Knowledge Of Nurses Research Articles

Determination of Knowledge, Attitudes and Practices of Nurses Working in Surgical Intensive Care Units on the Use of Physical Restraint: A Multicenter Cross-Sectional Study

Background: Research on the knowledge, attitudes, and practices of nurses working in surgical intensive care units regarding the use of physical restraints is limited. Objective: This study aimed to assess nurses’ knowledge, attitudes, and practices regarding physical restraint use in surgical intensive care units (S-ICUs). Method: The research, a descriptive cross-sectional study, involved nurses from three hospitals’ surgical intensive care units between March 15th and June 15th, 2022, with a total of 73 voluntarily participating nurses (n=73). Data were gathered using the Physical Restraint Knowledge, Attitude, and Practice Scale via face-to-face surveys. In the analysis of the data, independent t tests and one-way ANOVA were used. The post hoc Tukey HSD test was utilized to determine the variables contributing to the differences. A p-value of

Nurses' Knowledge and Attitudes about Adult Post-Operative Pain Assessment and Management: Cross Sectional Study in Qatar.

Pain is a complex and challenging phenomenon. People have different pain experiences, but everyone has the right to effective pain management. Pain assessment and management are integral components of a nurse's role. To assess the knowledge and attitudes of nurses in Qatar about adult post-operative patients' pain assessment and management, and the factors that may be associated with such knowledge and attitudes. Post-operative registered nurses from all peri-operative areas at Hamad Medical Corporation participated in a cross-sectional online survey using a self-administered questionnaire. A knowledge and attitudes (K&A) score was calculated. Associations between K&A and potential explanatory variables were assessed using t-tests and one-way ANOVA. A total of 151 post-operative nurses participated in the study. The mean knowledge and attitudes (K&A) score was 19.6 ± 4.5 out of 41 (48%), indicating a large deficit in nurses' knowledge and attitudes about adult post-operative pain. There were no statistically significant differences in the mean K&A scores of participants based on gender, nationality, education level, marital status, workplace facility, current job designation, or hours of pain education. There is a significant deficit in post-operative nurses' knowledge and attitudes about pain across the nursing workforce in post-operative care. Implications for nursing education and policy: Evidence-based, innovative nursing education courses are needed to improve nurses' knowledge and attitudes about pain assessment and management. Health service policy is required to ensure that evidence-based in-service education on pain management is compulsory for all nurses. This study was not registered.

The Relationship of The Level of Knowledge, Motivation and Compliance of Nurses To the Implementation of Occupational Health and Safety Mega Buana Palopo Hospitalte

Implementation is a process of putting something into practice which is influenced by internal and external factors. Implementation of occupational health and safety in hospitals concerns the nursing workforce, work methods/methods, work tools, work processes and the work environment which includes improvement, prevention, treatment and recovery. The aim of this research is to determine the relationship between knowledge, motivation and compliance of nursing staff with the implementation of occupational safety and health at Mega Buana Palopo Hospital in 2023. The method uses a quantitative type of research using analytical observational methods, using a cross sectional approach. The sample in this study amounted to 76 respondents. The sampling technique uses random sampling with research instruments, questionnaires and observations. Data analysis used the Fisher exact test and chi-square test. Factors related to the implementation of occupational health and safety for nurses were a good level of knowledge, namely 68 respondents (89.5%), 74 respondents (97%) were motivated and complied with implementation of occupational health and safety, namely 42 respondents (55.3%). The results of the study showed that there was a relationship between knowledge (p= 0.012), motivation (p = 0.034), and compliance of nursing staff (p= 0.016) with the implementation of hospital occupational health and safety. The level of knowledge, motivation and compliance of nursing staff is related to the implementation of occupational health and safety in hospitals

Assessment of Knowledge, Attitude and Practice of Nurses’ Towards Physical Restraints for Critical Ill Patients in Orotta National Referral Hospital

