HAZARDS OF PRACTICAL TRAINING AT OUTPATIENT CLINICS AS PERCEIVED BY SECONDARY TECHNICAL NURSING STUDENTS

Document Type : Original Article

Authors

1 community health nursing

2 Professor of Family and Community Health Nursing, faculty of nursing port-said University

3 Assistant Professor of family and community health nursing department, Faculty of nursing, Port Said University

Abstract

Background: Unpredictable nature of training environment can create some problems for nursing students .Lack of knowledge and skills in the clinical environment can lead to anxiety and  make  them more vulnerable to occupational hazards.:. Aim: Assess the hazards of practical training at outpatient clinics as perceived by secondary technical nursing students in Port Said City. Subjects and method:  Design: A descriptive design used to conduct this study. Setting: This study was carried out at outpatient clinics in two hospitals namely  Al-Amery and Al-Nasr hospital Subjects: convenience sample (522 student) , in two nursing  school  Al-Amery and Al-Nasr school in port said city. Tools: Data was collected using four tools,Tool I:Self-Administered Questionnaire divided into two parts:  sociodemographic data, and  knowledge assessment sheet, Tool II: Attitude scale, Tool III:Observation checklist, Tool IV: Environmental Assessment sheet, .Results: The study results revealed that 58.1%of the students had unsatisfactory knowledges about hazards, 55.9% of them had negative attitude toward hazards, 51.7% of them  had inadequate performance of safety standards and precaution procedures 57.1% of them perceived effective environmental assessment of safety measures in the setting Conclusion: more than half of studied students had unsatisfactory knowledge, negative  attitudes toward hazards of practical training ,also more than half of them have inadequate performance of safety measures and standards precautions  while more than half of them perceived effective environmental assessment of safety measures in study setting. Recommendations: Health education programs for nursing students about hazards of practical training and how to cope with this hazards.
 

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AboAl-Maged,E.E.Z.(2013):Hazard that facing secondary nursing students during practical training at Zagazig general hospital ,faculty of nursing Zagazig University.
Abd EL Aziz H .(2010):work- related hazards facing nurse intern in ICU program for protection at mansoura university  hospital. Unpublished doctorate  thesis ,Faculty of Nursing Zagazig University,Egypt .
Abukhelaif, A. E. (2019): Personal Protective Equipment Knowledge and Practices among Nurses Working at Al- Baha King Fahad Hospital, Saudi Arabia, Journal of Healthcare  Communications, 4(2): 1-6.
Ali, Gh.A, Ali ,N.M.(2017)Clinical learning Environment and the Influential Factors from  Nursing Students perspectives , kufa journal for nursing sciences , 7 ,(2), 62-80
Allo,  R, R., Mayouf,  T, T. and AL-Fattah, M. N. (2020): Personal Hygiene and Safety  among governmental Hospitals Nurses Staff in Mosul City, Iraq, Medico Legal Update Journal, 20(1): 624-630.
Alshammari, F., Cruz, G, P., Alquwez, N., Almazan, J., Alsolami, F., Tork, H., Alabdulaziz,  H. and Felemban, E. M. (2018): Compliance with standard precautions during clinical training of nursing students in Saudi Arabia: A multi-university study, Saudi Arabia, J  Infect Dev Ctries, 12(11):937-945.
Aluko, O, O.,  Adebayo, A, E., Adebisi, T, F., Ewegbemi,  M, K., Abidoye, A. T and Popoola, B. F (2016): Knowledge, attitudes and perceptions of occupational hazards and  safety practices in Nigerian healthcare workers, Nigeria, BMC Res Notes, 71(9):1-14.
American Nurse Association, (2018). Patient Safety. Rights of Registered Nurses When Considering a Patient Assignment. Retrieved from https.//www.nursingworld.org/practice-policy/nursing-excellence/official-position-statements/id/patient-safety-rights-of-registered-nurses-when-considering-a-patient-assignment/
Aragaw, Y., Sinishaw, W., Daba, W., & Mekie, M. (2019). Attitude of Nursing and  Midwifery students towards clinical practice and its associated factors in Northwest  Ethiopia: a cross-sectional study. BMC research notes12(1), 205.‏
Awan, A., Afzal, M., Majeed, I., Waqas, A and Gilani, S.A (2017):Assessment      of  Knowledge, Attitude and Practices regarding Occupational Hazards among Nurses at  Nawaz Sharif Social Security Hospital Lahore, Pakistan, Saudi J. Med. Pharm. Sci.;  3(6):622-630.
Blomberg K., Bisholt B, Engstrom AK OhlssonU., Johansson A.S. and Gustafsson M(2014):swedish nursing students’experience of stress during clinical practice in relation to clinical setting characteristics and the organization of the clinical education.journal of clinical nursing ;7JAN 2014.
Dadgaran, I., Parvizy, S., Peyrovi H. (2013): Nursing students' views of sociocultural factors in clinical learning: a qualitative content analysis. Japan Journal of Nursing Science. 10(1):1–9.
Dhahir, D. M. and Al Mayahi, N.Y. (2021): Assessment of Health Workers Knowledge   toward Occupational Health and Safety Program in Alkut City’s Primary Health CareCenters; Medico Legal     Update, 21(1):1-6.
Dropkin, J.,Freund, A., Gorman, T., Kamen, J., Lowe, T., Milek, D., Nimbalkar, S., Piligian, G., Szeinuk, J., and Zuckerman, N.(2013): Controlling Health Hazards to Hospital Workers, Journal of Environmental and Occupational Health Policy, 23(1) 1- 167.
Elewa, A. H., & El Banan, S. H. A. (2016). Occupational Hazards as Perceived by Nursing       Interns     and Protective Measures. IOSR Journal of Nursing and Health Science (IOSR-JNHS)5(6), 107-118
Elewa, N, A, E.,  Abu ElNaga, A, M., Elhewala, A. A. and  Mohamed, M, H. I. (2020):Quality of Health Medical Services at Pediatric Cardiology Unit, Zagazig University  Inpatient, Egypt, The Egyptian Journal of Hospital Medicine,81(2):1512-1519.
Eyi, S. and  Eyi, I (2020): Nursing Students’ Occupational Health and Safety Problems in  Surgical Clinical Practice, Original Research, Turkey,    available at  SAGE open : https://doi.org/10.1177/2158244020901801
Faris, S, H., Mansoor, H., Alzeyadi, S.,  Al-Juboori, A, K.,  Mahmood, F, M.   and  Hashim, G. A. (2018): Knowledge, Attitude and Practice of Occupational Hazard among Nursing Staff at Teaching Hospitals in Kerbala City, South-Central Iraq, Indian Journal of Public Health Research & Development, 9(8): 1147-1152.
Hassan, Z. M. (2018): Improving knowledge and compliance with infection control Standard  Precautions among undergraduate nursing students in Jordan, Am J Infect Control; 46(3): 297–302.
Hassan R.M.(2004):work related hazards facing nurse intern Astratigy for protection, Faculty of Nursing Ain Shams University .
 
