Assessing Knowledge and Attitude of Staff Nurses regarding Perceived Benefits and Barriers of Investing in Nursing, in Selected Hospitals of Hyderabad to Develop an Information Handout on Methods of Improving Nursing Workforce

Nursing workforce accounts for about 59 percent of health care professionals. Various benefits and barriers associated accrue to the organisations and individuals by investing in nursing. The barriers in investing in nursing include lack of resources, non-cooperation from the management and other health care professionals and lack of quality education. The main objective of the study was to assess the knowledge and attitude of staff nurses regarding the perceived benefits and barriers regarding investing in nursing and correlating them followed by administration of information handout on techniques to improve the delivery by nursing workforce. A quantitative approach, with non-experimental correlational descriptive design was adopted. A sample of 100 staff nurses were selected in selected hospitals through convenient sampling method. The tool used was a structured questionnaire to assess the knowledge and a 4-point Likert scale to assess attitude and perceived barriers and the tool was found to be reliable. The study showed that majority of the staff nurses were 26-30 years old, and female. Most of them were graduates and were working in general and surgical wards with 1-6 years of experience and having re- ceived awards/appreciation at their work place. Majority of them had average knowledge (63%) and positive attitude (68%). The correlation was 0.3 which is weak positive correlation. The most perceived benefit was organisational benefit with a modified mean, and barrier was reluctance of organisation to solve the staff shortage issues by the management. The most perceived benefit was organisational benefit with a modified mean of 0.9. There was no significant association between attitude and demographic variables but there was significant association of knowledge with age and gender. Based on the above, an information handout was developed and adminis- tered which outlined few techniques to improve delivery of services by nursing workforce.

Knowledge and attitude of nurses towards diabetic foot care in a secondary health care centre in Malaysia

@#Introduction: Nurses play a vital role in the care and prevention of ulcers in patients with diabetic foot. Patient education, prevention of ulcers and rehabilitation are some of the vital aspects that nurses provide on a daily basis. Thus, good knowledge and attitude of nurses towards diabetic foot ulcers and its care will ensure better patient care. Objectives: The aim is to study the level of knowledge and attitude of nurses towards diabetic foot ulcers and its care in Hospital Segamat, Malaysia. Methods: A validated questionnaire was used between February 2019 to May 2019 covering area such as demography, predisposing factors of ulcer formation, characteristics of ulcers, complications of ulcers, and attitude towards diabetic foot care. Results: A total of 101 nurses took part and 57% of the participants scored poorly in the knowledge section of the questionnaire. In all 72% had scored poorly when asked regarding complications of diabetic foot ulcers; 49.5% of the nurses had positive attitude towards diabetic foot care; and 79.3% thought that care for diabetic foot ulcer is timeconsuming. Majority of them think that their colleagues are the main source of information. All demographic variables were deemed to be confounders with the knowledge and attitude of nurses towards diabetic foot ulcers and its care. Conclusions: Nurses in this centre had poor knowledge towards diabetic foot ulcers and its care. None of the variable studied were correlated with the level know knowledge. Good or poor knowledge of nurses does not correspond equally to good or poor attitude towards diabetic foot ulcers care. More frequent formal training of diabetic foot care would be needed to ensure better knowledge.

A survey of knowledge, attitude and practice of biomedical waste management among 150 nursing staff working in All Indian Institute of Medical Sciences, Jodhpur

Background: India as a developing country is facing a lot of health care problems, with the increase in health care facilities, there is a growing concern of hazards of biomedical waste. Since the nursing staff is at the centre of biomedical waste handling, their knowledge of adequate disposal of biomedical waste is of utmost importance. So, we conducted a study regarding knowledge, attitude and practice of nursing staff working in a premier institute of western Rajasthan with respect to biomedical waste and its management.Methods: This was a hospital-based descriptive, observational study conducted in our institute in the month of October and November of 2018. Written consent was taken and pre-defined questionnaire was prepared based on a review of literature on the subject. Scrutiny was done for the data for any logical inconsistencies, skip patterns and missing values. Coding of the data was done and entered into a Microsoft Excel. Descriptive and inferential statistics were applied for data analysis.Results: 150 participants took part in the questionnaire based study. The study showed that majority of participants have adequate knowledge, attitude and practice toward biomedical waste management but still, there were gaps in the knowledge and practice in essentially quite a lot of participants which should not be there.Conclusions: There is a need for strict implementation of biomedical rules at all the tiers of healthcare. There should be regular orientation programs for nursing staff and other health personnel working in the institutes.

