A pilot study on assessing the gap between nurses’ task performances and knowledge pertaining the same with reference to ' I COUGH' initiative- a call for promoting patient ‘care bundle’ assignments in low-income nations
| Autor: | Sangam Shrestha, Sunil Munakomi, Anita Luitel |
|---|---|
| Rok vydání: | 2019 |
| Předmět: |
Health Knowledge
Attitudes Practice media_common.quotation_subject Neurosurgery Psychological intervention Nurses Pilot Projects Chest physiotherapy General Biochemistry Genetics and Molecular Biology Task (project management) Scarcity 03 medical and health sciences Patient safety Professional Competence 0302 clinical medicine Nepal Nursing Surveys and Questionnaires Task Performance and Analysis Humans Medicine 030212 general & internal medicine General Pharmacology Toxicology and Pharmaceutics Patient Care Bundle media_common General Immunology and Microbiology business.industry 030208 emergency & critical care medicine Articles General Medicine task performance Intensive Care Units Knowledge care bundle business Patient Care Bundles Autonomy Research Article Dependency (project management) |
| Zdroj: | F1000Research |
| ISSN: | 2046-1402 |
| DOI: | 10.12688/f1000research.18815.1 |
| Popis: | Background: The health sector in low-income nations has been crippled owing to low resources, lack of trained staff and a scarcity of effective health-related reforms. Amidst such a scenario, implementation of patient-centered care bundle approaches could help reprise the autonomy and standards of care for healthcare providers as well as safeguard patient safety. Methods: We sought to determine the gap between task performance and the underlying knowledge pertaining the same among nurses from intensive and high dependency neurosurgical units within three hospitals in Nepal through a questionnaire-based approach focusing on task assignments to prevent pulmonary complications among their patients and scoring them with references to the variables of ‘I COUGH’, a similar patient care bundle initiative. Results: There is a gross discrepancy between the patterns of task performance and the knowledge regarding the rationale behind the same tasks among nurses working in critical care neurosurgical units. In reference to I COUGH, nurses had below 50% knowledge on interventions aimed to prevent pulmonary complications among their patients, irrespective of the level of experience attained in the units. Furthermore, none of them had complete knowledge regarding all components of effective chest physiotherapy. Conclusion: There is the utmost need for the implementation of patient-focused care bundle approaches in upraising the health delivery standards, especially in low-income nations. Such initiatives can promote autonomy amongst healthcare professionals on patient care as well as assuring better patient outcomes by minimizing complications. |
| Databáze: | OpenAIRE |
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