Nurses' Knowledge and Practice Regarding Nursing Care of Patients with Liver Cirrhosis

Document Type : Original Article

Authors

1 Assistant Professor of Medical Surgical Nursing - Faculty of Nursing - Port Said University

2 Lecturer of Medical Surgical nursing Faculty of Nursing Port Said University

3 Medical Surgical nursing Faculty of Nursing Port Said University

Abstract

 Background:Cirrhosis of the liver is the end stage of chronic liver disease. Nurses role very important to patient with liver cirrhosis. Aim:Assess nurses, knowledge and practice regarding nursing care of patients with liver cirrhosis. Subjects and Method:A descriptive research design was used. Setting: The study was conducted  medical unit at Ismailia university hospital, Ismailia general hospital and Port-Said general hospitals (Port-Said, Port-Fouad and AL-Zehor central). Subjects: A 150 convenient nurses participated in the study Tools: Data were collected using two tools, Nurses' Knowledge questionnaire and Observational Check list for practice. Result: The result of study indicated that 78.65% and 63.09% of studied nurses had unsatisfactory knowledge and practice Conclusion: Most of the studied nurses had unsatisfactory knowledge and practice regarding care of patients with liver cirrhosis. Recommendations: There are obvious needs for conducted an educational and training programs to improve nurse's knowledge and practice regarding nursing care of patients liver cirrhosis.
 

