Nurses' compliance to patient and environmental safety guidelines in critical care units

  • Authors

    • Eman Aly Abd Elhamid Minia University
    • Nehad Ezz Eldin Abdallah cairo university
    • Safaa Mohamed Abd Elrahman Minia University
    2020-11-28
    https://doi.org/10.14419/ijans.v9i2.29726
  • Compliance, Guidelines, Environment, Nurse, Safety.
  • The ability to provide safe and high-quality care to patients is the primary goal and the focus for many health care providers. Guidelines can be used to reduce adverse event in practice and to promote the delivery of high quality and evidence-based health care. The aim of the study to investigate nurses' compliance to patient and environmental safety guidelines in critical care units. Descriptive research design was utilized to achieve the aim of this study. The study was carried out at three of Minia University Hospitals in Minia city. All available nurses (n= 88) who were working in critical care units at time of data collection in the selected hospitals. An environmental and patient safety guidelines questionnaire was used to achieve the aim of this study. Results: less than two third of studied subject were not compliance to patient safety nurses', while nurses complied to environmental safety with 62.5% in critical care units; also, there is highly statistical significance between departments and nurses' compliance to patient safety. Thus, it was concluded that less than two third of studied subject were not compliance to patient safety. As well as environmental safety in critical care units was appropriate with 62.5% in critical care units. Recommendations: Staff development programs for nurses working in critical care units related to patient and environmental safety as well as ensuring that the organization’s annual budget includes adequate resources to implement and evaluate health and safety activities.

     

     

  • References

    1. [1] Agency for Healthcare Research and Quality. (December 2005). National healthcare quality report. Rockville, MD: U.S. Department of Health and Human Services, Agency for Healthcare Research and Quality. AHRQ Pub. No. 06-0018. Available at: www.ahrq.gov/qual/nhqr05/nhqr05.htm. Retrieved on May 3, 2019.

      [2] Ali. A. (2010). Assessment of nurses' awareness about availability and importance of applicability of safety measures, published master thesis, Assuit University, 92.

      [3] Amiri, M., Khademian, Z., & Nikandish, R. (2018). The effect of nurse empowerment educational program on patient safety culture: a randomized controlled trial. BMC medical education, 18(158):1-8. https://doi.org/10.1186/s12909-018-1255-6.

      [4] Ammouri, A. A., Tailakh, A. K., Muliira, J. K., Geethakrishnan, R., & Al Kindi, S. N. (2015). Patient safety culture among nurses. International Nursing Review, 62(1), 102-110. https://doi.org/10.1111/inr.12159.

      [5] Backes, M. T. S., Erdmann, A. L., & Büscher, A. (2015). The living, dynamic and complex environment care in intensive care unit. Revista latino-americana de enfermagem, 23(3), 411-418. https://doi.org/10.1590/0104-1169.0568.2570.

      [6] Bassuni, E. M., & Bayoumi, M. M. (2015). Improvement critical care patient safety: using nursing staff development strategies, at Saudi Arabia. Global journal of health science, 7(2), 335-343.†https://doi.org/10.5539/gjhs.v7n2p335.

      [7] Canadian Nurse Association. (2004). Nurse and patient safety: discussion paper Faculty of Nursing, Toronto university, Ottawa.

      [8] Cheragi, M. A., Manoocheri, H., Mohammadnejad, E., & Ehsani, S. R. (2013). Types and causes of medication errors from nurse's viewpoint. Iranian journal of nursing and midwifery research, 18(3), 228-231.

      [9] Colón-Emeric, C. S., Plowman, D., Bailey, D., Corazzini, K., Utley-Smith, Q., Ammarell, N., Anderson, R. (2010). Regulation and mindful resident care in nursing homes. Qualitative Health Research, 20(9), 1283–1294. https://doi.org/10.1177/1049732310369337.

      [10]Efstathiou, G., Papastavrou, E., Raftopoulos, V., Merkouris, A. (2011). Factors influencing nurses' compliance with Standard Precautions in order to avoid occupational exposure to microorganisms: A focus group study." BMC nursing : 10(1), 1-12â€. https://doi.org/10.1186/1472-6955-10-1.

      [11]Gutsche, J. T., & Kohl, B. A. (2007). Who should care for intensive care unit patients?. Critical care medicine, 35(2): S18-S23. https://doi.org/10.1097/01.CCM.0000252907.47050.FE.

