Asian Journal of Nursing Education and Research

N. Sujata ¹, Jasbir Kaur ¹

Affiliations
1 Dayanand Medical College & Hospital, College of Nursing, Ludhiana, Punjab, Pin code:141001, IN

Abstract

A descriptive study on 60 nurses working in ICU's, Emergency and Neuro-Surgery ward of selected hospitals, Ludhiana was conducted. Convenience sampling technique was used. The study was aimed to assess the knowledge and practice of physical restraints among nurses working in various units of selected Hospitals, Ludhiana. Data was collected by using following 3 tools a) Socio-demographic profile of nurses b) Structured knowledge Questionnaire on physical restraints and c) Observational checklist to assess the practice of Physical Restraints. Majority (83.33%) of nurses belonged to ≤30 years, 91.66% were female, 83.33% of nurses were GNMs and only 16.67% were B.Sc.'s. Majority (61.66%) of the nurses were working in ICU's whereas only 38.3% were working in Neuro-Surgery and Emergency ward. 63.3% of nurses had work experience of >2 years and 36.7% of nurses had experience of ≤2 years. Mean knowledge score was found to be 14.2 ± 3.9. The result showed that majority (76.66%) of nurses had average knowledge regarding physical restraints. It was found that no physician written order were documented for all the patients, written consent were not taken from 43.33% of patients prior to the procedure. Clove hitch restraint with cotton and bandages were the most common type of physical restraints used.

Keywords

Knowledge, Practice, Physical Restraints, ICUs, Nurses.

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Harpreet Kaur ¹, Jasbir Kaur ¹

Affiliations
1 College of Nursing, Dayanand Medical College and Hospital, Ludhiana, IN

Abstract

Background of the study: Convincing evidence demonstrates that improved hand hygiene can reduce the frequency of health care-associated infections. Failure to comply with hand hygiene is considered the leading cause of health care-associated infections, contributes to the spread of multi-resistant organisms, and is recognized as a significant contributor to outbreaks of infection. Aim of the study: So, the present study was conducted to assess the hand hygiene practices during medication administration. Methods: A descriptive study was conducted at selected tertiary hospital of Ludhiana. A total of 200 staff nurses were enrolled through convenience sampling. The tools and protocol were developed through review of relevant literature and validated by experts from field of nursing. Tools used in the study were interview schedule and check list to assess available hand washing facilities and hand hygiene practices among staff nurses. Results: out of 200 staff nurses, only 7.5 % washed their hands both before and after medication administration, while 27.5% only before the drug administration and 53.5% after drug administration regardless of available hand washing facilities. Conclusion: Compliance to hand washing was significantly low among staff nurses, thus it can be recommended that hand washing practices should be reinforced through regular in-service education and continuous monitoring and performance feedback.

Keywords

Hand Hygiene, Practices, Staff Nurses, Hand Washing, Drug Administration.

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