Current Issue : October - December Volume : 2020 Issue Number : 4 Articles : 5 Articles
Purpose. To assess the potential effectiveness or efficacy of early mobilization on respiratory and peripheral muscle strengths and\nfunctionality in nonintubated patients. Methods. For 40 nonintubated patients over 18 years of age with over 24-hour intensive\ncare unit (ICU) stay allocated to a single intervention, an incremental mobilization protocol was initiated. Maximal inspiratory\nand expiratory pressures (MIP and MEP), peripheral muscle strength (handgrip strength (HGS) and Medical Research Council........................
Medication errors are the iceberg of patient safety in hospitals\nand leading cause of morbidity and mortality among patients. Objectives:\nThe study aim was to evaluate the effect of an educational program\nof medication safety on the knowledge of critical care nurses regarding\nintravenous medication errors. Methods Design: There are one group\npretest and posttest designs. Subject: A convenient sample of all registered\nnurses (52) works in Palestine Medical Complex. Data collection tools: A\nself-administered knowledge determination questionnaire consists of both\nqualitative and quantitative statements to measure level of knowledge, used\nas data collection tool in pre and post educational sessions, with educational\nbooklet as intervention tool. Statistical analysis: Data were analyzed\nwith Statistical Package for the Social Sciences Software Version 18. The\nresults are presented as frequency & percentage as appropriate at alpha\nlevel of P less than 0.05; inferential statistics were generated. Paired t-test was used\nto perform the comparisons. Results: There was statistically significant\ndifference in the knowledge level for the intensive care unitâ??s nurses regarding\nthe intravenous medication administration during pre and post\neducation program. Statistical analysis showed that there was a statistically\nsignificant between age, educational degree, critical units/wards, years of\nnursing experience and previous medication administration education\nprogram of the nurses and their knowledge during different phases of program\nintervention. Conclusion: Educational program on medication safety\nimproves the knowledge of critical care nurses regarding intravenous medication\nerrors. This study recommends that medication errors should be\nperiodically assessed by improving clinical guidelines of medication administration.\nHow to cite this paper: Abukhader, I. and...
A cerebrole is a patient with a neurological deficit of central origin; these patients\nvery often present disorders of the ion concentration, hence the need\nfor hospitalization in intensive care. The aim of our study was to study hydro-\nelectrolyte disorders in brain-damaged patients, to describe the clinical\naspects, to identify the contributing factors and to determine the prognosis of\nthese patients in the intensive care unit of gabriel touré teaching hospital.\nMaterial and Methods: It was a prospective cross-sectional study, descriptive\nof a period of 11 months going from June 2015 to April 2016 in the intensive\ncare unit of CHU Gabriel TOURE we included all the cerebral patients admitted\nin intensive care in which hydro-ionic disorders have detected on arrival\nor during hospitalization. Data were collected through transfer sheets, a\nsurvey sheet and medical records. Data entry and analysis were done respectively\non SPSS software (version 19) and Microsoft Word Starter 2010 software.\nResults: During our study, out of 450 hospitalization patients, we identified\n110 brain-damaged patients and 75 patients were retained in our study,\ni.e. a prevalence of 16.6%. Male was predominant with 72% with a sex ratio of\n2.5 the age group 20-50 years was majority with 45.3%, the average age\nwas 38.49 years. The majority of patients (58.7%) were admitted from the\nemergency department. The most common reason for admission was impairment\nof consciousness in 94.7% (Table 1) of cases and the Glasgow admission score was less than or equal to 8 in 58.7% (Table 1) of patients. Hydroelectrolyte disturbances were present in 93.3% of patients on admission.\nHyponatremia was the most common disorder with 56% (42 cases). Followed\nby hyperkalaemia 10.7% (8 cases), hypernatremia 9.3% (7 cases), at hypocalcemia\n9.3% (7 cases), associated disorders 8% (6 cases). Brain CT was performed\nin 52% of the patients. In our study, malaria was the most common\netiology of ionic disorders with 36%. Of the patients who died, 80% had developed\nhyponatremia after 5 days in hospital, and the overall lethality was\n73.3%. Conclusion: Hydro-electrolyte disorders are frequent in the intensive\ncare setting and their management must be rapid in order to reduce morbidity\nand mortality....
Background. Physical restraint is a common practice in the intensive care units which often result in frequent skin laceration at\nrestraint site, limb edema, restricted circulation, and worsening of agitation that may even end in death. Despite the sensitivity of\nthe problem, however, it is felt that there are nursesâ?? evidence-based practice gaps in Ethiopia. To emphasize the importance of this\nsubject, relevant evidence is required to develop protocols and to raise evidence-based practices of health professionals. So, this\nstudy aimed to assess the knowledge, attitude, and influencing factors of nurses regarding physical restraint use in the intensive\ncare units in northwest Ethiopia. Methods. An institution-based cross-sectional study was maintained from March to September\n2019 at Amhara regional state referral hospitals, northwest Ethiopia. A total of 260 nurses in the intensive care units were invited\nto take part in the study by a convenience sampling technique. The Level of Knowledge, Attitudes, and Practices of Staff regarding\nPhysical Restraints Questionnaire was used to assess the nursesâ?? knowledge and attitude. Linear regression analysis was employed\nto examine the influencing factors of knowledge and attitude. Adjusted unstandardized beta...........................
In recent times, palliative care nursing has caught the attention of nurse researchers\nin Africa as more individuals are being diagnosed with chronic diseases\nof the aged like cancer, cardiac and cerebrovascular conditions. This\nstudy examined the influence of knowledge and attitude on the practice of\npalliative care among practicing nurses in eastern part of Nigeria. A descriptive\ncross-sectional research design was used for the study. The population of\nthe study is all registered, licensed and practicing nurses working in the\nnamed public and private hospitals where palliative care is supposedly well\nestablished. Proportionate sampling technique was used to select 289 respondents.\nThree commercial instruments that were modified were used for data\ncollection. Level of significance was set at 5%. The study was conducted from\nOctober 2018 to June 2019. Results revealed that 52.7% of the respondents\nhad satisfactory practice of palliative care, 73.7% of the respondents had adequate\nknowledge of palliative care (mean 2.64 (1.06) and 77.5% of the respondents\nhad positive attitude towards palliative care (Mean 2.81 (1.14)).\nThere was also a significant weak positive association between nursesâ?? educational\nlevel and their knowledge of palliative care with an effect size of 21.9%.................
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