Volume 9, Issue 2

Knowledge and Skills of Cardiopulmonary Resuscitation among Critical Care Nurses in Kuwaiti Hospitals
Original Research
Background: The ability of nurses and the other health care professionals to deal with cardiac arrest effectively depends largely on their knowledge and skills regarding the cardiopulmonary resuscitation (CPR) procedure. Purpose: The purpose of this study was to identify the level of knowledge and skills about CPR and the factors influencing the level of CPR knowledge and skills among critical care nurses in Kuwait. Methods: To meet the purpose of this study, a descriptive, cross-sectional, and correlational design was used. A sample of 204 critical care nurses from two governmental hospitals completed the study. Three instruments were used to collect data, including the demographic questionnaire, the CPR certification exam quiz, and the Basic Life Support Skills Checklist. Results: About 56.4% of the study participants passed the skills exam about CPR. However, only 15.7% passed the knowledge test about CPR. Better CPR Knowledge was associated with working in Hospital 2, receiving formal training in CPR, and being AHA certified. Better CPR skills was related to working in Hospital 2, male gender, experience in nursing, experience in travelling with patients for seeking treatment outside Kuwait, being AHA certified, and receiving formal training in CPR (P<0.05). Conclusion: Frequent education and training in CPR in the hospital and having CPR accreditation from AHA are required for critical care nurses in order to increase their ability to save the life of critically ill patients who are at risk for cardiac arrest.
American Journal of Nursing Research. 2021, 9(2), 64-70. DOI: 10.12691/ajnr-9-2-4
Pub. Date: January 26, 2021
Effectiveness of Promoting Mothers’ Caring Practices Regarding Their Down Syndrome Children on the Family Coping
Original Research
Down Syndrome is a lifelong chromosomal disorder caused by an extra copy of chromosome number 21 inside each of the body’s cells. This genetic disorder, causes mental retardation and developmental delays. Aim of this study was to determine the effect of promoting mothers’ caring practices regarding their children with Down Syndrome on the family coping. Subjects and Method: A quasi-experimental research design used for sixty mothers and their children with Down Syndrome at Pediatric Outpatient Genetic Clinic of Tanta University Hospital. Three tools were used for data collection: Structured Interview Schedule to assess socio-demographic and mothers, knowledge about Down Syndrome, Mothers, Care Reporting Sheet and Family Crisis Oriented Personal Scales. Results: The total scores of knowledge for more than three quarters of mothers were low before educational program while, more than half of them had moderate level of knowledge and less than half of them had high level immediately after program. The total scores of most mothers, reported care were unsatisfactory before educational program while, the majority of them had satisfactory care immediately and one month after program. Family adaptation for nearly two thirds of caregivers was fair before program while, all of them had good adaptation immediately after program. Conclusion: There was a significant improvement of mothers, knowledge, reported care and family adaptation towards crises. Recommendations: Continuous health education program should be applied to mothers of children with Down Syndrome in health care facilities to improve their knowledge and practice that affect family adaptation.
American Journal of Nursing Research. 2021, 9(2), 53-63. DOI: 10.12691/ajnr-9-2-3
Pub. Date: January 24, 2021
Knowledge and Attitude of Nurses towards Infection Control Practices during Hajj Season at Tertiary Care Hospital in City of Makkah
Original Research
Infection prevention and control is required to prevent the transmission of communicable diseases in all health care settings. Every health care worker plays a vital part in helping to minimize the risk of health care-associated infections. Aim of the study: This study aimed to determine the level of knowledge, skills and attitude of nurses towards infection control practices during Hajj at Tertiary Care Hospital in Makkah. Research design: Quantitative descriptive cross-sectional correlational research design. Setting: The study was conducted at one of the tertiary care hospitals in Makkah. Sample: A convenient sample of (82) nurses assigned in different units. Tools of data collection: In the collection of data, validated self-made questionnaire was uploaded thru “Monkey Survey” and sent to the participants and data were analyzed using Kruder Richardson for the level of knowledge, and Cronbach alpha for the level of skills and attitude with its reliability testing. Result: The study revealed that nurses had a very good knowledge and having very positive attitude, which is a good indicator that infection control practices at tertiary care hospital in Makkah have been observed. Conclusion and Recommendations: Nurses are expected to actively participate in training or seminars related to infection control practices to acquire more knowledge, develop their skills and improve their attitude in handling with hospital wastes particularly sharps, and proper segregation of linen with commitment to follow the "5 Moments of Hand Hygiene" and appropriate use of PPE.
American Journal of Nursing Research. 2021, 9(2), 45-52. DOI: 10.12691/ajnr-9-2-2
Pub. Date: January 15, 2021
The Impact of Short-Term Solutions of Nursing Shortage on Nursing Outcome, Nurse Perceived Quality of Care, and Patient Safety
Original Research
BACKGROUND: Nurses represent a significant proportion of the entire healthcare workforce. Unfortunately, the world is plagued with the shortage of qualified nurses to deliver safe, dignified, compassionate care. OBJECTIVE: The objective of the study was to determine the relationships between overtime and floating as short-term solutions and nursing outcomes, nurse-perceived quality of care and patient safety among registered nurses in Saudi Arabia. SETTING/DESIGN: A cross-sectional study was conducted at King Abdullah Medical City (KAMC) located in Makkah, Saudi Arabia. SUBJECTS AND METHODS: The study was conducted for two months (from July 20, 2020 to August 20, 2020), including both inpatient and outpatient registered nurses who had worked for, at least, one year at KAMC either as part-time or full-time. Nurses who had worked for less than one year, nurse educators, nurse managers and clinical nurse specialists were excluded. Measuring Variables included demographic characteristics, job satisfaction, intention to leave, nursing perceived quality of care, perceived patient safety, patient safety, patient acuity and dependency, workload and floating. A pre-designed questionnaire was distributed to willing nurses. Data were non-normally distributed and Scatter plots were also generated. T-test was used to find the relation of floating and overtime with sample characteristics. RESULTS: A total of 337 registered nurses completed the questionnaire. Majority of the participants were from 41-50 years of age group (60.5%), and non-Saudi nationals (90.5%). Statistically significant relation of age groups with development of pressure ulcers (p = 0.030) was found. Nationality showed significant relation with job satisfaction (p = 0.008), quality of care (p = 0.006) and patient safety (p <0.05). Specialist nursing category showed significant association with quality of care (p = 0.008) and pressure ulcers development (p = 0.050). Education level, overtime floating showed significant association with intention to leave (p <0.05). Nationality, extended shifts and mandatory overtime had significant association with job satisfaction. Hospital data showed significant association of overtime with medication error. CONCLUSION: Unmarried Saudi nurses have potential to provide quality of care to the patient with satisfied patient safety, especially in the days of overtime and increased workload.
American Journal of Nursing Research. 2021, 9(2), 35-44. DOI: 10.12691/ajnr-9-2-1
Pub. Date: December 27, 2020