International Journal of Advance Research in Nursing
2021, Vol. 4, Issue 2, Part E
Nurses' performance regarding care of upper gastro intestinal bleeding patients undergoing upper endoscopy
Hanan Elhosaniy Ibrahim, Zienab Hussien Ali and Nora Salah Eldin Saad
Upper gastrointestinal bleeding is four times more frequent than lower gastrointestinal bleeding. It is associated with high morbidity and mortality rate of about 6%-10%. Endoscopy in patients with upper gastrointestinal bleeding is effective in diagnosing and treating most causes. Early endoscopy (within 24 hours of hospital admission) has a greater impact than delayed endoscopy.
The aim of this study: Was to assess nurses' performance regarding care of upper gastro intestinal bleeding patients undergoing upper endoscopy.
Design: Descriptive exploratory research design was used in this study.
Subjects: A Convenience sample of nurses in endoscopy unit. The total number of nurses(60); with various ages, qualifications, years of experience, different level of education who provide direct patient care and willing to participate in the study.
Setting: endoscopy unit at Homeyat Elabassia Hospital.
Data collection tools: three tools were used for data collection (I)Self-Administrated Questionnaire: which included (a) demographic data, (b)Nurses knowledge about upper gastrointestinal bleeding & upper endoscopy. (2) Observational checklist which included (a) pre endoscopic procedure, (b) during endoscopic procedure,(c)post endoscopic procedure and (3) Nurses' attitude questionnaire Scale.
The results: the majority of nurses has unsatisfactory level of knowledge and only about half of nurses had good level of practice regarding care of upper gastro intestinal bleeding patients undergoing upper endoscopy but, the majority of nurses had satisfactory level or positive of attitude regarding care of upper gastrointestinal bleeding patients undergoing upper endoscopy.
Conclusion: there was highly statistically significance between educational levels and total knowledge level. There were statistical significant difference between years of experience in the gastrointestinal endoscopy unit and total practice level.
Recommendation: Provide well organized training program to improve and refresh nurses' knowledge and practice. Provide nursing care standards for patient with upper GIT bleeding undergoing upper gastro intestinal endoscopy which should be written.