Los enfermeros y la seguridad del paciente en la praxis hospitalaria / Os enfermeiros e a segurança do paciente na práxis hospitalar / Nurses and patient safety in hospital practice

Study of qualitative nature, with the aimof analyzing nurses' knowledge on patient safety in the hospital environment.Field research was conducted in October 2015 at a general hospital in the south of the state of Minas Gerais, by means of semi-structured interviews with 43 nurses.The data were analyzed with the use ofBardin'scontent analysis method, identifying two categories:nurses' knowledge on patient safety in hospital practice and patient safety in nursing practice:strengths/strategies and weaknesses/difficulties.The results pointed that nurses have knowledge on patient safety based on the World Health Organization and the Patient Safety National Program, and they demonstrated concern for aligning work processes and improving safety culture in health services (AU).

Estudo de natureza qualitativa, com o objetivo de analisar o conhecimento dos enfermeiros sobre segurança do paciente no ambiente hospitalar. A pesquisa de campo foi realizada em um hospital geral do sul de Minas Gerais, em outubro de 2015, por meio de entrevistas semiestruturadas com 43 enfermeiros. Os dados foram analisados utilizando a técnica de análise de conteúdo, conforme Bardin, identificando duas categorias: conhecimento dos enfermeiros sobre segurança do paciente na práxis hospitalar e segurança do paciente na práxis do enfermeiro: fortalezas/estratégias e fragilidades/dificuldades. Os resultados apontam que os enfermeiros possuem o conhecimento sobre segurança do paciente embasado na Organização Mundial de Saúde e Programa Nacional de Segurança do Paciente e demonstram preocupação em alinhar os processos de trabalho e melhorar a cultura de segurança no serviço de saúde (AU).

Estudio de naturaleza cuantitativa, con el objetivo de analizar el conocimiento de los enfermeros sobre seguridad del paciente en el ámbito hospitalario. La investigación de campo fue realizada en un hospital general de Minas Gerais, en octubre de 2015, a través de entrevistas semiestructuradas con 43 enfermeros. Datos analizados utilizando técnica de análisis de contenido según Bardin, identificándose dos categorías: conocimiento de los enfermeros sobre seguridad del paciente en la praxis hospitalaria y seguridad del paciente en la praxis del enfermero: fortalezas/estrategias y debilidades/dificultades. Los resultados expresan que los enfermeros poseen el conocimiento sobre seguridad del paciente basado en la Organización Mundial de la Salud y el Programa Nacional de Seguridad del Paciente, y demuestran preocupación por ordenar los procesos de trabajo y mejorar la cultura de seguridad del servicio de salud (AU).

Knowledge, Attitude and Practice of Nurses in Administering Oral Medication at Medical Ward, Universiti Kebangsaan Malaysia Medical Centre

Drug administration is an integral part of nurses role in nursing practice. In relation to their diverse roles, nurses are required to have adequate knowledge and good practice. The purpose of this study is to examine the level of knowledge, attitude and practice of nurses in the medical wards administering oral medication and to assess whether nurse’s knowledge, attitude and practice is associated with working experience and professional education (post basic training). A cross-sectional study was conducted on forty (40) nurses working in the Medical wards in Universiti Kebangsaan Malaysia Medical Centre (UKMMC). Questionnaires were used to measure the level of knowledge and attitude of nurses and a direct observation technique with checklist to record the practice of nurses. The mean score for knowledge (13.8), attitude (16.4) and practice (10.7) were all within average distribution. No significant difference was found between knowledge and practice of nurses with working experience and post basic training. However, the influence of working experience on attitude of nurses in serving oral medication was found to be significant (p= 0.045). Nurses in medical ward, Universiti Kebangsaan Malaysia Medical Centre, were found to possess an average level of knowledge and attitude in administering oral medication. In addition, this study suggest that work experience of nurses has no influence on knowledge gain and good practice in administering oral medication.