Effectiveness of Developed Patients Safety Guidelines on Nurses` Performance and patients' outcomes at Intensive Care Units | ||||
| Egyptian Journal of Health Care | ||||
| Article 65, Volume 11, Issue 2, June 2020, Page 1132-1146 PDF (1.17 MB) | ||||
| Document Type: Original Article | ||||
| DOI: 10.21608/ejhc.2020.266202 | ||||
 View on SCiNiTO | ||||
| Authors | ||||
| Shaimaa Ali Mohamed Ismail; Maaly Zayed Mohamed Ismail | ||||
| Lecturer, Nursing Administration Department, Faculty of Nursing, Cairo University, Egypt | ||||
| Abstract | ||||
| Background: Patient safety is the cornerstone of high-quality healthcare. Intensive care units (ICUs) are complex organizations that involve providers from multiple disciplines of patient care. Nursing interventions have a great impact on reducing the risk of complications for patients in ICUs. Aim: This study aimed to assess the effect of developed patient safety guidelines on nurses' performance and patient's outcomes. Subjects and Methods: Research Design: A quasi-experimental design was used to achieve the aim of the study. Setting: The study was conducted at selected ICUs at Cairo University Hospitals. Subject: A convenient sample of 60 nursing staff and 120 patients. Tools of data collection: Three tools were used as follows: 1) Nurses` knowledge about patient safety guidelines questionnaire, 2) Nurses` Patient safety practices observational checklist, and 3) Patients ' safety outcomes checklist. The results: Concerning the nurses; the post-mean knowledge and practice scores of nurses regarding implementation of patients safety guidelines were higher than pre-implementation and there was a highly significant positive correlation between total nurses' knowledge and their practice pre- and post-implementation of patients safety guidelines. While, regarding patients` outcomes, control and study groups of patients were at mild risk with a highly statistically significant difference between pre- and post-implementation of patient safety guidelines related total Braden scale. Moreover, two studied patients` groups were at low risk with a highly statistically significant difference between pre- and post-implementation of patient safety guidelines related total fall risk assessment. In addition, two studied patients` groups were had mild pain with a highly statistically significant difference between pre- and post-implementation of patient safety guidelines related total critical pain assessment scale. Conclusion: There was a highly significant positive correlation between total nurses' knowledge and their practice at pre- and post- implementation of patients safety guidelines and there was an improvement in patient safety outcomes for the study group than the control group after one week with a statistically significant difference. Recommendations: The hospital administration should encourage the application of International Patient safety goals (IPSGs) procedures to improve nurses' safety performance. | ||||
| Keywords | ||||
| Nurse performance; Patient outcomes; and Patient Safety Goals (PSGs) | ||||
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