Asian Journal of Nursing Education and Research

Open Access Open Access  Restricted Access Subscription Access
Open Access Open Access Open Access  Restricted Access Restricted Access Subscription Access

Effectiveness of an Instructional Program on Nurse’s Knowledge and Practice Concerning Patients Discharge Planning Post Cardiac Surgery at Cardiac Centers and Hospitals in Baghdad City


Affiliations
1 Department of Adult Nursing, College of Nursing, University of Baghdad, Iraq
     

   Subscribe/Renew Journal


Objective (s): The study aims to determine the effectiveness of an Instructional program on nurse's knowledge and practices concerning patients discharge planning post cardiac surgery, and to find out the relationship between the effectiveness of program with age, gender, marital status, level of education, years of experience and training course. Methodology: A quasi-experimental design study was carried out at cardiac centers and hospitals in Baghdad city in the surgical wards, for the period of January, 2nd, 2017, to June 1st, 2018, The study samples are composed of (58) nurses who have been working in the surgical wards of Ibn Al- Bitar specialized center for cardiac surgery; Iraqi center for heart disease and Ibn al Nafees hospital, those nurses are divided equally into the study group (29) and control group (29). The researcher constructed instructional program and instruments in order to reach the aims of this study, the questionnaires consist of three parts; first is concerned with the demographic data for nurses; and the second part is concerned with the assessment of the nurses' knowledge about patient discharge planning and the third to assess the nurses' practices. Reliability of the instrument was determined through the use of the test-retest approach for knowledge test and inter observer for nurses practice. While the Instrument validity was determined through content validity, by a panel of experts. Result: The results of the current study revealed that nurses who participated in education program demonstrated a greater knowledge level than the control groups in relation to general information, follow up, wounds care, exercise program and daily activity, common health problems, medication, nutrition and risk factor modification. Effectiveness of educational program regarding nurse's practice toward patients' discharge of planning had a positive effect on nurse's practice as compare with control group in relation to all discharge planning domains. Conclusion: The study concluded that there was a positive effect of implemented an education program related patient discharge planning post cardiac surgery on the cardiac surgical ward nurses knowledge and practice Recommendations: Based on the results of the current study' the researcher recommended to initiate a discharge planning team from several specialties at the cardiosurgical centers and hospitals in the whole country. Offered the data of this study to carry out at the cardio surgical centers and hospitals as part of the standard care of this setting.

Keywords

Effectiveness, Instructional Program, Patients Discharge Planning, Knowledge, Practice.
Subscription Login to verify subscription
User
Notifications
Font Size


  • Ahmed H, Ibrahim Y, Soussi A, El Said M, El. The Effect Of Early Activity On Patients Outcome After Open Heart Surgery. Ajaic 2006; 9 (3), 34-43.

  • Ozcan H, Yildiz Findik U, Sut N,. Information level of patients in discharge training given by nurses following open heart surgery. International journal of nursing practice. 2010; 16 (3), 289-294.

  • Yildiz T, Gurkan S, Gur O, Unsal C, Goktas S, B, Ozen Y,. Effect of standard versus patient-targeted in-patient education on patients’ anxiety about self-care after discharge from cardiovascular surgery clinics : cardiovascular topic. Cardiovascular Journal Of Africa. 2014; 25 (6), 259-264.

  • Dal U, Bulut H, Guler Demir S,. The problems experienced by the patients at home after surgery. Bakirkoy Tip Dergisi / Medical Journal of Bakirkoy. 2012; 8 (1), 34-40.

  • Kucia A and Quinn T,. Acute Cardiac Care: A Practical Guide for Nurses; Wiley, 2009.

  • Bangsbo A, Duner A, Liden E,. Patient participation in discharge planning conference. International journal of integrated care. 2014; 14 (November), e030.

  • Hodge T. Fast Facts for the Cardiac Surgery Nurse, Second Edition: Caring for Cardiac Surgery Patients in a Nutshell; Springer Publishing Company, 2015.

