Assessment Of Nurses' Performance Regarding Caring Of Patients On Anticoagulant Therapy In Port-Said Hospitals

Document Type : Original Article

Authors

1 Medical -Surgical Nursing, Faculty of Nursing, Port- Said University

2 Assistant Professor of Medical -Surgical Nursing, Faculty of Nursing, Port- Said University

3 lecturer of Medical -Surgical Nursing, Faculty of Nursing, Port- Said University

Abstract

 Background: anticoagulants are high-risk drugs so it is very important to monitor the patients receiving anti-coagulant therapy. Aim:assess the nurses' performance regardingcaring of patients on anticoagulant therapy in Port Said Hospitals. Subjects and Method: a descriptive research design was used A convenient sample of 130 nurses at three hospitals affiliated to Ministry of Health (Port-Said General Hospital, Port-Fouad General Hospital and El-Zohor Central Hospital) at Port-Said governeratewere recruited. Tools: data were collected using three tools, nurses' knowledge assessment questionnaire, nurses' attitude scale and observational checklist for practice. Results: the result of study indicated that 66.9% of studied nurses had got unsatisfactory knowledge and 69.2% of them had got unsatisfactory practice while 60.8% of them had positive attitude regarding anticoagulant therapy. Conclusion: the study concluded that more than two thirds of the studied nurses had unsatisfactory knowledge, practice and less two thirds of them had positive attitude regarding caring of patients on anticoagulant therapy and there were a highly statistically significant positive correlation between total nurses' knowledge, practice scores and their total attitude scores .In addition, there is no statistically significant relations between total score of nurses' knowledge, practice, and attitude and all items of personal characteristics and work related data. Recommendations: There are obvious needs for conducting educational and training programs to improve nurses’ knowledge and practice regarding the care of patients undergoing anticoagulant therapy.

Keywords

References

AL-Arifi, M.N., Wajid, S., Al-Manie, N.K., Al-Saker, F.M., Babelgaith, S.D., Asiri, Y.A and et al.(2016): Evaluation of knowledge of health care professionals on warfarin interactions with drug and herbal medicines. Pak J Med Sci, 32(1):229-233
 
Asliurst, S. (2016): Nurses must improve their knowledge of pharmacology. British Journal of Nursing, 12(2):608-608.

Barnes, G.D. (2015): Recommendation on the nomenclature for oral anticoagulants. Journal of Thrombosis and Haemostasis, 13(6): 1154–1156

