Nurses’ knowledge and practice concerning fluid and electrolyte balance among patients with congestive heart failure
Eldsouky, S., Taha, N., Saleh, M. (2016). Nurses’ knowledge and practice concerning fluid and electrolyte balance among patients with congestive heart failure. EKB Journal Management System, 12(1), 114-128. doi: 10.12816/0029286
Samah Ebrahim Eldsouky; Nadia Mohamed Taha; Maha Desoky Saleh. "Nurses’ knowledge and practice concerning fluid and electrolyte balance among patients with congestive heart failure". EKB Journal Management System, 12, 1, 2016, 114-128. doi: 10.12816/0029286
Eldsouky, S., Taha, N., Saleh, M. (2016). 'Nurses’ knowledge and practice concerning fluid and electrolyte balance among patients with congestive heart failure', EKB Journal Management System, 12(1), pp. 114-128. doi: 10.12816/0029286
Eldsouky, S., Taha, N., Saleh, M. Nurses’ knowledge and practice concerning fluid and electrolyte balance among patients with congestive heart failure. EKB Journal Management System, 2016; 12(1): 114-128. doi: 10.12816/0029286

Nurses’ knowledge and practice concerning fluid and electrolyte balance among patients with congestive heart failure

Zagazig Nursing Journal
Article 8, Volume 12, Issue 1 - Serial Number 2016, 2016, Page 114-128  XML PDF (375.96 K)
Document Type: Original Article
DOI: 10.12816/0029286
View on SCiNiTO View on SCiNiTO
Authors
Samah Ebrahim Eldsouky1; Nadia Mohamed Taha2; Maha Desoky Saleh3
1B.Sc. Nursing
2Assistant Professor of Medical-Surgical Nursing, Faculty of Nursing, Zagazig University
3Lecturer of Medical-Surgical Nursing, Faculty of Nursing, Zagazig University
Abstract
Background: Critical care nurses have a vital role in identifying and treating the physiologic
stressors experienced by critically ill patients that disrupt homeostasis such as the patients with
Congestive Heart Failure (CHF). Aim of the study: to assess nurses’ knowledge and practice
concerning fluid and electrolytes balance among patients with congestive heart failure and
investigating the relation between their knowledge and practice. Subjects and Methods:
Research design: Cross-sectional analytic design. Setting: The study was carried out at Zagazig
Main University Hospital .Subjects:160 nurses and 160 CHF patients .Tools of data collection:
a self-administered questionnaire sheet and an observation checklist. Results: nurses'
knowledge about CHF and related fluid/electrolytes balance was high, with an overall good
percentage having total satisfactory knowledge. The practice was deficient regarding assessment
of peripheral circulation, skin and mucous membranes, signs of altered tissue perfusion,
ineffective breathing pattern, and alteration in fluid balance. Nurses’ knowledge was positively
influenced by their age, and female gender. The practice was negatively influenced by the
knowledge score and the number of medications taken by the patient, and the knowledge and
practice scores are negatively correlated. Conclusion: Hence, nurse’s age and gender as well as
the attendance of training courses are the factors influencing their knowledge, while the factors
affecting practice are their knowledge and the number of medications given to patients. In
conclusion, nurses' knowledge about CHF and related fluid/ electrolytes balance is variable, with
an overall good percentage of total satisfactory knowledge. The practice is generally higher. The
knowledge and practice scores are negatively correlated and the training courses have a negative
influence on nurses’ knowledge. Recommendations: The nurses working with patients with CHF
improve their knowledge, particularly the younger ones. The content and process of training
courses need to be revised, with more focus on applied knowledge.
Keywords
Congestive Heart Failure; Fluid-electrolyte balance; Critical Care Nursing; Knowledge; Practice
Supplementary Files
Statistics
Article View: 134
PDF Download: 1,659