Nurses' Performance Regarding Postoprative Discomfort among Patients Undergoing Abdominal Wall Hernia Repair

Document Type : Original Article

Authors

1 medical surgical nursing , Nursing,Faculty of Nursing - Mansoura 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:Effective postoperative discomfort management is an essential component to good quality of care, nursing a patient in discomfort is a challenging task requiring up-to-date knowledge, skilled interventions and attitudes that convey trust. Aim: Assess nurses' performance regarding postoperative discomfort among patients undergoing abdominal wall hernia repair. Subjects and Method: a descriptive research design was used. Setting: The study was conducted at the surgical in port said city (El-Zohoor Hospital and Port Said General Hospital)and Damietta. Subjects: A 6o convenient nurses participated in the study Tools: data were collected using three tools, Nurses' Knowledge questionnaire, observational check list for nurses' practiceand Nurses' attitude toward postoperative discomfort. Results: the result of study indicated that71.7% of the studied nurses had unsatisfactory knowledge, 83.3 % had satisfactory practice, 66.7% of them had negative attitude Conclusion: most of the studied nurses had unsatisfactory knowledge while majority of them had satisfactory practice and more than two third of studied nurses had negative attitude. Recommendations: there are obvious needs for conducted an in service educational and training programs to improve nurse's knowledge, practice and nurses' attitude regarding postoperative discomfort among patients undergoing abdominal wall hernia repair.

Keywords


Abdalrahim, M., Majali, S.,and Bergbom, I., (2010). Jordanian surgical nurses’ experiences in caring for patients with postoperative discomfort Applied Nursing Research 23, 164-170.
Abdalrahim, M., Majali, S.,and Bergbom, I.,( 2014). Documentation of postoperative discomfort by nurses in the surgical wards.  10, 73- 81.
Abu Elhamd,M(2015).Effect of Designed nursing Guidelines on Reducing post-operative discomfort Among patients undergoing abdominal surgery,Asut university; available at www.euc.edu.eg.Egyptian universities libraries, access at(4-1-2017).
Basavanthappa, B.T. (2015).Medical -Surgical Nursing, 3rd ed., London.Jaypee Brothers Medical Publishers, p: 297-300
Bell, F., (2012). A review of the literature on the attitudes of nurses to discmfort management. Journal of Orthopedic Nursing 4, 64-7o.
Borgonovo, AE. Giussani, A. Grossi ,GB.and Maiorana, C.( 2014). Evaluation of post-operative discomfort after impacted mandibularthird molar surgery using three different types of flap. Quintessence Int.;45:319-330
Broekmans, S., Vanderschveren, S., Morlion, B., Kumar, A.,and Evers, G., (2014). Nurses’ attitudes toward discomfort treatment with opioids: a survey in a Belgian university hospital. International Journal of Nursing Studies 41, 183-189.
Chintamani.(2016).Lewis Medical Surgical Nursing, 3ed.,Australia.Elsevier india,p;396-400.
Fitzgibbons, R.J. (2016). Inguinal hernia. Schwartz principles of surgery. 8th Ed In: Charles Brunicardi, Dana K. Anderson, McGraw Hill.;1353-93.
 
Ferrell ,BR.& McCaffery, M. (2014). Knowledge and Attitudes Survey Regarding discomfort.CityofHope.Availablefrom: http://prc.coh.org/Knowldege%20%20&%20Attitude%20Survey%207–14%20(1).pdf, accessed March 20 2016.
Glindvad, J. & Jorgensen, M. (2012) .Postoperative education and discomfort in patients with inguinal hernia. Journal of Advanced Nursing 57(6), 649–657 doi: 1o.1111/j.1365-2648.2oo6.o4157.x
Hall-Lord, M., &Larsson, B., (2014). Registered nurses’ and student nurses’ assessment of discomfort and distress related to specific patient and nurse characteristics. Nurse Education Today 26, 377e387
Huang,G. Zheng,H. and Yuting A.(2015). The Study on Perioperative Nursing for the Patients with Inguinal Hernia. JournalofNursing.4(2).Carr E (2017) Overcoming barriers to effective discomfort control. Prof Nurse 12(5): 412–6
Inaba, T.Okinaga, K.and Fukushima, R .( 2014). Chronic pain and discomfort after inguinal hernia repair. Surg Today;42:825-829.
Iqbal,M.Akhter,S.and Irfan,M.(2015)prevalence of hernia in relation to various risk factors in district Narowal,Pakistan.J ResearchGate.3(1):P.29.
Klopper, H., Andersson, H., Minkkinen, M., Ohlsoon, C.,and Sjöström, B., (2o12). Strategies in assessing postoperative discomfort e A South African study. Intensive and Critical Care Nursing 22, 12-21.
Lewis, S., Dirksen, S., Heitkemper, M. and Bucher, L. (2016).Assessment and Management of Clinical Problems,Medical -Surgical Nursing,8thed., Mosby Elsevier Inc.,section (5), p:578.
Linda, M. and Ignatavicius, D. (2o13).Patient-CenteredCollaborative Care, Medical -Surgical Nursing,7thed.,Elsevier Inc,p:663.
Linton,A.(2015).Introduction to Medical Surgical Nursing, 6thed.,Elsevier Health Sciences,p;272.
Maysoon S. Abdalrahim ,M, Sawsan A. Majali b , Margareta ,and Ingegerd Bergbom.,(2015). The effect of postoperative discomfort management program on improving nurses’ knowledge and attitudes toward discomfort. Nurse Education in Practice 11 (2011) 250-255
McNamara ,MC. Harmon ,D,.and Saunders, J(2012) . Effect of education on knowledge, skills and attitudes around pain. Br J Nurs ; 21 16:958–964.
Mitchell,M.(2o13).Anxiety management: a distinct nursing role in day surgery.Ambulatory Surgery ;8,119–127
 