Cross. R., Paul N., Ockerby, c., Wang, W. and Currey, J., (2017): Nurses’ Attitudes Toward the Single Checking of Medications .world views on evidence-based nursing. Accessed in: 20/7/2017  available at: DOI: 10.1111/wvn.12201
EL-azem, K.M. (2013): Assessment of nurses' performance regarding infection control measures with central venous catheter. Un published Master thesis. Faculty of Nursing, Port said University. P 112
Ellis, Janice, R., Nowlis, Elizabeth, A., Bentz and patricia, M. (1996): Modules for Basic Nursing Skills 6th edition .lippincott .Raven publishers .P 62
Elpholy, Y. (1984): Assessment of patient and nurses knowledge about anticoagulant therapy. unpublished master thesis ,Cairo University. Faculty of Nursing, P7-8
Engelke, Z. (2012): Patient education: Teaching the patient about oral anticoagulation therapy. Nursing Practice and Skill. Glendale CA, P. 3-6.
Ferguson, C., Inglis, S.C., Newton, P.J., Middleton, S., Macdonald, P.S. and Davidson, P.M.(2016 ): Education and practice gaps on atrial fibrillation and anticoagulation: a survey of cardiovascular nurses . BMC Medical Education  Accessed in:  17/2/2017   Available at: https://doi.org/10.1186/s12909-015-0504-                                 
Flato, U., Buhatem, T., Merluzzi, T. and Bianco, A. (2012): New anticoagulants in critical care settings. Rev Bras Ter Intensiva, 23(1):68-77
Jeannes, A., and Taylor, D. (1992): Stopping the drugs trolley. Nursing Times, 88(2): 27-29             
Kasem , M. (2016) :Assessment of  nurses' performance regarding nursing care of patients undergoing blood transfusion. UN published Master thesis. Faculty of Nursing, Port said University. P 83:84
Kirsch, B. (2011). Next generation anticoagulants may push warfarin to the wayside. Managed Care, 20(2):33-36.
Levy, J.H. (2014). Pharmacology and safety of new oral anticoagulants: the challenge of bleeding persists. Clin Lab Med, 34(3): 443-52.
Lexshimi, R.G., Daud,  F., and Zulkifli, S. (2009): Knowledge, attitude and practice of nurses in administering oral medication at medical ward, universiti kebangsaan malaysia medical centre .Med & Health, 4(1): 16-24
Mohammed, E.K., and Taha, A.S. (2014): Critical Care Nurses’ Knowledge and Practice Regarding Administration of Total Parenteral Nutrition at Critical CareAreas in Egypt .Journal of Biology, Agriculture and Healthcare,4(13):10-22
Ndosi, M, E., and Newell, R. (2009): Nurses' knowledge of pharmacology behind drugs they common administer .Journal of clinical nursing, 18 (4): 80-570
Ockhuis, D., and Kyriacos, U.( 2015 ): Renal unit practitioners' knowledge, attitudes and practice regarding the safety of unfractionated heparin for chronic haemodialysis .Scielo Smith Africa ,38(1) :1447
Oterhals ,K., Deaton, C., Geest, S., Jaarsma,T., Lenzen,M., Moons, P. , Martensson , J.,Smith, K., Stewart ,S., Strömberg ,A., David ,R., Thompson ,D., and Norekvål, T., (2014):European cardiac nurses’ current practice and knowledge on anticoagulation therapy .European Journal of Cardiovascular Nursing, 13(3):261–269
Piazza, G., Nguyen, T.N., Cios, D., Labreche, M., Hohlfelder, B., and Fanikos, J. (2011): Anticoagulation associated adverse effects. Am J Med, 124(12): 1136-42
Potter., Patricia, A., and Perry, A.G. (2013):Fundamental of nursing .8th edition .Elsevier mosby. P :605:613.                                                   
Sayed, S.M., Ghanem , H.M., Mohamed ,W.Y. and Gamal ,T.A. (2009): Micro vascular free tissue transfer surgeries impact of a designed teaching protocol on nurse's performance for reduction or prevention of post-operative failure. AAMJ ,7(3): 20-108
Shaw, K., Amstutz, U., Kim, R.B., Lesko, L.J., Turgeon, J., Michaud, V.(2015): Clinical practice recommendations on genetic testing of CYP2C9 and VKORC1 variants in warfarin therapy. Ther Drug Monit, 37(4):428-36
Staresinic, A.G., Sorkness, C.A., Goodman ,B.M. and Pigarelli, D.W. (2006): Comparison of outcomes using 2 delivery models of anticoagulationcare. Arch Intern Med, 166(9):997-1002.
Tangiisuran, B., Tye, S.C., Leow, M.Y. and et al. (2017): Comparison of nurses and general caregivers’ knowledge, attitude, and practice on medication administration process and their distress level in long-term care facilities across Penang, Kuala Lumpur, and Selangor of Malaysia .Springer International Publishing  Accessed in 23/7/2017  Available at :https://doi.org/10.1007/s40520-017-0772-1
Vera, M. (2012): The 10 rights of drug administrationNursealabs.                                                      Available at: http://nurseslabs.com/    Accessed in: 2/9/ 2016
Port Said Scientific Journal of Nursing
Volume 6, Issue 3
Special issue
December 2019
Pages 1-15

Files

Share

How to cite

Statistics