<i>Background</i>: Physical restraint can be defined as any act that avoids a person's liberated body change to a position of preference and, or regular evaluation to their body by the application of any technique, attached or adjacent to a person’s body that they cannot manage or remove easily. Inappropriate use of physical restraints may cause patients grave damage. Different studies informed that patients faced to physical restraints pass on due to pneumonia, constipation, and incontinence, as well as circulatory and respiratory problems. Critical care nurses should make correct decisions regarding use of physical restraints if they are to guarantee patient safety by the accountable nurse. <i>Aim</i>: the intention of this study was to assess nurses’ knowledge, attitude and practice; towards physical restraints use. <i>Method</i>: study design was a descriptive cross Sectional that used to assess knowledge, attitude and practice of nurses towards physical restraints in Orotta national referral hospital with self-administered questionnaire. Lastly data was analyzed using SPSS version 26. <i>Results</i>: the study was conducted among 100 nurses. 60% of the respondents were females and the median age of the study participants was 28 (IQR=6) years, with a minimum age of 21 and maximum age of 50yrs. Most of the study participants 31% had age of 25 or less years. Majority of them were diploma level and did not take any physical restraint related training 55% and 84% respectively. Except in recovery (12%) and adult ICU (27%) areas, the number of nurses in medical, surgical and adult was similar (each 20%). More than ninety percent (94%) of the study participants were not aware of the presence of guidelines regarding physical restraint in their work area. <i>Conclusion</i>: In this current study we concluded that, there was no correlation between knowledge and attitude and also between attitude and practice. But there was correlation between knowledge and practice. Those who have good knowledge can practice well. <i>Nursing implication</i>: By evaluating the current nurses’ knowledge, attitude and practice, this study will contribute recommendation on the frequent training of nurses on physical restraints and possible avoidance of it or safe practice.

Collaborative research approaches for the creation and translation of cardiovascular nursing knowledge.

Collaborative research approaches for the creation and translation of cardiovascular nursing knowledge.

Knowledge and attitude of university nursing students towards forensic nursing and their influencing factors: a mixed-methods study

BackgroundForensic nursing, which merges healthcare and legal expertise to address trauma and violence, is vital yet often underrepresented in nursing education. Many nursing students lack knowledge in this field, underscoring the need for enhanced education to improve patient care and legal outcomes. This study aimed to assess university nursing students’ knowledge and attitudes towards forensic nursing, as well as identify factors influencing their knowledge. A mixed-methods design was conducted at a Saudi nursing college with a convenience sample of 250 students. The data were collected using a structured questionnaire comprising two parts. The quantitative part included demographic and academic characteristics, knowledge and opinions on forensic nursing, knowledge of forensic evidence, and attitudes towards forensic nursing. The qualitative part consisted of four open-ended questions about factors affecting forensic knowledge. Data analysis involved inferential statistics and content analysis.ResultsThe study revealed that 80.4% of nursing students lacked prior knowledge of forensic nursing, and only 59.76% had some awareness of forensic evidence. A strong positive relationship was found between attitudes towards forensic nursing and knowledge of forensic evidence (r = 0.817, p < 0.001), indicating that positive attitudes could predict 66.8% of the variance in forensic evidence knowledge. Key barriers included lack of support from upper management, insufficient resources, and concerns about faculty qualifications. Students recommended integrating forensic nursing into the curriculum, offering specialized programs, and promoting research and social media awareness campaigns.ConclusionsThese findings underscore significant gaps in knowledge and misconceptions about forensic nursing among participants, emphasizing the critical need for education and awareness in this field. The study highlights the potential implications for integrating forensic nursing concepts into undergraduate curricula, enhancing faculty training, and utilizing diverse teaching modalities. Addressing these gaps will not only improve future nurses’ competency in forensic nursing, but also contribute to better patient care.

