Day :
- Clinical Nursing
Session Introduction
Jane Koech
Kenya Methodist University, Kenya
Title: Evaluation of factors contributing to medication erros among nurses working at mbagathi district hospital
Biography:
Jane Koech is current student pursuing PhD at the age of 42 years from Kenya. She has done Masters of Science in Nursing education from Kenya methodist University. She is the program manager of Ministry of Health Kenya
Abstract:
Kenya healthcare policies provide that patient’s dignity be observed by ensuring medical safety practices are observed. In this case, medication errors are a concern for both healthcare professionals as well as patients. The main aim of this study was to evaluate factors contributing to medication safety practices among nurses working at Mbagathi District Hospital. To achieve this objective, the study investigated types of medication errors committed by nurses, established actual factors contributing to occurrence of medication errors, among nurses and finally established the barriers to reporting of medication errors among nurses working at Mbagathi District Hospital. The study adopted descriptive design study where data was collected from 121 nurses working in medical, surgical, paediatric, maternity and outpatients using structured self-administered questionnaires after a pilot study showed validity and reliability of the research instrument. Basically, to ensure that the sample was representative, respondents were stratified in to 6 strata to ensure all departments are represented and simple random was used to select the wards and participants. The data collected was cleaned and analysis was done using scientific package for social scientist (SPSS) version 20. Descriptive statistics such as means, standard deviations and frequency distribution were used to analyse the data while inferential statistics such as Chi-Square, Person Correlation, ANOVA and Regression analysis were used to tests relationships between independent variables and dependent variables. The results indicated that there exist a statistically significant positive relationship between errors made during drug administration and such errors occurred as a result of environmental factors human factors, system factors and failure to reporting previous errors. Result indicated an error rate per as 6.2. Meaning for every six patients seeking health care one patient suffers a medication error. Nurses perceive that most important barriers of reporting medication errors were fear of punishment, fear of being reprimand and fear of lawsuit. There was complacency in ensuring medication safety practices are adhered, this was further contributed by human, environmental and system factors. There was gap between medication made by nurses and reporting of those medication errors, hence the need by hospital management to put in place measures to promote medication safety practices among nurses. The study concludes that medical safety practices are not well adhered at Mbagathi District hospital and thus hospital management need to deal with all barriers that limit error reporting through creating proper communication channel for relaying information.
Kriti Thapa
College of Nursing, Nepal
Title: Attitude towards Mental Health Help Seeking Behavior among Patient Visiting OPD of BPKIHS
Biography:
I have completed my Masters of Science in Psychiatric Nursing in 2011 from Rajiv Gandhi university of Health Sciences, Bangalore, India. I am Associate Professor at Department of Psychiatric Nursing, B.P. Koirala Institute Of Health Sciences, Dharan, Nepal. I am involved in teaching learning activities of Bachelor of Science in Nursing and Masters of Science in nursing students. I am also involved in different research activities.
Abstract:
Up to today, mental health remains a neglected topic. Most people suffering from mental health problems live in developing countries, where they often do not receive the treatment they need even though it may be available and generally inexpensive. The concept 'help-seeking behavior has gained popularity in recent years as an important vehicle for exploring and understanding patient delay and prompt action across a variety of health conditions. The objectives of the study is to assess the attitude of people towards mental health help seeking behavior and to find out the association of attitude with selected variables. A descriptive cross-sectional study was conducted. A total of 161 respondents visiting OPDs of BPKIHS were selected using purposive sampling technique. A self-constructed structured questionnaire to assess the socio-demographic variables and ATSPPH-SF scale to assess the attitude of respondents. Descriptive statistics i.e. mean, percentage, standard deviation, frequency were calculated for presenting the socio demographic variables and attitude of respondents. And inferential statistics i.e. independent t-test and oneway ANOVA test have been applied to find out the relation between dependent variable and independent variables. Among the whole scores obtained by respondents, the total mean attitude score was 22.51 ± 4.085. And there were no any significant association of attitude with any of socio demographic variables.This study concludes that overall of the respondents had positive attitude regarding mental health help seeking behavior.
Denise Cummins
Sydney District Nursing, Australia
Title: Developing a HIV and Nursing online education module for undergraduate nurses on clinical placement in a community setting
Biography:
Denise is interested in research on stigma of HIV and cognitive impairment; identifying those at risk of cognitive impairment in a community setting and advanced care planning and people living with HIV.
Abstract:
Peng Yaoyao
Sichuan Province, China
Title: Analysis of current status and influencing factors of NRS in patients after orthopedic surgery
Biography:
Peng Yaoyao is from Sichuan Province, China and is working in the field of Orthopedic surgery Nursing.
Abstract:
Objective: To investigate the patients after orthopedic surgery about the current status of pain assessment in nurses using the Numeric Rating Scales (NRS) and to analyze the related influence factors.
Methods: Questionnaire survey was conducted to investigate the patients who underwent orthopedic surgery in a top three hospital in Chengdu ,when they left the hospital from 2017.12 to 2018.4. The survey included general patient information and a questionnaire on the status of pain assessment with nurses using NRS.
Results: In the survey, the scores of these two items ,whether the nurses rehearsed the pain and whether the scores were interpreted, were the lowest.they were 1.38±1.199 and 1.61±1.176 respectively. The results of whether the patients concealed their pain level and whether they expressed their pain in time were higher, 2.63 ± 0.643, 2.49±0.876 respectively. Univariate analysis found that the interval between pain assessments was the main influencing factor of patients with acute pain (P<0.05).
Conclusion: Nurses should correctly grasp the interval between pain assessments, correctly use NRS assessment method, and strengthen pain management for postoperative patients to promote the recovery of patients as soon as possible.