Hefzy, E, M., Wegdan, A. A. and Abdel Wahed, W. Y. (2016): Hospital outpatient clinics as a potential hazard for healthcare associated infections, Saudi Arabia,  J Infect Public Health; 9(1):88-97
Jamshidi, N., Molazem, Z., Sharif, F., Torabizadeh, C., & Najafi Kalyani, M. (2016). The challenges of nursing students in the Clinical Learning Environment. A qualitative study. The Scientific World Journal, 2016, 1-7. doi.10.1155/2016/1846178
Joolaee, S., Amiri, S. R. J., & Farahani, M. A. (2015). Iranian nursing students' preparedness  for clinical training: A qualitative study. Nurse Education Today35(10), e13-e17.‏
King , K, G.,  Delclos, G., Brown,  E ., Emery, S, T., Yamal, J.M.  and Emery, R. (2020): An assessment of outpatient clinic room ventilation systems and possible relationship to disease transmission. Am J Infect Control; 49(6):808-812.
Mohammed, A, F.,  Mahfouz, E, M., , Morsy, S, M.  and Abd El-Rahman, S, M. (2011) Assessment of Nurse's Knowledge About Safety   Measures at Minia University  Hospital  for Gynecology and Pediatric, Egypt, El-Minia Med., 22(1):1-11.
Ndejjo, R., Musinguzi, G., Yu, X., Buregyeya, E., Musoke, D., Wang, J., . . . Ssempebwa, J. (2015). Occupational health hazards among healthcare workers in Kampala, Uganda. Journal of Environmental and Public Health, 2015, 1-9. doi.10.1155/2015/913741.
Osungbemiro, B. W., Adejumo, O. A., Akinbodewa, A. A., & Adelosoye, A. A. (2016). Assessment of occupational health safety and hazard among government health workers  in Ondo City, Southwest Nigeria. Journal of Advances in Medicine and Medical Research, 1-8.
Owie, H. O., & Apanga, P. A. (2016). Occupational health hazards prevailing among  healthcare workers in developing countries. Journal of AIDS and Clinical Research7(8).
 
Sabita, K.,  Mandira, S.,  Bharati,  S. and Sulata, K . (2018): Knowledge and Preventive Practice of Occupational Health Hazards among Nurses in different Teaching Hospitals,    Innovative Journal Of Medical And Health Science,  8(12):225-234.
World Health Organization (WHO)(2021). The role of the occupational health nurse in workplace health management, Available at.https.//apps.who.int/iris/handle/10665/108433?locale-attribute.
World Health Organization,(2019).The occupational Health Nurse Association of Ireland available at https.//www.who.int/occupational_health/regions/en/oeheurnursing.pdf