Supporting Timor-Leste midwives and nurses through an educational program: An evaluative study

Little is currently known about the impacts of participation in a five-week Australian maternal and newborn health training program for Timorese midwives and nurses. BackgroundThe maternal mortality rate in Timor-Leste is estimated to be around 204 per 100,000 live births, and there is a correlation between safe and quality maternal and newborn health services. Hence, there is a need to develop the nation’s maternity workforce. Whilst numerous training programs have been geared towards improving the knowledge and skills of Timorese midwives and nurses, to date, no published study has evaluated their impact on participants. AimTo describe satisfaction of an Australian maternal and newborn health training program for Timorese midwives and nurses and its impact based upon the participants survey and qualitative evaluations. MethodsAn evaluative study was conducted using a survey to explore the impacts of a five-week Australian residential training program on 12 Timorese midwives and one nurse. FindingsThe survey data demonstrated an increase in the participants knowledge and skills required to provide enhanced maternal and newborn care; post-training, most participants demonstrated increased knowledge of obstetric emergencies. The participants showed the most pronounced increase in Advanced Clinical Skills in the subjects of fetal assessment, neonatal resuscitation and obstetric emergencies.The qualitative data identified two main themes and six subthemes related to professionalism, communication, and connections. ConclusionAn Australian residential training program, provided in collaboration with local Rotary clubs can enhance the development of maternal and newborn healthcare skills for midwives and nurses from Timor-Leste.

Effectiveness of a pediatric critical care pilot preceptor program: Improved confidence and competency outcomes among a cohort of professional nurses in Blantyre, Malawi

BackgroundAvailability of high-level pediatric training for nurses in Malawi is limited. To address this gap, a novel pediatric critical care nurse preceptor program was developed and implemented by pediatric nurse specialists. AimEvaluate the effectiveness of a pediatric critical care nurse preceptor program, via change in nurses' knowledge, skills, confidence, and precepting competence. DesignA 12-month pediatric critical care nurse preceptor program with assessments at baseline, end of intensive (3 months), and end of program (6 months). SettingBlantyre, Malawi. ParticipantsNurses with two or more years of pediatric nursing experience (N = 20) nominated by unit managers. MethodsQuantitative data were collected throughout program implementation. Assessments included: (1) multiple choice knowledge test, (2) Objective Structured Clinical Examinations in two areas (vital signs and airway, breathing, circulation, disability, exposure assessments; and blood gas and electrolyte analysis), (3) group simulations (cardiopulmonary resuscitation or respiratory distress), (4) Likert-scale clinical confidence survey, and (5) Likert-scale precepting competence survey. Data were analyzed using repeated measures ANOVA with pairwise comparisons. For Likert-scale surveys, median confidence scores were compared using a Friedman test with post hoc pairwise comparisons using Wilcoxon signed-rank tests. ResultsParticipants demonstrated significant improvement in clinical knowledge (p < .001), vital signs and airway, breathing, circulation, disability, exposure assessment (p = .001), blood gas and electrolyte analysis (p = .001), CPR (p < .001) and respiratory distress (p < .001) simulations, clinical confidence (p = .002), and precepting competence (p = .041). ConclusionThis pediatric critical care nurse preceptor program was effective in improving participants' confidence and competence (knowledge and skills) in pediatric critical care nursing and precepting. Results suggest the program's potential to address the shortage of highly trained pediatric critical care nurses in Malawi. This lays groundwork for refining and expanding preceptorship, ultimately improving pediatric critical care nursing education in resource-limited settings.

Building a Pluriverse of Nursologies: A paradigm for decolonial theory and knowledge development in nursing.

The imperative to decolonise health disciplines underscores the need for a critical examination of the coloniality of nursing knowledge development. Decolonising nursing requires epistemic resistance aimed at exposing and dismantling epistemological hierarchies that marginalise indigenous knowledges. This paper introduces the 'Pluriverse of Nursologies' as paradigm to guide decolonial theorising in nursing. Through a four-part exploration, I first elucidate the coloniality embedded in mainstream nursing knowledge. Next, I offer a decolonial critique of Fawcett's nursing metaparadigm as an exemplar of pyramidal epistemology. I then discuss pluriversality as an approach to decolonising nursing knowledge. Finally, I introduce the Pluriverse of Nursologies (PoN) as a meta-theoretical paradigm for theory and knowledge development that decentres and dismantles the pyramidal epistemology of colonial/modern nursing, and relinks diverse nursologies from marginalised communities to the centre of intellectual nursing discourse, thereby revitalising the theoretical landscape of the discipline.

