الفهرس 
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Abstract
Summary
C
hronic obstructive pulmonary disease (COPD)is the third leading cause of death worldwide, causing 3.23milliondeaths in 2019. Relevant studies have shown that COPD patients account for 8.2% of people over 40 years of age(Chen & Pan, 2021).The inhalation route of drug delivery allows smaller doses to be used, offers a more rapid onset of action, and has a better safety-to-efficacy ratio compared to systemic therapy as mist enter directly to the lungs (Prassana et al., 2019).
Nurses play an importance role in nebulizer therapy for patient with COPD to achieve best outcomes for patients. Nurses provide complete nursing assessment, they provide patient receiving nebulized therapy an adequate support and instruction on the use, close observation and monitoring for hemodynamic state before nebulizer therapy, Evaluate effectiveness of treatments and they should educate the patient regarding the smoking cessation and pulmonary rehabilitation (Hinkle & Cheever, 2018).
Aim of Study
This study aims to assess nurses performance regarding care of patients with chronic obstructive pulmonary disease on nebulizer therapy through the following:
1. Assesses nurses level of knowledge regarding care of patients with chronic obstructive pulmonary disease on nebulizer therapy.
2. Assesses nurses level of practice regarding caring of patients with chronic obstructive pulmonary disease on nebulizer therapy.
Research questions:
1. What is nurses’ level of knowledge regarding care of patients with chronic obstructive pulmonary disease on nebulizer therapy?
2. What is nurses’ level of practice regarding care of patients with chronic obstructive pulmonary disease on nebulizer therapy?
3. What is the relationship between nurses’ performance and there demographic characteristics?
4. What is the relationship between nurses’ level of knowledge and level of practice regarding care of patients with chronic obstructive pulmonary disease on nebulizer therapy?
Subject and method:
Research Design:
A descriptive exploratory design was used to achieve the aim of this study.
Settings:
The study was conducted at medicine intensive care unit 2 affiliated to Ain Shams University hospital.
Subjects:
A convenience sample of all the available nurses (30 nurses) working at the intensive care units was recruited for the conduction of this study from the above mentioned setting.
Tools for Data Collection:
Two tools were used to collect the required data
Tool (1): Nurses’ self-administered Questionnaire:
This tool was developed by the researcher after reviewing related literatures. It was divided into 2 parts
Part (1): Demographic characteristics of studied nurses such as age, marital status, gender, years of experience, qualifications, and their attendance of related training course about caring of patients with chronic obstructive pulmonary disease on nebulizer therapy.
Part (2): Nurse’s level of knowledge regarding care of patients with chronic obstructive pulmonary disease on nebulizer therapy: it included definition, causes, signs and symptoms, complications and treatment of COPD, types, indications for applications, and complications of nebulizer therapy and role of nurses.
Tool (2): Nurse’s observational checklist:
This tool was developed by the researcher after reviewing recent and related literature. It was used to assess nurses practice related to nurse’s role (pre, during and post) care of patients with chronic Obstructive Pulmonary Disease on nebulizer therapy.
Result
The present result study revealed the following:
That 83.4% of the studied nurses were the age group 20-30 years and 70% are female. Additionally, 66.7% were single, regarding the educational level, it was noticed that 46.7% are bachelor degree.
It reveals that, 46.7% of studied nurses had satisfactory level of knowledge; meanwhile, 53.3% of them were unsatisfactory. The results reveal that 33.3% of studied nurses had competent about level of practice; meanwhile, 66.7% of them had not competent.
Also, there were highly statistically significant positive correlation between total score of knowledge of the studied nurse’s according to their total score of practice.
Conclusion
The study revealed that lack of nurses’ knowledge and inadequate training regarding nebulizer therapy which affected negatively on their practice when caring patient with copd.
There are highly statistically significant relation between level of nurse’s total knowledge and educational, years of experience and training courses. Also there are statistically significant relation between level of nurse’s total practice and their years of experience, educational level and training courses. Additionally there were highly statistically significant positive correlation between total score of knowledge of the studied nurse’s and total score of practice.
Recommendations
- Educational program for improving nurses’ knowledge and practices about care for patient with chronic obstructive pulmonary disease and nebulizer therapy.
- Develop practice guidelines for nurse to apply during care of patient with COPD.
- Enhancing nurses knowledge and practice regarding discharge plan should be improved through an instructional and educational Programs.