Volume 29, Issue 101 (August 2016)                   IJN 2016, 29(101): 12-22 | Back to browse issues page

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Khanjari S, Behzadi F, Haghani H. Nurses' Performance for Oral Care in Children under Mechanical Ventilation: An Observational Study. IJN 2016; 29 (101) :12-22
URL: http://ijn.iums.ac.ir/article-1-2297-en.html
Nurses' Performance for Oral Care in Children under Mechanical Ventilation: An Observational Study
S Khanjari1 , F Behzadi 2, H Haghani3
1- PhD, Nursing Care Research Center, Dept. of Pediatric Nursing, School of Nursing and Midwifery, Iran University of Medical Sciences, Tehran, Iran.
2- MS. Pediatric Nursing School of Nursing and Midwifery, Iran University of Medical Sciences, Tehran, Iran. (٭Corresponding author). Tell: 09129379533 Email: fatemebehzadi4@gmail.com
3- Dept. of Biostatistics, School of Management and Information Technology, Iran University of Medical Sciences, Tehran, Iran.
Abstract:   (8273 Views)

Abstract

Background & Aim: Children under mechanical ventilation are at risk of developing pneumonia, due to the lack of cough reflex, swallowing and immobility. Many of the pneumonia preventing strategies related to ventilation are direct responsibilities of clinical nurses. The aim of the study was to evaluate the performance of nurses in the field of oral care in the children under mechanical ventilation.

Method & Materials: The research was a cross-sectional- descriptive study and 100 nurses from pediatric intensive care unit were selected by using convenience sampling, during 2015. The instruments were including the demographic characteristics form and three types of performance checklist related to oral care guideline in the children under mechanical ventilation. The performance of each nurse was observed and examined by one of the three check lists for three times in different shifts. Then the performance of nurses was classified at three levels including less than 50%, between 50% - 74.9% and also 75% and above. Statistical analysis was performed using descriptive statistics.

Results: More than half of nurses (67%) obtained below 50% of the mean performance score, 24% of them received 50% -74.9% of the mean and only 9% of them reached to 75% mean performance score. The most items related to wearing gloves (0.98) and the lowest was brushing (0%).

Conclusion: The nurse’s performance in oral care was poor, hence it is necessary to design education course for nurses, provide proper facilities of evidence-based protocols in improvement of the quality of clinical care and conduct research about the causes of poor performance in nurses.

Keywords: Performance, Nurses, Oral, Care, Children, Mechanical Ventilation
Full-Text [PDF 815 kb]   (2503 Downloads)    
Type of Study: Research | Subject: Midwifery
Received: 2016/04/27 | Accepted: 2016/08/9 | Published: 2016/08/9
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