Keywords

Main Subjects


Ahamed, N. and Mondal, D. (2014): Assessment of Knowledge and Practice of Staff Nurses Regarding Ryle's Tube Feeding in a Selected Hospital of Kolkata, West Bengal. SMU Medical Journal, 1 (2): 294-302.
Ameri, Z., Vafaee, A. Sadeghi T., Mirlashari, Z., Ghoddoosi-Nejad, D. and Kalhor, F. (2016): Effect of a Comprehensive Total Parenteral Nutrition Training Program on Knowledge and Practice of Nurses in NICU. Global Journal of Health Science, 8 (10): 135.
Abdullah, M., Mohammed, W.,& Ismail,M.(2014): Nurses’ Knowledge and Practices about Administration of Medications via Nasogastric Tube among Critically Ill Patients. Journal of Education and Practice, 5(1), 147-159.‏
Chao, J., Chang, T., So SK, S. (2010): Hepatitis B and liver cancer knowledge and practices among healthcare and public health professionals in China: a cross-sectional study. BMC Public Health10:98. [PubMed: 20184740]
Clements, A. and Greenslade, L. (2014): Liver disease 1: Nursing care for endstage liver disease. Nursing Times, 110(29), 16-19 Accessed on 22/3/2018
Corbo, J., Canter, M., Grinberg, D., and Bijur, D. (2005.) Who should be estimating a patient’s weight in the emergency department? Academic Emergency Medicine, 12(3):262-266.
Flores, Y., Lang C., Salmeron,  J. and Bastani, R. (2012): Risk factors for liver disease and associated knowledge and practices among Mexican adults in the US and Mexico. J Community Health.  37(2):403–11.
Findlow, L., McDowell, J. (2015): Determining registered nurses’ knowledge of diabetes mellitus - Nurses’ Knowledge. Journal of Diabetes Nursing, 6(6), 170-175.‏
Fouwou Njoya, C. ( 2013).Facteurs associés à la transmission du virus de l'hépatite B de la mère à l'enfant dans 3 hôpitaux de la ville de Yaoundé: thesis for the obtention of medicinae doctor degree: University of Yaoundé 1. Unpublished. Google Scholar                                                                                     
Frazer, K., Glacken, M., Coughlan B., Staines, A. , Daly, L.,(2011). Hepatitis C virus infection in primary care: survey of registered nurses’ knowledge and access to information. J Adv Nursing.; 67(2): 327–339.
Fukui, H., Saito H., Ueno, Y., Obara, K., Sakaida, I.,Shibuya , A., Seike , M., Nagoshi , S., Segawa , M., Tsubouchi , H., Moriwaki , H., Kato, A., Shimosegawa , T. (2016): Evidence-based clinical practice guidelines for liver cirrhosis Available at Jul;51(7):629-50.
Guilherme, C.,Carvalho, E., & Landeros López, M. (2012). Relevance of data collection instruments for quality of care. Enfermería Global, 11(3), 328-336.‏
Hall, W. and Larkin, G.( 2004). Errors in weight estimation in the emergency department: comparing performance by providers and patients. The Journal of Emergency Medicine, 27(3):219-224.
Hinkle, J. , and   Cheever, K.  (2014): Brunner & Suddarth’s Textbook of Medical-Surgical Nursing. (13th Ed.). Philadelphia: Lippincott Williams and Wilkins ISBN 789-1-5411.
Hijji, B., Parahoo, K. Hossain, M.M., Barr, O. and  Murray, S. (2010):Nurses’ practice of blood transfusion in the United Arab Emirates: an observational study. Journal of Clinical Nursing, 19, 3347–3357
Hill, B. (2017): Critical Care Series 5: Role of central venous pressure monitoring in critical care settings. Nursing Standard. Royal College of Nursing (RCNi).  Date of submission: 15 August 2016; date of acceptance: 13 July 2017. doi: 10.7748/ns.2017.e10663
Ismail, M.  (2006): Impact of A Suggested Teaching Protocol Upon Nurses’ Knowledge and Practices About Drug-Nutrient Interactions Among Critically Ill Patients. Egyption journal of medical science, 27 (2),23-29.
Joan, M., Kate stout, R.N., David , M., and Ann, M.(2013): Lippincotts, nursing procedures (6th Ed). Philadelphia: Lippincott Williams and WilkinsISBN 978-1-4511-4633-2
Kelso, L. (2008). Cirrhosis: Caring for patients with end-stage liver failure. The Nurse Practitioner: The American Journal of Primary Health Care, 33(7), 24–30.
Kimbell, B., Boyd, K., MacGilchrist, A., & Murray, S.  (2015): Liver disease in the UK. The Lancet, 385(9967), 503
Lima, N. , Silva V. , Beltrão B. (2014). Construction and validation of data collection instrument content in a neonatal intensive care unit. Revista da Rede de Enfermagem do Nordeste, 10(3), 144-149.
Lizaola, B., Bonder, A. and Tapper E. ( 2016): The changing role of sodium management in cirrhosis. Curr Treat Options Gastroenterology; 14:274–84.
Lois, W., Gena, D., Wendy, B. (2013): medical surgical nursing, an integrated approach, unit (9): nursing care of client with gastrointestinal disorders, 3rd ed, :737- 742
 Lawrence, P., Dove, M., Perry, E., Strong, S., Samsa, G. (1989):Accuracy of nurses in performing capillary blood glucose monitoring. Diabetes Care; 12(4): 298-301
Metwaly, E. (2013): Nurses' Performance Regarding Naso-gastric Tube Feeding In Intensive Care Units, Unpublished Master Thesis. Faculty of Nursing Zagazig, University.
Moudjongue, E. Prise , B .( 2013 ):chez la femme enceinte au CHU de Yaoundé: dissertation for Master in Public Health master en Santé publique. Catholic University for Central Africa, Yaoundé. Unpublished Google Scholar
Mohamed ,S.Aand Wafa, A. A.(2011):The Effects of an Educational Program on Nurses Knowledge and Practice Related to Hepatitis C Virus: A Pretest and Posttest Quasi-Experimental Design. Australian Journal of Basic and Applied Sciences, 5(11): 564-570.
Mota, M., Barbosa, I., Studart, R., Melo, E., Lima, F., & Mariano, F. (2010): Evaluation of Intensive's-Nurses’ Knowledge Concerning Medication Administration Through Nasogastric and Enteral Tubes. Ref Latino-Am Enfermagem, 888-894
New South Wales Health,( 2014): Liverpool Hospital Policy and Guideline Manual, Observations of Adult Patients, LH_PD2014_P01.55.
Polit, D. , Beck C. (2009). Essentials of nursing research: Appraising evidence for nursing practice (7th ed.). Philadelphia, PA: Wolters Kluwer Health/Lippincott Williams & Wilkins SBN 978-1-4511-46332
Partridge, R., Abramo, T., Haggarty, K., Hearn, R., Sutton, K., Angel, Q and Givens, T. (2009). Analysis of parental and nurse weight estimates of children in the paediatric emergency department. Pediatric Emergency Care, 25(12):816-818.
Paul, T, Marie, T.P. & Bechem, E (2017): Knowledge, attitude and practice of staff of 4 hospitals in Yaoundé on the prevention of vertical transmission of hepatitis B.Pan African Medical Journal. 28(174) doi:10.11604.
Safety and Quality Unit (S&QU) ( 2010).Clinical documentation of patient weight report. Royal Hobart Hospital. Tasmania 
Shahin, M., Mohamed, W., and Sayed (2012): Nurses' Knowledge and Practices regarding Enteral Nutrition at the Critical Care Department of Al-Manial University Hospital in Egypt: Impact of a Designed Instructional Program. Journal of American Science, 8 (9): 397-404.
  Slater, Joseph, S., Esherick, Daniel, S. and Clark Evan, D. (2013): Current practice guidelines in primary care. New York: McGraw-Hill Medical. Chapter  3. Pp344 
Soto-Salgado, M., Suarez, E., Ortiz, A., Adrovet, S, Marrero, E., Melendez, M., Colon, H., Albizu C., del, C., Santos, M. ( 2010); Torres E, Perez CM. Knowledge of viral hepatitis among Puerto Rican adults: Implications for prevention. J Comm Health. 36(4):565–573.
     Timby, B. K., & Smith, N. E. (2013):Introductory medical-surgical nursing. Lippincott Williams & Wilkins. 11th Ed ‏
Vicdan, A. (2013): Evaluation of knowledge on intravenous fluid therapy of the nurses. European Journal of Research on Education, 135-138.‏
Vijayan, A. (2011): A study to assess the knowledge and practices staff nurses regarding fluid and electrolyte administration in post-operative cardiac surgical patients admitted in cardiac surgical ICU and cardiac surgical ward, SCTIMST, Trivandrum.‏
      Werner, K. , Perez S.  (2012): Role of nurse practitioners in the management of cirrhotic patients. The Journal for Nurse Practitioners, 8(10), 816-821.
White, L., Duncan, G. and baumle, W. (2013): medical surgical nursing, an integrated approach, unit (9): nursing care of client with gastrointestinal disorders, 3rd ed, pp :737- 742.   
   Wu, L., Wu, M., Lien, G., Chen F., Tsai J. (2012): Fatigue and physical activity levels in patients with liver cirrhosis. Journal of Clinical Nursing, 21(1/2) 129-138.
   Yun, S.., Kim, S., and Oh, E. (2012): Healthcare Profession-al's Knowledge, Perception and Performance on Early Enteral Nutrition for Critically Ill Patients. Korean Journal of Critical Care Medicine, 27 (1): 36-44