  • Nagata S, Tomura H, Murashima S,. Expansion of discharge planning system in J a p a n : Comparison of results of a nationwide survey between 2001 and 2010. BMC Health Services Research. 2012; 12 (1), 1.

  • Al- Ftlawy D. (2014) Determination of nurses' knowledge toward care provided to patients with acute myocardial infarction in al-Najaf city. Kufa Journal for Nursing Sciences. 2014; Vol. 2, No. 2, Mar. ISSN 2223-4055.

  • Khudur K, Atiyah H, Al-Fayyadh S. Assessing the nurse’s responsibility in modifying myocardial infarction risk factors: a descriptive correlational design study in Ibn al-Bitar specialized center for cardiac surgery. Journal of Multidisciplinary. 2016; VOLUME 3 ISSUE 10 ISSN: 2319 - 2801.

  • Sanad H. Cardiac Nurses ’ Knowledge of the Physical Examination of Patients with Heart Failure. International Journal of Pharmaceutical and Phytopharmacological Research. 2017; 7(4), 1 -6 .

  • Rajeswaran L, Ehlers V. Cardiopulmonary resuscitation knowledge and skills of registered nurses in Botswana. Curationis. 2014; 37(1), 1 —7.

  • Younis, Y. (). Nurse's knowledge about modifiable and non-modifiable risk factors of heart failure patient in Erbil teaching hospitals. Kufa Journal for Nursing Sciences. 2014; Vol.4 No. 3,; ISSN 2223-4055

  • Abd El naeem M, Mohamed N, Mohammed M, Abd El-Aziz M. Effect of teaching program on knowledge and skills regarding automatic external defibrillation among nurses working in emergency unit. IOSR Journal of Nursing and Health Science. 2016; Volume 5, Issue 1, 08-15.

  • Al-Hchaim M, Hamza R. Effectiveness of educational program on nurse's knowledge about management of patients with heart failure. International Journal of Scientific and Research Publications. 2016; Volume 6, Issue 9, 416- 24.

  • Fashakh A, Kadhem H. Effectiveness of nursing intervention on patients with acute myocardial infarction in cardiac centers at Baghdad city hospitals. Kufa journal for nursing sciences. 2016; Vol. 6 No. 2, 1 - 11.

  • Al-Ganmi A. Assessment of Nurses' Knowledge Concerning Cardiogenic Shock for Patients' in Cardiac Care Unit at Baghdad Hospitals. Kufa Journal for Nursing Sciences. 2015; Vol. 4, No. 2, Nov. ISSN 2223-4055.

  • Buraihi S, Mohammed S. Effectiveness of an educational program on nurses knowledge concerning prevent of post-thoracic surgery complications at al-Naja f teaching hospitals. International Journal of Science and Research 2015; Vol. 6, 1064 - 70.

  • Karim H. Effect of education on nurse ’ s knowledge about low cardiac output syndrome identification and management. Nurse Care Open Access J. 2017; 3(2):251-253.

  • George K. Effectiveness of structured teaching program on knowledge and practices of staff nurses on prevention of intravenous cannulae complications. Archives of Medicine and Health Sciences. 2013; Vol 1 Issue 2, 115 - 19.

  • Naseer A, Hassan H. Effectiveness of educational program on nurses practices toward rehabilitation for patients with cardiac heart attack. Kufa journal for nursing sciences. 2015; Vol.5 no.1, 1-7.

  • Mohammed H, Atiyah H. Nurses knowledge concerning an implantation pacemaker for adult patients with cardiac rhythm disorder at al-Nassirrhyia heart center. Kufa journal for nursing sciences. 2016; Vol.6 No. 1, 216- 23.

  • Al-Fatlawi M, Ahmed S. Assessment of nurses' knowledge concerning discharge planning for patients' with open heart surgery in cardiac center at Baghdad city. International Journal of Scientific and Research Publications. 2016; Volume 6, Issue 10, 162 - 67.

  • Hassan A. Assessment of nurses' knowledge about patient safety after cardiac catheterization for adult patients in Ibn al - biter specialist center cardiac surgery. International Journal of Science and Research. 2015; 6(5),2763-2766.