Knowledge, attitude and practice of nurses in the prevention of nosocomial infection among in-patients in UNIOSUN teaching hospital, Osogbo

Knowledge, attitude and practice of nurses in the prevention of nosocomial infection among in-patients in UNIOSUN teaching hospital, Osogbo

Oral care of intubated patients, challenging task of ICU nurses: a survey of knowledge, attitudes and practices

IntroductionPatients' health outcomes can be positively affected by the oral care provided by intensive care unit (ICU) nurses. Providing effective oral care for intubated patients is a challenging task. The purpose of this study was to examine the knowledge, attitudes, and practices(KAP) of oral care among ICU nurses for intubated patients, as well as the underlying factors that influence these behaviors.MethodThis cross-sectional survey was conducted on 200 nurses from adult ICUs in referral hospitals located in the central eighth area of healthcare management in Iran. The timeframe for data collection was April to June in 2023. Data were collected by questionnaires which consisted of four sections: demographic information, knowledge, attitudes and practices of oral care for intubated patients. The Pearson Correlation Coefficient was employed to determine the correlation between KAP and its main variables, which were distributed normally.ResultsThe result showed that nurses were 32.19 ± 6.23 years old, with an average total work experience of 8.91 ± 5.54 years and an average ICU work experience of 5.89 ± 4.31 years. The mean KAP score were17.66 ± 3.04, 15.46 ± 4.23, and 7.57 ± 2.21, respectively. The knowledge of nurses was significantly impacted by their level of education (p = 0.04), and an increase in work experience each year was associated with improved attitudes among nurses (p = 0.04). A significant association was found between the nurses' oral care practice, knowledge (p = 0.03), and attitude (p = 0.04).ConclusionThis study revealed that ICU nurses possess a moderate level of knowledge, a higher-than-average level of practice, and they have a favorable attitude towards giving oral care to intubated patients. Therefore, providing continuous education about oral care is essential for ICU nurses.

Knowledge and practices of neonatal intensive care unit nurses concerning hypothermia in preterm infants: Adescriptive cross-sectional study.

To investigate the knowledge level and clinical practice of neonatal intensive care unit nurses on the whole process of hypothermia prevention in preterm infants. A polycentric descriptive cross-sectional study was conducted in 23 hospitals in Shandong province involving 254 neonatal intensive care unit nurses. An evidence-based knowledge and clinical practice questionnaire on hypothermia prevention in preterm infants and a general information questionnaire were used to collect data. SPSS and EXCEL 24.0 database were used for data statistics and analysis. Nearly one-third of nurses were unclear about the definition of mild hypothermia and heat preservation measures during labour management and resuscitation. Knowledge about the correct rate of amniotic fluid evaporation was low. The higher the hospital level and nurses' education level, professional title, work experience, and position, the higher the knowledge level. The clinical practice of nurses differed in terms of body temperature assessment tools, measurement sites, and measurement frequency for premature infants. Nurses in neonatal intensive care units need to apply evidence-based knowledge and carry out practice interventions to ensure preterm infants' safe transition from the delivery room to the neonatal intensive care unit. There have been few studies evaluating neonatal nurses' knowledge and practices with regards to the preventing hypothermia of premature infants from delivery room to neonatal intensive care unit. The study identifies the deficiencies and problems in temperature management that can be attributed to the knowledge level of nurses. The findings will help improve the current curriculum, teaching strategies, and the nurses' knowledge levels, preventing premature hypothermia in infants. This study adhered to the STROBE statement for observational studies and obtained approval (KYLL-2023LW045) from the ethics committee of The Second Hospital of Shandong University. The other 22 third- and second-level hospitals, as our alliance members, recognized our chairperson status within the alliance and were willing to join our academic activities. Mutual responsibility for ethical filing between alliance units. 254 nurses were recruited from 23 tertiary and secondary public hospitals in Shandong province. No public or patient involvement. Members of the research group used the Questionnaire Star platform to prepare the electronic questionnaire, including obtaining informed consent, taking precautions for questionnaire completion, and using the aforementioned measurement tools. The project research team contacted the head nurses of 23 neonatal intensive care units in Shandong Province. After obtaining consent from the head nurses, they were asked to send the requirements and link of the electronic questionnaire to their WeChat management group. The nurses go through each question and make a choice which has two options of 'agree' or 'disagree.' Based on their answers, nurses were evaluated as having 'mastered' or 'not mastered' each item. Each 'mastered' item (correct answer) was given a score of 4; an item 'not mastered' (incorrect answer) was given a score of 0. The total score ranged from 0 to 100.

