Effect of Educational Program on Nurses' practice Regarding Care of Adult Patients with Endotracheal Tube

Hassan, Amira Mohammed Ali

doi:10.21608/pssjn.2018.33320

Effect of Educational Program on Nurses' practice Regarding Care of Adult Patients with Endotracheal Tube

Author

Amira Mohammed Ali Hassan

Medical –Surgical Nursing, Faculty of Nursing –Suez Canal University

10.21608/pssjn.2018.33320

Abstract

The majority of patients admitted to Intensive Care Unit (ICU) requiring endotracheal intubation to maintain oxygenation and ventilation. Aim: to study the effect of educational program on nurses' practices regarding care of adult patients with endotracheal tube. Methods: A quasi-experimental design was used on a convenience sample of all available nurses (50 nurses) who were working in Intensive Care Unit, Cardiac Care Unit and Cardiothoracic Care Unit at Suez Canal University Hospital. Two tools were developed by the researcher for data collection including observational checklists regarding endotracheal tube care and nurses' opinionaire regarding the educational program. Results:there were highly statistically significant differences in total nurses' practice regarding care of patient with endotracheal tube during all program phases. Conclusion: the educational program improves nurses' practice regarding caring adult patients with endotracheal tube. Recommendations: the importance of presence of protocol or guidelines related to patients' care with endotracheal tube and upgrading nurses' practice about caring of patients with endotracheal tube through attending seminars and workshops about endotracheal tube care.

Keywords

References

Abd EL-Aziz, M.A., (2014): Effect of Educational Program On Nurses Knowledge and Skills about Oral care for Traumatized Patients. AAMJ, 12(1):25-47.

Aitken, L., Marshall, A., and Chaboyer, W., (2016): ACCCN's Critical Care Nursing. 3^rd ed., Elsevier - Health Sciences Division,Australia. P474.

Ansari, A., Masoudi Alavi, N., Adib-Hajbagheri, M., and Afazel, M., (2012): The gap between knowledge and practice in standard endo-tracheal suctioning of ICU nurses, Shahid Beheshti Hospital. Journal of Critical Care Nursing, 5(13) 71-76.

American Nurses Association (2016): http://www.nursingworld.org/MainMenuCategories/ThePracticeofProfessionalNursing/NursingEducation/ContinuingEducationforNurses.

Aysha, Z.M.S., El-Din, S.M.A., Attia, N.R., and Ibrahim, M. (2016):Efficacy of Implementing Nursing Care Protocol on the Incidence of Ventilator Associated Pneumonia in Intensive Care Unit at Tanta Emergency Hospital. Journal of American Science, 12(2) : 40-52.

Bahar, I., Elay, G., Coskun, R., Gundogan, K., Guven, M., and Sungur, M., (2015): Complications of Endotracheal Intubation in the Intensive Care Unit: A Single-center Experience after Training. Erciyes Med J Erciyes Tip Dergisi/Erciyes Medical Journal, 37(4): 133-137.

Cherry, B., and Jacob, S.R., (2016): Contemporary Nursing: Issues, Trends, & Management. 7^th ed., Mosby, USA.Pp:40-65.

Cloete, P.G., (2010): An Evaluation of Documentation of Endotracheal Intubation in Cape Town Emergency Centres. Master thesis Faculty of Health Sciences,University of Cape Town.Pp:30-34.

De Jong, A., Jung, B., and Jaber, S., (2014): Intubation in the ICU: we could improve our practice. Critical care 18 (1):1-7.

DeLaune, S.C., and Ladner, P.K., (2011): Fundamentals of nursing,4^th ed., standards & practice. Delmar, Clifton Park, N.Y. Pp:400-405.

Dennison, R.D. (2013): PASS CCRN®! 4^thed., Elsevier Health Sciences;USA. p.290.

Farsi, Z., Kalroozi, F., Nezamzadeh, M., and Rashidfar, S. (2015): Effect of clinical audit process on level of endotracheal suctioning skill in nurses and anesthesia technicians working in intensive care units, 2(2): 76-83.

Haza’a, A.N.A.M., Ibrahim, H.A., Mohammed, M.A., and AbdEl-Aziz, M.A. (2015): Impact of Educational Training Program on Nurse’s Performance for Patient Undergoing Endotracheal Tube at Assiut University Hospital. Un published Master Thesis, Faculty of Nursing, Assiut University. Pp71-72.