  • Hassan, N., Aburaghif, L. Effectiveness of an educational program on nurse's knowledge concerning complications of cardiac catheterization among children at al-Nasiriya heart center. Kufa journal for nursing sciences. 2016; Vol. 6 No. 3, 161 - 71.

  • Qaddumi J, Khawaldeh A. Pressure ulcer prevention knowledge among Jordanian nurses: A cross- sectional study. BMC Nursing. 2014; 13(1),1-8.

  • Mahrous F. Effect of universal precautions intervention program on nurses' knowledge and practices toward hepatitis b virus. Academic Research International. 2016; Vol. 7(2), 1 - 10.

  • Degavi G, Bhupali P. Knowledge regarding cardiac rehabilitation among staff nurses. A sian J. Nur. Edu and Research. 2015; 5(1), 87 - 93.

  • Fashafsheh I, and Eqtait F. (x) Knowledge and Practice of Nursing Staff towards Infection Control Measures in the Palestinian Hospitals. Journal of education Practice. 2015; 6(4), 79 - 91.

  • Aziz S, and Lafi S. Evaluation of nurses’ practices provided to the patients who undergo open heart surgery in Sulimani center of heart diseases (s.c.h.d). Kufa journal for nursing sciences. 2013; vol. 3 no. 1, 69 - 81.

  • Gijare, M. Effectiveness of teaching on infection control practices among health care professionals. Sinhgad e Journal of Nursing. 2012; 2(2), 5 - 9.

  • Ali, N., Youssef, W., Mohamed, A., Hussein, A. (2015). Nurses’ knowledge and practice regarding implantable cardiac devices in Egypt. British Journal ofC a rd ia c Nursing, Vol 10 No 1, 551 - 57.

  • Thomas M. A study to evaluate the effectiveness of video assisted teaching programme on knowledge and practice regarding cardioversion and defibrillation among staff nurses working in cardiac unit in selected hospitals of bagalkot. 2013. retrieved from http://52.172.27.147:8080/jspui/handle/123456789/8074.

  • Raiza Raju, Gireesh G R, Sachina B.T, Ann Barnes, Raiju Panchikkil. A Study to Assess the Effectiveness of Self Instructional Module on Cardiomyopathy and Its Management among Staff Nurses at Selected Hospital, Mangalore. Int. J. Adv. Nur. Management 2(4): Oct. - Dec., 2014; Page 239-243.

  • Vishakantamurthy, Muruli Mohan, Manasa M. Effectiveness of Self Instructional Module on Knowledge Regarding Dysrhythmias and its Management among Staff Nurses at selected Government Hospitals, Mysore. Int. J. Adv. Nur. Management 2(4): Oct. - Dec., 2014; Page 244-247.

  • Ajith. V.M, Gowri, Jamuna Rani. Effectiveness of Video Assisted Teaching Programme on Knowledge regarding Identification and Management of selected Cardiac Arrhythmias among Staff Nurses. Int. J. Adv. Nur. Management 4(1): Jan. - Mar. 2016; Page 6-10.

  • Shamna Majeed Abdul Majeed, Shambhavi. Effectiveness of planned teaching programme on knowledge and practice of endotracheal suctioning among staff nurses in selected hospitals of Mangalore. Asian J. Nur. Edu. and Research 3(4): Oct.- Dec., 2013; Page 243-247.

  • J. Lissa, Saraswathi K.N., Munirathanama K. Effectiveness of Structured Teaching Programme on Knowledge regarding Management of Pressure sore among the nurses in selected Hospital at Mysore. Asian J. Nur. Edu. & Research 4(1): Jan.-March 2014; Page 119-122.

  • Sailaja Busi, Ramanjamma. K.. Effectiveness of structured teaching programme on level of knowledge and practices regarding prevention of ventilator associated pneumonia among critical care nurses of NRI General Hospital, Guntur, A.P., India. Int. J. Adv. Nur. Management. 2016; 4(2): 125-129.