Knowledge of Crimean-Congo Hemorrhagic Fever among Nurses at Al-Nasiriyah City Hospitals in Iraq

Background: CCHF caused by a tick-borne virus from the Bunyaviridae family, is a severe viral hemorrhagic fever with a mortality rate of 10–40%. Specific Background: Despite their critical role in treating and preventing CCHF, comprehensive research on CCHF transmission and knowledge among healthcare workers, especially nurses in Al-Nasiriyah, Iraq, is lacking. Knowledge Gap: Current literature lacks detailed studies on the awareness and preparedness of nurses regarding CCHF in high-risk areas. Aims: Aims to assess the knowledge of nurses concerning CCHF in Al-Nasiriyah’s educational hospitals and identify gaps in their understanding to improve disease management and prevention strategies. Results: Utilizing a descriptive cross-sectional design, the study surveyed 500 nurses across five teaching hospitals. The average age of participants was 28.83 years, with a predominant proportion holding diplomas and obtaining information primarily from social media. The results revealed that nurses' knowledge about CCHF was suboptimal, with 69.4% of correct answers and a predominance of moderate knowledge levels. Novelty: This research provides novel insights into the knowledge deficits among nurses in an endemic region, highlighting the critical need for targeted educational interventions. Implications: The findings underscore the necessity for comprehensive educational courses on occupational safety and disease prevention tailored to healthcare workers in endemic areas, aiming to enhance their knowledge and preparedness against CCHF. Highlights: Knowledge Gaps: Nurses’ CCHF understanding is inadequate. Educational Need: Targeted training can improve disease management. Information Sources: Social media use highlights need for reliable sources. Keywords: Crimean-Congo hemorrhagic fever, nurses' knowledge, endemic regions, healthcare education, CCHF prevention

Assessment of the knowledge and attitudes of nurses and social caregivers in relation to falls among elderly patients in healthcare settings in a Hungarian county

AbstractPurposeThe aim of this descriptive study was to evaluate the knowledge and attitudes of nurses and social caregivers in relation to falls among elderly patients.Materials/MethodsA total of 442 nurses and social caregivers working in acute or chronic care settings participated in our study. Data were gathered on the participants' general characteristics, the characteristics of their workplace, and their levels of knowledge in relation to risk factors and types of falls. Our questionnaire also included a survey of attitudes towards fall prevention. Data were analysed using IBM SPSS software.ResultsOur results showed a significant correlation between the participants' level of knowledge and age, level of professional education, workplace localisation, form and type of care, risk evaluation scale score, and the existence of a healthcare protocol at the workplace. Participants demonstrated a positive attitude towards fall prevention: the mean value for attitude was 48.03 out of 65 points. Participants who experienced a lower number of falls among elderly patients at their workplace demonstrated a significantly more positive attitude to prevention compared to those experiencing falls more frequently.ConclusionsIn our professional opinion, trainings focusing on fall prevention are required. In addition to knowledge transfer, these should emphasise the formation of attitudes, especially in the context of chronic healthcare, among professionals working in institutions in smaller towns.

Exploring pain management practices among nurses in a provincial city of Vietnam: A cross-sectional investigation of influential factors

Background &amp; Aim: There is limited evidence regarding pain management practice and its associated factors among nurses in Vietnam. Therefore, the study aimed 1) To examine the current state of pain management practices among nurses at Hai Duong Provincial General Hospital, Vietnam; and 2) to identify its associated factors. Methods &amp; Materials: A cross-sectional study design was performed on 200 nurses and 200 medical records needed to be reviewed to match the number of nursing samples. The data collection was conducted from May to June 2022. The modified Cancer Pain Practice Index included 13 evidence-based pain management Indicators applied to measure nurses’ pain management practice by reviewing medical records, and the Knowledge and Attitudes Survey Regarding Pain tool was used to assess the pain management knowledge and attitude of nurses by self-completed questionnaire. Results: A significant majority, comprising 146 nurses (73%), demonstrated inadequate pain management practices. Several crucial indicators of pain management were suboptimally performed by the majority of nurses. These included failure to document the execution of pain assessments for new patients, inadequate monitoring for side effects of opioid analgesics, and insufficient assessment and care for bowel status when opioids were prescribed. Additionally, participation in prior pain management training courses, along with knowledge and attitude toward pain management, emerged as significant variables associated with pain management practices (p&lt;0.001). Conclusion: The study highlighted widespread poor pain management practices among nurses. Participation in training courses and good knowledge and attitude correlate with better practices.

