A B C D E F G H I J K L M N O P Q R S T U V W X Y Z All
Rafiei, Hossein
- Normal Saline Instillation with Suctioning and its Effect on Oxygen Saturation, Heart Rate, and Cardiac Rhythm
Authors
1 Kerman Medical University, Kerman, Iran, IR
2 Faculty of Nursing and Midwifery, Kerman Medical University, Kerman, Iran, IR
Source
International Journal of Nursing Education, Vol 3, No 1 (2011), Pagination: 42-44Abstract
Background
Although the researches indicated disadvantages of using normal saline (NS) before suctioning, it still used by nurses in many Iranian critical care units.
Aim
The purpose of this study was to determine the effect of NS instillation on multiple trauma patients' oxygen saturation, heart rate and cardiac rhythm.
Setting and design
A cross-over design was used to allow sample to be as their own control. This study was approved by Kerman Medical University.
Methodology
50 multiple trauma patients who were admitted in intensive care unit and mechanically ventilated for at least 24 hours were randomly assigned to suctioning with or without NS. Surveyed parameters were measured and recorded at intervals of 1, 2, and 5 minute before and after suctioning by standard monitoring apparatus. EKG tapes recorded initiate 5 second before suctioning and continue during suctioning approximately 20 second.
Statistical Anlysis
A Kolmogorov-Smirnov test indicated that the data were sampled from a population with normal distribution. The comparison between the two groups in three measured factors was done using a descriptive analysis, and independent ttest, and cross table with chi-square test.
Results
Oxygen saturation in both groups was changed. In group 2(with NS), there was a decrease in oxygen saturation, whereas in another group, except at interval of 1 minute, there was an increase in oxygen saturation. This difference was statistically significant. In both groups, heart rate was increased after suctioning at three intervals. In both group there was not found dangerous arrhythmia .
Conclusion
This study suggests that instillation of NS before suctioning can cause adverse effect on oxygen saturation but has no effect on heart rate and cardiac rhythm. It seems that Iranian nurses believed that using NS have positive effects on suctioning. Such an attitude could be changed by some educational programs by which nurses can improve their knowledge about disadvantages of using NS with suctioning; and become aware of the strategies they can use to qualify suctioning.
Keywords
Intubated Patients, Normal Saline Instillation, Heart Rate, Oxygen Saturation, Cardiac Rhythm.
References
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- Registered Nurses Perception of Medication Errors: A Cross Sectional Study in Southeast of Iran
Authors
1 Department of Clinical Research, Kerman University of Medical Sciences, Kerman, IN
2 Neuroscience Research Center, Kerman University of Medical Sciences, Kerman, IR
3 Department of Medical-surgical Nursing, School of Nursing and Midwifery, Bam University of Medical Sciences, Bam, IR
4 Shafa Hospital, School of Nursing and Midwifery, Shahrekord University of Medical Sciences, Shahrekord, IR
5 Shahid Bahonar Hospital, School of Nursing and Midwifery, Shahrekord University of Medical Sciences, Shahrekord, IR
6 Social Health Determinants Research Center, School of Nursing and Midwifery, Shahrekord University of Medical Sciences, Shahrekord, IR
7 Department of Intensive and Critical Care, School of Nursing and Midwifery, Shahrekord University of Medical Sciences, Shahrekord, IR
8 Department of Medical-surgical Nursing, School of Nursing and Midwifery, Kerman University of Medical Sciences, Kerman, IR
Source
International Journal of Nursing Education, Vol 6, No 1 (2014), Pagination: 19-23Abstract
Aim: Nurses have an important role in decreasing Medication Errors (MEs). The purpose of this study was to determine registered nurses perception of MEs.
Method: In a cross-sectional study conducted in four educational hospitals in southeast of Iran, 238 registered nurses working within these hospitals were studied. Data were collected using Iranian nurses' medication errors questionnaire.
Results: Of the 238 nurses, 93.1% were women. Factors such as lack of staff to patients ratio, nurses fatigue from hard work, having difficulty to read physician's writing on the patients file, nurses' heavy workload and work in night shift were the most common causes of MEs development which determined by nurses.
Conclusion: MEs may affect negatively on patients' health. Nursing educational systems should have more attention to nurses' perception on MEs and could consider their view in planning and education in order to decline MEs.