Jansson, M., Ala-Kokko, T., Ylipalosaari, P., and Kyngäs, H. (2013a): Evaluation of endotracheal-suctioning practices of critical-care nurses-An observational correlation study. Journal of Nursing Education and Practice, 3(7): 99-105.

Kovacs, G., and Law, J.A. (2011): Airway Management in Emergencies. People's Medical Publishing House-USA;2nd ed;PP:223-224.

Lewis, S.L., Dirksen, S.R., Heitkemper, M.M., and Bucher, L. (2014): Medical-Surgical Nursing: Assessment and Management of Clinical Problems, Single Volume.9^th ed., Elsevier Health Sciences, Canada, P.459.

Lois Krug, D., Machan, M.D., and Villalba, J. (2016): Changing Endotracheal Tube Taping Practice: An Evidence-based Practice Project. AANA Journal, 84(4): 251- 261

Lynn, P., (2015a): Skill checklists for Taylor's clinical nursing skills : a nursing process approach.4^th ed., Wolters Kluwer, Philadelphia, Pp:720-740.

Maboudi, A., Abtahi, H., Hosseini, M., Tamadon, A., and Safavi, E. (2013). Accuracy of endotracheal tube cuff pressure adjustment by fingertip palpation after training of intensive care unit nurses. Iranian Red Crescent Medical Journal, 15(5): 381-384.

Majeed, S.M.A. (2013): Effectiveness of planned teaching programme on knowledge and practice of endotracheal suctioning among staff nurses in selected hospitals of Mangalore. Asian Journal of Nursing Education and Research, 3(4): 243-247.

Morton, P.G., and Fontaine, D.K., (2013): Critical Care Nursing: A Holistic Approach.10^th ed., Wolters Kluwer Health/Lippincott Williams & Wilkins China. p.514.

Omera MA., Abdel Aziz MM., Abo Atta BA & Ali., MA (2013): Assessment of Nurses' knowledge and practice regarding care for patients with endotracheal tube. Unpublished Master Thesis Degree, Faculty of Nursing, Suez Canal University.P:3, 50.

Penitenti, R., M., Vilches, J.I., Oliveira, J.S., Mizohata, M.G., Correa, D.I., Alonso, T.R., Mathiazzi, I.C., and Testa, R.S. (2010): Cuff pressure control in intensive care unit: training effects (Controle da pressão do cuff na unidade terapia intensiva: efeitos do treinamento). Revista Brasileira de terapia intensiva, 22 (2):192-195.

Perry, A.G., Potter, P.A., and Ostendorf, W. (2014): Clinical Nursing Skills and Techniques, 8^th ed., Elsevier Health Sciences, Phaledphia, Ch, 25, Pp: 626-643.

Proehl, J.A., (2009): Emergency nursing procedures. 4th ed., Saunders Elsevier, St. Louis, Mo. USA, Pp: 27- 57.

Seliman, A.M., El-Soussi, A.H., Sultan, M.A., and Othman, S.Y. (2011): Effect of Implementing Nursing Guidelines for Tube Feeding on the Occurrence of Aspiration among Critically Ill Patients. Nature and Science, 9(11): 164-175.

Samuelson, K.A.M., (2011): Adult intensive care patients' perception of endotracheal tube-related discomforts: A prospective evaluation. YMHL Heart & Lung - The Journal of Acute and Critical Care, 40(1): 49-55.

Sharma, S., Sarin, J., and Kaur Bala, G. (2014): Effectiveness of “endotracheal suctioning protocol” in terms of knowledge and practices of nursing personnel. Nursing and Midwifery Research Journal, 10(2): 47-60.

Subramanian, P., Choy, K.L., Gobal, S.V., Mansor, M., Ng, K.H. (2013): Impact of education on ventilator-associated pneumonia in the intensive care unit. Singapore medical journal, 54(5): 281-284.

Varghese, S.T., and Moly, K., (2016): Exploratory study on the knowledge and skill of critical care nurses on endotracheal suctioning. The Journal of National Accreditation Board for Hospitals & Healthcare Providers, 3(1): 13-19.

Winton, J., Celenza, A., and Jackson, T. (2008): Improving documentation of endotracheal intubation in an adult emergency department. Emergency

medicine Australasia : EMA, 20(6): 488-493.

Zaiton, H.I., and Elhanafy, E.Y. (2015): Impact of Implementation Nursing Guidelines on Minimizing Ventilator Associated Pneumonia among Intensive Care Patients. Advances in Life Science and Technology, (29): 2015: 40-51.