  • Geetarani Nayak. Effectiveness of Structured Teaching Programme on Back Care among Staff Nurses in selected Hospital at Bhubaneswar, Odisha. Asian J. Nur. Edu. & Research 4(2): April- June 2014; Page 235-237.

  • Reema Mathew, G. Hemavati, Sreemini Pillai, Abhilekha Biswal. A Study to Assess the Effectiveness of Structured Teaching Programme Regarding Arterial Blood Gas Analysis and Interpretation in Terms of Knowledge among Nurses Working in ICU in Selected Hospitals of Indore (M.P.). Int. J. Nur. Edu. and Research 2(4): Oct.- Dec. 2014; Page 286-289.

  • Prabhu C Jevoor, Preeti Bhupali P. Effectiveness of the Self Instructional Module (SIM) on Knowledge regarding Management of the Patients with Stroke among the Staff Nurses. Int. J. Nur. Edu. and Research 3(1): Jan.-March, 2015; Page 20-29.

  • A study to assess the Effectiveness of Structured Teaching programme on Knowledge regarding Lifestyle Indrawati Rao. Modification among Hemodialysis Patients in Shree Sardar Smarak Hospital, Bardoli. Int. J. Nur. Edu. and Research 3(3):July-Sept., 2015; Page 269-274.

  • Chinna Devi M. Effectiveness of a Planned Teaching Programme on Care of Babies on Mechanical Ventilator among Staff Nurses working in ICU in Selected Hospitals at Bangalore. Int. J. Adv. Nur. Management 3(3): JulySept. 2015; Page 200-204.


Abstract Views: 279

PDF Views: 0




  • Effectiveness of an Instructional Program on Nurse’s Knowledge and Practice Concerning Patients Discharge Planning Post Cardiac Surgery at Cardiac Centers and Hospitals in Baghdad City

Abstract Views: 279  |  PDF Views: 0

Authors

Mustafa Flayyih Abdulrdha
Department of Adult Nursing, College of Nursing, University of Baghdad, Iraq
Kalida Alwan Mansour
Department of Adult Nursing, College of Nursing, University of Baghdad, Iraq

Abstract


Objective (s): The study aims to determine the effectiveness of an Instructional program on nurse's knowledge and practices concerning patients discharge planning post cardiac surgery, and to find out the relationship between the effectiveness of program with age, gender, marital status, level of education, years of experience and training course. Methodology: A quasi-experimental design study was carried out at cardiac centers and hospitals in Baghdad city in the surgical wards, for the period of January, 2nd, 2017, to June 1st, 2018, The study samples are composed of (58) nurses who have been working in the surgical wards of Ibn Al- Bitar specialized center for cardiac surgery; Iraqi center for heart disease and Ibn al Nafees hospital, those nurses are divided equally into the study group (29) and control group (29). The researcher constructed instructional program and instruments in order to reach the aims of this study, the questionnaires consist of three parts; first is concerned with the demographic data for nurses; and the second part is concerned with the assessment of the nurses' knowledge about patient discharge planning and the third to assess the nurses' practices. Reliability of the instrument was determined through the use of the test-retest approach for knowledge test and inter observer for nurses practice. While the Instrument validity was determined through content validity, by a panel of experts. Result: The results of the current study revealed that nurses who participated in education program demonstrated a greater knowledge level than the control groups in relation to general information, follow up, wounds care, exercise program and daily activity, common health problems, medication, nutrition and risk factor modification. Effectiveness of educational program regarding nurse's practice toward patients' discharge of planning had a positive effect on nurse's practice as compare with control group in relation to all discharge planning domains. Conclusion: The study concluded that there was a positive effect of implemented an education program related patient discharge planning post cardiac surgery on the cardiac surgical ward nurses knowledge and practice Recommendations: Based on the results of the current study' the researcher recommended to initiate a discharge planning team from several specialties at the cardiosurgical centers and hospitals in the whole country. Offered the data of this study to carry out at the cardio surgical centers and hospitals as part of the standard care of this setting.

Keywords


Effectiveness, Instructional Program, Patients Discharge Planning, Knowledge, Practice.

References