the Trauma Unit at Assiut University Hospital. The study sample of all available nurses 30 working in Internal Trauma Unit who were willing to participate in the study, in addition to patients 30 who had performed orthopedic surgery. Tools; nurses knowledge questionnaire sheet, nurses practice observation checklist sheet, basic nurse's opinionnaire sheet and patient assessment sheet. Results; Showed that; all of nurses had poor knowledge regarding nursing care standard of venous thromboembolism in orthopedic surgery patients and inadequacy in their practice. Majority of patient with pelvic fracture, lower limb fracture, repair of open fracture femur and hip fracture. Conclusion; All nurses had poor knowledge and inadequacy in their practice about nursing care standard of venous thromboembolism in orthopedic surgery patient. Recommendation; Application of the nursing care standards for venous thromboembolism in orthopedic surgery patients in service training program for nurses is important in trauma unit

Developing Post-Operative Nursing Care Standards for Patient's Undergoing Cystectomy for Cancer Patients

Abstract Aims: To assess nurses knowledge and practice regarding cystectomy patients and develop postoperative nursing care standards for patients undergoing cystectomy at South Egypt Cancer Institute. Subject & Methods Descriptive research design was utilized in this study. Sample: A convenient sample of (60) nurses male and female working in surgical oncology department. The tools were utilized for data collection includes the following: Nurse's knowledge questionnaire, Nurses practice observation checklist, and Construction of standard of nursing care: Post-operative nursing care standards. Results: The majority of nurses are female (86.7%), more than half of nurses their age ranged from 20 >30 years (71.7%), and had diploma of nursing (70.0%). The majority of nurses are married (80.0%) and no had attended training programs (80.0%, 95.0 % respectively). More than two third of nurses (55.0%) years of experience from 5-10 years. Conclusions: Nurses` knowledge and practice regarding postoperative nursing care standards for patients undergoing cystectomy in surgical oncology department at South Egypt Cancer Institute are inadequate that necessitate developing nursing care standards for such group of patients. Recommendation: Nurses are needs for in-service training programs and refreshing courses to improve their knowledge which will reflect into their practice regarding postoperative nursing care standards while working with patients.

Establishment of standards for post-operative nursing care in patients with Percutaneous Nephrostomy tube (PCN) insertion

Aim of the study:1] To assess nurses' knowledge and practice regarding percutaneous nephrostomy tube patients, 2]To develop postoperative care standards for nurses dealing with percutaneous nephrostomy tube patients 3]To identify percutaneous nephrostomy tube patient’ needs Subjects and method: Descriptive exploratory study was utilized on a sample of 16 nurses, 14 physician and 30 patients aged from 18-65 years from both sexes. This study was conducted in the urology department at Assiut University Hospital. Tools: utilized for data collection were a] Questionnaire sheet. B] Observation checklist sheet. C] Postoperative basic nurses’ competencies opinionnaire sheet. D] Patient assessment sheet. Results: showed that; half of nurses had poor knowledge regarding post operative nursing care standards for percutaneous nephrostomy tube patients. Nurses showed that inadequacy in their practice. The majority of physicians and nurses had agreed as regard the basic nursing competencies for post-operative percutaneous nephrostomy tube patients. Conclusion: percutaneous nephrostomy tube patients exposed to several complications. Improving nurses` knowledge and practice can favorable decrease the incidence of these complications. Recommendations: Nurses should be aware by postoperative complications and how to prevent them. Nurses in need for in-service training programs and refreshing courses to improve their knowledge which will reflect on their practice.

Developing Nursing Care Standards among Adult Patients with Uncontrolled Essential Hypertension

Abstract Aims of this study: to developing nursing care standards among adult patients with uncontrolled essential hypertension through the following1- identify the needs of hypertensive patients2- develop nursing care standards for adult patients with uncontrolled essential hypertension according to their needs 3- assess nurses' knowledge about uncontrolled essential hypertension. Subjects and methods: Descriptive exploratory study was utilized .The study was carried out at internal medicine department at Assiut University Hospital. The study sample was composed of (53) nurses and (60) adult patients with uncontrolled essential hypertension. Tools: four tools were utilized for data collection Questionnaire sheet for nurse's knowledge regarding nursing care for patients with uncontrolled essential hypertension , Basic nurses competencies opinionnaire tool, Nurses practice observation checklist, patient's needs assessment tool. Results: showed that; More than three quarters of nurses (75.5%) had poor knowledge about nursing care for patients with uncontrolled essential hypertension. Conclusion: Formulation of standards is the first step toward evaluating nursing care delivery. Recommendation: In-service training program for nurses is important in internal medicine department. Application of the nursing care standards for patients with uncontrolled essential hypertension.

Hopelessness Experience among Stroke Survivor in Semarang

Introduction: Hopelessness was a negative feelings about goal achievement and powerlessness feeling against an expectation. Hopelessness in stroke survivors can occur due to prolonged disability and neurologic defi cit. This condition can lead to emotional and mental disorders even a suicide action. Therefore, it was a need to explore hopelessness experience in stroke survivors.Methods: This study was a qualitative descriptive phenomenology with 6 participants.Results: 7 themes were revealed in this study, (1) Physical changes as a response on hopelessness, (2) Loss response as a hopelessness stressor, (3) Dysfunction of the family process, (4) Loss of meaning of life, (5) Self support and motivation as a coping resource against hopelessness, (6) The spiritual meaning behind hopelessness, (7) Can go through a better life.Conclusion: This study suggests to develop a nursing care standards in hopelessness, encourage a family support and family psychoeducation for stroke survivors.