      [12]Hassan, M. R., & Ahmed, T. S. (2012). Patient safety assessing nurses’ compliance. Journal of American Science, 8(1), 748-755.

      [13]Hirumalai, A. (2010). Nursing compliance with standard fall prevention protocol among acute care hospital nurses, Published master thesis, University of Nevada Las Vegas, 44.

      [14]Joint Commission. (2017). The essential role of leadership in developing a safety culture. Published by the Department of Corporate Communications, Sentinel event alert (issue 57).

      [15]Julianto R, Thiangc P, & Boonyoung N. (2016). Review: Factors related to compliance of nurses toward the use of personal protective equipment in the hospital. Available at http://applications.emro.who.int/dsaf/EMROPUB_2016_EN_18948.pdf?ua=1.

      [16]Kane-Gill, S., & Weber, R. J. (2006). Principles and practices of medication safety in the ICU. Critical care clinics, 22(2): 273-290. https://doi.org/10.1016/j.ccc.2006.02.005.

      [17]Mazhari, Z., Hesam, S., & Zarnaq, R. K. (2014). The compliance rate of patient safety standards in hospital: a compare and analysis at Tehran hospitals. Journal of American Science, 4(14), 12-17.

      [18]Powell-Cope G, Nelson AL, Patterson ES. (2008). Patient Care Technology and Safety. In: Hughes RG, editor. Patient Safety and Quality: An Evidence-Based Handbook for Nurses. Rockville (MD): Agency for Healthcare Research and Quality (US); Apr. Chapter 50.

      [19]Sexton, J. B., Helmreich, R.L., Neilands, T.B., Rowan, K., Vella, K., Boyden, J., Thomas, E.J. (2006). The safety attitude questionnaire psychometric properties, benchmarking data and emerging research. BMC, Health services research, 6(44), 1-10. https://doi.org/10.1186/1472-6963-6-44.

      [20]Sexton, J.B., Berenholtz, S.M, Goeschel CA, Watson, S.R., Holzmueller, C.G., Thompson, D.A., Hyzy, R.C., Marsteller, J.A., Schumacher, K., & Pronovost, P.J. (2011). Assessing and improving safety climate in a large cohort of intensive care units. Crit Care Med; 39(5):934-939. https://doi.org/10.1097/CCM.0b013e318206d26c.

      [21]Shojania, K.,G., Duncan, B.W., McDonald, K.M., Wachter, R.M., Markowitz, A.J. (2001). Making health care safer: a critical analysis of patient safety practices." Evid Rep Technol Assess (Summ), 43(1): 1-668.

      [22]Suliman M. (2018). Measuring Nurses’ Compliance with Safety Precautions for Patients in Intensive Care Units. International Journal of Nursing Education, 10(4), 84-89. https://doi.org/10.5958/0974-9357.2018.00108.3.

      [23]Twigg, E., Christine, D., & Gemma, E. (2013). The critical role of nurses to the successful implementation of the National Safety and Quality Health Service Standards." Australian Health Review 37.4 541-546 https://doi.org/10.1071/AH12013.

      [24]Warelow, P., Edward, K. L., & Vinek, J. (2008). Care: What nurses say and what nurses do. Holistic Nursing Practice, 22(3):146-153. https://doi.org/10.1097/01.HNP.0000318023.53151.33.

      [25]World Health Organization (WHO). Global guidelines for the prevention of surgical site infection. 2018. Available at https://www.who.int/publications/guidelines/patient_safety/en/ retrieved on June, 1, 2019.

      [26]World Health Organization (WHO). Patient safety: making health care safer. (2017). Available at https://apps.who.int/iris/bitstream/handle/10665/255507/WHO-HIS-SDS-2017.11-eng.pdf retrieved on June, 1, 2019.

      [27]World Health Organization. Patient safety assessment manual. (2011). Available at http://applications.emro.who.int/dsaf/emropub_2011_1243.pdf. Retrieved on June, 10, 2019.

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    Aly Abd Elhamid, E., Ezz Eldin Abdallah, N., & Mohamed Abd Elrahman, S. (2020). Nurses’ compliance to patient and environmental safety guidelines in critical care units. International Journal of Advanced Nursing Studies, 9(2), 61-67. https://doi.org/10.14419/ijans.v9i2.29726