ASSESSMENT OF NURSES' KNOWLEDGE AND PRACTICE REGARDING FLUIDS AND ELECTROLYTE IMBALANCE IN CRITICAL CARE UNITS

Ahmed Hassan, Heba Mohamed; Elmeghawry El-sayed, El-sayed; Yassien Mohammad, Sahar

doi:10.21608/pssjn.2021.180999

ASSESSMENT OF NURSES' KNOWLEDGE AND PRACTICE REGARDING FLUIDS AND ELECTROLYTE IMBALANCE IN CRITICAL CARE UNITS

Document Type : Original Article

Authors

¹ M.Sc., Faculty of Nursing, Port Said University

² Professor of Internal Medicine, Faculty of Medicine, Al-Azhar University

³ Professor of Medical Surgical Nursing, Ain Shams University

10.21608/pssjn.2021.180999

Abstract

Background: The accurate monitoring of fluid balance activities is a vital part of patients‟ baseline information, which guides medical and nursing interventions to achieve physiological stability. Inaccurate monitoring of fluid balance especially in critically ill patients can deteriorate patients‟ conditions. Aim of this study was to assess nurses' knowledge and practice regarding fluid and electrolyte imbalance in critical care units. Subjects and method: Design: A descriptive research design was used. Subjects: A convenient sample was used (72 nurses) all nursing staff working in above mentioned setting. Setting: Intensive care units in Damietta General Hospital. Tools: Two tools were used to collect the needed data; nurses 'knowledge Questionnaire and nurses' observation checklist. Results show a defect in the nurses' knowledge and practice as for general knowledge of nurses had unsatisfactory knowledge with Mean±SD 26.8±5.6. for general nurses' practice regarding fluid & electrolyte imbalances monitor and management 97.2% of nurses had unsatisfactory level. of practice with Mean±SD 57.3±7.5. Conclusion: The study concluded that there is a defect in the nurses' knowledge and practice. Recommendations: Continued nursing education and updating knowledge in the intensive care units should be organized regularly.

Keywords

Main Subjects

Medical Surgical Nursing

References

American Association of Colleges of Nursing (2014). Enrollment and graduations in baccalaureate and graduate programs in nursing. Washington, DC: Author.

Desborough, J. (2010). The stress response to trauma and surgery. Br J Anaesth, 85, 109-17.

Diacon A, & Bell J. (2014). Investigating the recording and accuracy of fluid balance monitoring in critically ill patients. S Afr J Crit Care, 30 (2), 55- 7.

Eckman, M. & Lobus, O. (2010). Fluid and electrolyte an incredibility easy pocket guide (2nd ed.). New York: Lippincott Williams & Wilkins).

Harbir, S., kholi, A. & Madhu, C. (2009). Oxford journal of Nephrology dialysis and transplantation, 212-217.

Herbert, L., & Elsayed, M. (2016). Fluid and Electrolyte Balance in the Intensive Care Unit – Trickle or Fluids http:// www. appraisal. nes.scot.nhs.uk/media/179709/fluid-poster.pdf retrieved May 14, 2016.

Ignatavicius, D. & Workman, M. (2010). Medical-Surgical Nursing: Patient-Centered Collaborative care. 6th ed. St. Louis, MO: Elsevier. Pp. 170-198.

Imel, E. A., & Econs, M. J. (2012). Approach to the hypophosphatemic patient. The Journal of Clinical Endocrinology & Metabolism, 97(3), 696-706.‏

Culleiton, A. L., & Simko, L. C. (2011). Keeping electrolytes & fluids in balance, part 2. Nursing2020 Critical Care, 6(3), 27-32.‏

National patient safety goals (2010). Retrieved from http://www.jointcommission. org/patient safety/national patient safety goals. accessed at 24/6/2016.

Lee, J. (2010). Fluid and electrolyte disturbances in critically ill Patients. Electrolyte blood press, 8 (2), 72–81. Available at: http://www.ncbi.nlm.nih.gov/ pmc/articles/ PMC3043756/?report=classi. Accessed on: 14-2-2015.

McCance, K., Huether, SE. (2010). Pathophysiology: the biologic basis for disease in adults and children (6 th ed.).Mosby.

Mogileeswari, P., Ruth, M. (2016). Knowledge and practice regarding fluid and electrolyte replacement therapy for patient with burns. International Journal of Multidisciplinary Research and Development, 3(4), 217-20.

Sarah, M. (2015). The ins and outs of fluid balance in the acutely ill patient. British Journal of Nursing, 24(1).

Stewart, P. A. (2012). Modern quantitative acid–base chemistry. Canadian journal of physiology and pharmacology, 61(12), 1444-1461.‏

Vincent, M., & Mahendiran, T. (2015). Improvement of fluid balance monitoring through education and rationalization. BMJ Quality Improvement Reports. u209885.w4087 doi: 10.1136/bmjquality. u209885.w4087. http://qir.bmj.com/ retrieved on May 14, 2016.

Welch, K. (2011). Measuring and managing fluid imbalance, Fluid balance learning. Disability Practice, 13 (6), 33-38.