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Evaluation of Patient-Related Nursing Care with Standards in Intensive Care Unit (ICU)
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H Bayatmanesh1   , M Zagheri Tafreshi 2, H Mnoochehri3 , A Akbarzadeh Baghban4 |
1- Department of Nursing & Midwifery, Shahid Beheshti University of Medical Sciences, Tehran, Iran,
2- Department of Nursing & Midwifery, Shahid Beheshti University of Medical Sciences, Tehran, Iran, , tafreshi@sbmu.ac.ir
3- Department of Management Health an Treatment Services, Shahid Beheshti University of Medical Sciences, Tehran, Iran,
4- Department of Statistical, Shahid Beheshti University of Medical Sciences, Tehran, Iran |
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Abstract: (10660 Views) |
Abstract
Background & aim: Improving the quality of health care services is one of the main concerns of organizations providing health services. Patient safety means is the absence of any damage caused by the provision of health services. In the intensive care unit, due to complications of the patient's condition and the treatment process, the chance of occurrence of unexpected errors and events is maximized and serious attention is required . The purpose of this study was to determine the level of compliance of patient-related nursing care with standards in intensive care units.
Methods: In this descriptive study, 1998 nursing care associated with patient safety were assessed during the morning shift function of 54 nurses in three Intensive care unit of selected hospitals of Yasuj University of Medical Sciences using a researcher-made checklist containing 37 terms and 6 domains in winter 2015. These areas include the initial acceptance and evaluation of the patient, the correct procedure in the correct location of the patient's body, avoiding inappropriate connections between the tubes and the patient's catheter, preventing the patient falling down, preventing ulcer and nosocomial infections. The checklist after determining the face validity and content (96% = CVI) and reliability by means of calculating the agreement coefficient between viewers (99% = ICC), via observing the performance by the researcher in morning shifts was completed for 54 nurses. Collected data were analyzed using Descriptive statistics.
Results: In view of the performance of 54 nurses in intensive care units, the average level of compliance of patient-related nursing care in comparison with the checklist was less than 100 points which was unfaroble(46.75). The highest correlation with the patient's avoidance domain was relatively favorable (50.25) and the lowest level was related to the area of undesirable subsoil prevention (1.87).
Conclusion: The compliance rate of patient-related nursing care in ICU is far from standards. The managers of the area of treatment in order to improve the quality of nursing care provided by the nurse in relation to patient safety indicators in the intensive care unit and, consequently, to increase the safety of patients in order to prevent their injury as a result of the provision of these care, and regular monitoring of nursing care and continuing education programs will be more emphasis.
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| Keywords: Patient Safety, Intensive Care Unit, Nursing care, Assessment. |
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Full-Text [PDF 170 kb]
(3995 Downloads)
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Type of Study: Applicable |
Subject:
Neonatology & Newborn Nursery- NICU-Surgery
Received: 2017/04/4 | Accepted: 2017/07/23 | Published: 2017/07/25
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