Articles

Evaluation of Prevention of Patients at Risk of Falls in Nurses in Inpatient Department: A Qualitative Case Study

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Patient safety is an essential component of quality health services. However, patient care still has shortcomings, especially in patient safety incidents such as patients being injured due to falls. This study aimed to evaluate the implementation of prevention for patients at risk of falling in nurses in the inpatient department in a hospital setting. This qualitative research with a case study approach was conducted from February to April 2024 in a government hospital in Lampung, Indonesia. A total of 20 informants consisting of 10 implementing nurses as the primary informants, one head of nursing, one secretary of the Committee for Improving Quality and Patient Safety, five heads of inpatient rooms, and three patients at risk of falling as supporting informants were recruited purposively. In-depth interviews, Focus Group Discussions, and observations were conducted for data collection. Thematic analysis was used for data analysis. The implementation of prevention of patients at risk of falling in nurses in the inpatient department has been employed in the form of providing facilities, facilities, and completeness of the assessment form for patients at risk of falling, and the existence of standard operational procedures on prevention of patients at risk of falling. However, some of the available facilities are damaged and must be repaired. In addition, some nurses still need to learn how to conduct a fall risk assessment. It is recommended that the director and hospital management immediately improve facilities to support the implementation of fall risk prevention and that there be regular training for all nurses related to filling out fall risk assessments in the hospital.

Assessment of Nurses’ Knowledge Regarding Management of Patient’s with Cholelithiasis Disease

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Cholelithiasis affects approximately 15% of the US population. Rising trends in obesity and metabolic syndrome have contributed to an increase in diagnosis of cholelithiasis. There are several risk factors for cholelithiasis, both modifiable and non modifiable. Women are more likely to experience cholelithiasis than are men. Pregnancy, increasing parity, and obesity during pregnancy further increase the risk that a woman will develop cholelithiasis. The classic presentation of persons experiencing cholelithiasis, specifically when gallstones obstruct the common bile duct, is right upper quadrant pain of the abdomen that is often elicited upon palpation during physical examination and documented as a positive Murphy’s sign Descriptive Cross-Sectional Design is adopted in the current study to achieve the early stated objectives. The study started from January   2nd, 2021 until May, 20th, 2021.  A Non-Probability (Convenience Sample) of (60) nurses were including in the present study. Sample collect from 1, 3,4) and emergency department The results of the present study indicated that the majority of the samples (93.33%) have deficit knowledge, which agree with the results of the study showed that the reasons for lack of nurses’ knowledge regarding from the researchers’ point of view “might be related to lack of continuing educational programs or sessions about Cholelithiasis, supervision, continuous evaluation of nurses’ practice, and cooperation between multidisciplinary health care team members (nurses-physicians). Conclusions according to the present study findings, the researcher can mention the following conclusions:Most of nurses in medical units had knowledge deficit concerning management of cholelithiasis nursing management. It is found that the most of nurses are middle age group within (35-39) years old. It is concludes that the most of nurses are institute and college graduated, most of the nurses years’ experience in medical wards(1-10 years). most of the sample have participating in the sessions training in medical wards  but no related to cholelithiasis nursing management. Encouraging nurses to update their information by participating in training sessions and conference inside and outside Iraq to improve their knowledge regarding cholelithiasis nursing management which working in medical wards.