Hopelessness Experience among Stroke Survivor in Semarang

Introduction: Hopelessness was a negative feelings about goal achievement and powerlessness feeling against an expectation. Hopelessness in stroke survivors can occur due to prolonged disability and neurologic defi cit. This condition can lead to emotional and mental disorders even a suicide action. Therefore, it was a need to explore hopelessness experience in stroke survivors. Method: This study was a qualitative descriptive phenomenology with 6 participants. Results: 7 themes were revealed in this study, (1) Physical changes as a response on hopelessness, (2) Loss response as a hopelessness stressor, (3) Dysfunction of the family process, (4) Loss of meaning of life, (5) Self support and motivation as a coping resource against hopelessness, (6) The spiritual meaning behind hopelessness, (7) Can go through a better life. Discussion: This study suggests to develop a nursing care standards in hopelessness, encourage a family support and family psychoeducation for stroke survivors.Keywords: Stroke survivor, hopelessness experiences, qualitative

Establishment and application of nursing quality standard for patients with parenchyma trauma cured by VSD

Objective To establish nursing quality standard for parenchyma high explosive injury cured by VSD and discuss its rationality and maneuver ability.This study aimed to provide evidence and testing tools to evaluate nursing quality of VSD cured parenchyma high explosive injury.Methods We utilized theoretical research and clinical investigation,which applied Delphy of expert consultation method （21 experts and 2-rounds questionnaire and consultation） to quantitatively analyze the weight of all index and to establish standard of nursing quality care.Totals of 120 patients with parenchyma high explosive injury cured by VSD were divided into two groups randomly： experimental group （ sixty five cases ） and control group （ fifty five cases ） .The experimental group guided professional nursing and nursing quality assessment by the standard of nursing quality care, while the control group received routine. The difference had been compared on the length of hospitalization, the days of antibiotic utilization and the satisfaction of patients and families.Results The standard of nursing quality included 5 first level indexes and 40 second level indexes.In the experimental group, the length of hospitalization （ 14.90 ±0.60 ） d and the days of antibiotic utilization （ 8.32 ±1.44 ） d, respectively were lower than the control group[（18.90 ±1.30） d and （9.94 ±1.68） d respectively）], the differences were statistically significant （t=18.965,4.538, respectively;P〈0.05）.The satisfaction of patients and families were 96.9%and 98.5%in the experimental group while that of the control group were 83.6%and 89.1%respectively, the differences were statistically significant （χ2 =18.965,4.538, respectively;P〈0.05）. Conclusions The index system and clauses for different level of nursing quality standard acquired centralized comments from expert, so they have high reliability and provide an objective and quantifiable evidence for VSD cured parenchyma high explosive injury. Key words: Quality control; VSD; Parenchyma high explosive injury; Nursing quality evaluation standard

Developing nursing care standards for patients with bronchial asthma

Asthma is a chronic inflammatory disorder of the airways in which many cells and cellular elements play a role, the chronic inflammation is associated with air way hyperresponsiveness that leads to recurrent episodes of wheezing, breathlessness, chest tightness and coughing particularly at night or in the early morning. A Standard defined as benchmark of achievement which is based on a desired level of excellence, it reflects a desired and achievable level of performance against which actual performance can be compared and provides a guide to the knowledge, skills, judgment & attitudes that are needed to practice safely and help to ensure high quality care. (Arun, 2009).The aim of this study is to develop nursing care standards for patients with bronchial asthma. A Descriptive research design was utilized in this study on a convenient sample of 30 nurses, the majority of the nurses 90% their age ranged from 20 -40 years .The most period of working experiences in chest department (60 %) of nurses was 5- 10 years. This study was conducted at Sohag university hospitals. Tools utilized for data collection were a) Nurse’s Knowledge Questionnaire sheet. b) Observational Checklist. C) Construction of standard nursing care booklet. Results: show that; 40 % of nurses had knowledge regarding bronchial asthma at satisfactory level while 30 % & 30 % of nurses had knowledge regarding nursing care standards of bronchial asthma at unsatisfactory and good level respectively and also had practice regarding applying suctioning at high percentage with Mean ± SD 18.73 ± 1.94 In addition to the result showed that nurses had practice regarding applying pulse oximetry at low percentage of score with Mean ± SD 6.90 ± 3.34, The result showed that nurses had zero percentage in Measuring peak expiratory because it is not applicable to nurses. It was concluded that nurses' practice in the nursing care standard regarding bronchial asthma were unsatisfactory. It was needed to be improved through implementation of proposed nursing care standards of bronchial asthma.

Intentional rounding: a review of the literature

Intentional rounding is a structured approach whereby nurses conduct checks on patients at set times to assess and manage their fundamental care needs. Concerns about poor standards of basic nursing care have refocused attention on the need to ensure fundamental aspects of care are delivered reliably. A literature review was conducted to inform nurses planning to use this approach in their practice and to direct future research in this area. The aim is to explore the implementation and use of intentional rounding and its effectiveness in improving patient care.