Mun m, Suki S. K.(2014). Enhancing Knowledge and Attitudes in discomfort Management: A discomfort Management Education Program for Nursing Home Staff. discomfort Management Nursing;15 (1) : pp 2-11
Paice A., Toy C., and ShottS. (2014):  Barriers to discomfort relief: Fear oftolerance and addiction. Journal of discomfort and Symptoms Management. 16(18); 1-9.
 
Ren, Z.(2014). Laparoscopic inguinal hernia repair perioperative nursing experience. Journal of Medical Information. ;27(6):333—334.
Robleda,M. Sanchez ,(2015). Postoperative Discomfort After Abdominal Surgery: An Observational Study. Journal of Peri Anesthesia Nursing: 3o, ( 4): pp 272-279
Russell, R.C.G., Williams, N.S. and Bulstrode, C.J.K. (2017). Hernias, umbilicus and abdominal wall.Bailey & Love’s - Short practice of surgery, 25th Edition.London:Arnold.;968-9o.
Sultan, B., Qureshi, Z. and Malik, M.A. (2015). Frequency of external hernias inAyub Teaching Hospital Abbottabad. J Ayub Med CollAbbottabad;21(3):57-58.
Timby, B. and Smith, N. (2014): Introductory Medical Surgical Nursing,11thed.,China. Lippincott Williams and Wilkins; P.p. 762-763.
Velanovich, V., Shaddik, P., Khaitan, L., Morton J, Maupin G. and Traverso, L.W. (2015). Analysis of the SAGES outcomes initiative groinhernia database. SurgEndos;2o:191-198.
Wang, X.(2013). Nursing experience from 51 cases of laparoscopic total extraperitoneal hernia repair. Journal of Qiqihar Medical College.;(17):2638—2639.
Warraich, R. Faisal, M.Rana, M. Shaheen, A. Gellrich, NC.and Rana, M.( 2013). Evaluation of post-operative discomfort following third molar surgery using submucosal dexamethasone—a randomized observer blind prospective study. Oral Surg Oral Med Oral Pathol Oral Radiol.;116:16-22.
Wells, N., Pasero, C. and McCaffery, M. (2015).Improving the quality of care through painassessment and management. In: Hughes RG, Ed. Patient Safety and Quality:An Evidence-Based Handbook for Nurses. Rockville, Maryland: Agency for Healthcare Research and Quality.
Wengström, Y., Geerling, J. and Rustøen, T. (2014).European Oncology Nursing Society [1o]breakthrough cancer pain guidelines. European Journal of Oncology Nursing.;18(2):127-31.
WHO (2016) Report of a WHO Study Group on Multiprofessional Education for Health Personnel: The Team Approach. WHO, Geneva.UKCC (2014) Fit for Practice. UKCC, London.
Williams,L.andHopper,P(2015):Understanding Medical Surgical Nursing, 10th ed.,china.F.A.Davis;P.227.
Young, J., Horton, F.,and Davidhizar,( 2011). Nursing attitudes and beliefs in pain assessment and management. Journal of Advanced Nursing 53, 412-421.
Zegerman A, Ezri T,and  Weinbroum AA.( 2014). Post-operative discomfort (other than pain)—a neglected feature of postanesthesia patient care. J Clin Monit Comput.;22:279-284.
 
Zhang, C., Hsu, L., Zou, B., Li, J., Wang, H.,and Huang, J.,( 2008). Effects of a pain education program on nurses’ discomfort knowledge, attitudes and discomfort assessment practices in China. Journal of discomfort and Symptom Management 36 (6), 616e627.