Enhancing the competencies of obstetrical nurses and midwives in high-risk pregnancy management through simulation-based training in Lao people's democratic republic: A pilot study

BackgroundSimulation-based training has been widely used as a valuable strategy for learning and evaluating clinical skills at different levels of nursing and midwifery education. The impact of simulation training on intensive management for high-risk pregnancy in a low-resource setting has been limited. AimTo examine the effect of simulation-based training with low-fidelity mannequins on obstetrical nurses and midwives’ knowledge, attitude, and skills for high-risk pregnancy management in a low-resource setting. MethodDuring September 2023, twenty-five obstetrical nurses or midwives who worked in five tertiary public hospitals in Vientiane Prefecture participated in the three-day training workshops for intensive management in high-risk pregnant women and newborns that used a simulation-based training approach integrating problem-based learning. The evaluated criteria of knowledge, attitudes, and skills pre- and post-test scores were statistically compared. FindingsWorkshop trainees demonstrated an increase significantly in knowledge for high-risk pregnancy management (p = 0.012), attitude toward high-risk pregnancy management (p = 0.000), and attitude toward simulation-based training design (p = 0.002). The clinical skills were used on the simulation performance checklist, and the pre-posttest gain in overall performance scores had a statistically significant difference (p = 0.000). The mean score of postpartum hemorrhage management skills was 11.48±2.23, which increased the highest score among all skills. ConclusionsThe simulation-based training in high-risk pregnancy management improves the knowledge, attitude, and skills of nurses and midwives in low-resource settings. Next steps include direct observation of trainees in the clinical setting to assess their competence in ensuring patient safety, achieving positive pregnancy outcomes, and enhancing satisfaction.

Competencies, Attitudes and Knowledge of Nurses about Genetics and Genomics

Competencies, Attitudes and Knowledge of Nurses about Genetics and Genomics

Knowledge and Practice of Psychiatric Nurses toward Side Effects of Clozapine Drug on Co-morbid Psychiatric Patients

Knowledge and Practice of Psychiatric Nurses toward Side Effects of Clozapine Drug on Co-morbid Psychiatric Patients

Why we need to value the wisdom and knowledge of older nurses

Why we need to value the wisdom and knowledge of older nurses

An Exploratory Study on Non-Contact Nursing Experiences of Clinical Nurses during the COVID-19 Pandemic

This study aimed to understand the non-contact nursing experiences of clinical nurses during the COVID-19 pandemic. A qualitative research design applying thematic analysis was used. The participants were purposive sampled from three institutes: a tertiary hospital, a general hospital, and a residential treatment center in Seoul. Data were collected between December 2021 and January 2022 through individual in-depth interviews with 12 clinical nurses. The data were analyzed using Braun and Clarke's method to identify the meaning of the participants' experiences. During the COVID-19 pandemic, the fields where the participants performed non-contact nursing included intensive care units and isolation wards of hospitals, a residential treatment center, and home cares. Their tasks in non-contact nursing commonly involved remote monitoring using digital devices or equipment, consultation and education. From their experiences performing tasks in these fields, the four theme clusters and nine themes were derived. The four theme clusters are as follows: (1) Confusion of nursing role; (2) Conflict due to insufficient support system; (3) Concern about the quality of nursing; (4) Reflection on the establishment of nursing professionalism. This study highlights the necessity for institutionalizing professional nursing areas, nursing education, and practical support by clarifying the purpose and goals of non-contact nursing and developing nursing knowledge through frameworks.