Preceptors impact on the outcome of an orientation training program for novice nurses in critical care

The sample consisted of 97 and 140 novice nurses graduated in the years 1996 and 1997, respectively. The first phase was the development and implementation of an orientation program for novice nurses in critical care units, regarding theoretical and clinical content. Whereas, the second phase was the hiring and training of preceptors in order to supervise, train novice nurses in the critical care units. Evaluation of the theoretical components of the orientation program was carried out on all novice nurses in the study. Evaluation of the clinical performance was done on 20 novice nurses in each year of the study. Findings revealed a statistically significant improvement in novice nurses' knowledge and performance gain after implementing the program were t value [= 9.02 and 5.83, respectively]. However, the preceptors value was markedly felt in the 1997 novice nurses' evaluation in a higher gain in critical care nursing performance

Pressure sores risk assessment among critically ill patients at tow University Hospitals

This study obtained a baseline data relevant to pressure sores development among critically ill patients, through pressure sores risk assessment. A clinical risk assessment form; to assess patients at risk, pressure sores risk assessment and prevention questionnaire; to assess nurses' knowledge; and an audit form for assessing the CCUs regarding the prevention and treatment of pressure sores were designed to fulfill the aim of the study. The study revealed that 43.7% of the total nurses' sample had poor knowledge and 40.2% had a fair knowledge and only 16.1% had a good level of knowledge regarding pressure sore development and prevention. No statistically significant relationship was detected between nurses' knowledge and each of the type of units, and nurses' qualification or experience. The study reflects the needs for pressure sore prevention policy, development and implementation of a clinical guidelines relevant to risk assessment, as well as, the need for an in-service education program to provide nurses with a clear understanding of pressure sore risk assessment and grading scales