الفهرس 
IntroductionOnly 14 pages are availabe for public view
 |  | from | 288 |  |  |
| | | from | 288 | | |
Abstract
Many nursing procedures carried out by a nurse can be a source of
injuries, so nurse play a pivotal role in the prevention and recognition
of risks that threaten the safety of the patient at the hospital; therefore,
it is important for nurses to continuously monitor their own practice,
as well as gaining knowledge, and updating their skills toward child’s
safety and will be able to respond appropriately to any accidents or a
disaster’s strike.
Aim of the study
The aim was to determine effect of nursing intervention about child
safety at pediatric health care settings through pre-assessment of
knowledge, practice and attitudes of pediatric nurses, design and
implement nursing intervention regarding child safety and evaluate the
effect of nursing intervention on nurses’ knowledge, practice and
attitudes regarding child safety at pediatric health care settings.
Subjects and Methods
Research design: A quasi experimental design.
Research setting:
This study was conducted at Pediatric Health Care Settings,
medical and surgical wards and its specialties, affiliated to Tanta
University Hospital.
Research subjects:
A purposive sample composed of all available nurses (200) who
are working at the previously mentioned pediatric health care settings at
Tanta University Hospital, regardless their characteristics. They were
divided randomly into 2 identical groups (control group and study
group).
Tools of data collection:
Data were collected through the following tools pre and post
nursing intervention.
Summary
119
1-A predesigned questionnaire format;
(Appendix 3) it was designed and prepared by the researcher after
reviewing the related literature. It was written in an Arabic language in
form of open and closed ended questions which covered the following
parts:
Part 1
- characteristics of the studied nurses as regards their age, occupation,
qualifications, years of experience and previous training courses.
Part 2
- Nurses’ knowledge related to child safety at pediatric health care
settings.
(2) Likert rating scale: (Appendix 4)
Likert-type rating scale that was adopted from Zarei et al.,
(2012) and was modified by psychologist expert, it was used to assess
nurse’s attitude toward child safety at pediatric health care settings.
(3) Observation check lists: (Appendix 5)
It was developed and filled in by the researcher to evaluate the
actual practice of the studied pediatric nurses toward child safety at
pediatric health care settings.
- Construction of nursing intervention program.
The program was designed based on the result of assessment for the
actual educational nurses’ needs pre training program by using the pre
constructed tools then handout was designed by the researcher after
reviewing the related literature, it was designed in an Arabic language.
- Pilot study:
A pilot study was carried out before starting the actual data
collection. It was involved 10% of the total sample size and was
excluded later from the study sample. The result of data obtained was
helpful in modifications of the study tools.Field work:
The actual field work of this study was started at April (2012) and
completed at April (2013). The researcher was available 3 days/week
(Sunday- Tuesday- Thursday) at morning and afternoon shifts from 10
AM - 12PM, and from 3 PM - 5 PM.
Results
Findings that were obtained from the present study could be
summarized as the followings:
* More than one third of nurses in both control and study groups
(40% & 39%) were in the age group of 20-<30 years The mean age of
nurses was 33.87, 33.19 in both control and study groups respectively,
near than half of them (47%, 54%) were having diplom of nursing
secondary school respectively. More than two thirds of them (69% &
71%) were working as staff nurses, while only 5% of them were working
as a head nurses. (62% & 61%) in both control and study groups had
more than 10 years of experience in nursing work. Only (12.5%, 5%) of
them attended training courses related to patient’s safety.
* There was high statistical significant difference between nurses’
knowledge in study group toward definition, standard, advantages,
factors affecting and indicators of altered patient’s safety pre and post
nursing intervention program, where more than half of nurses in both
control and study groups had poor level of knowledge pre nursing
intervention, compared to 81% of the study group were having good
level of knowledge post nursing intervention program.
* The majority of nurses in both control and study groups (78% &
81%) reported that infection was most common accident post nursing
intervention respectively.
* There was high statistical significant difference between
knowledge of nurses in both control and study groups regarding protect
child from specific hospital hazards. where 81% of nurses in study
group improved to have a good level of knowledge post nursing
intervention, compared to near than one quarter (26%) of nurses in both
control and study groups had a good level of knowledge pre nursing
intervention program
Pre nursing intervention program half of nurses in both study
groups had poor level of knowledge toward deal with specific hospital
hazards for child, while (98%) of nurses in study group improved to have
a good level of knowledge post nursing intervention program. Where
there was high significant difference between nurses’ knowledge in both
study and control groups post nursing intervention program.
* In both control and study groups 97% of nurses mentioned that
shut-off electrical current was the most common type of disasters which
expected to present at pediatric health care settings, while near than three
quarters of them (77% -75%), mentioned that fire is the most common
type of disasters.
* There was high statistical significant difference between
knowledge of nurses in study group pre and post nursing intervention
program toward nursing intervention for different disasters, where more
than half of nurses in study group (56%) had good level of knowledge
post nursing intervention program compared to near than half of nurses
in both control and study groups (49%, 53%) had poor level of
knowledge, pre nursing intervention program respectively.
* There was high statistical significant difference between
knowledge of nurses in study group in pre and post nursing intervention
program regarding management of fire, evacuation plan during fire and
using appropriate fire extinguisher during fire at pediatric health care
settings.
* More than half of nurses in control group had poor level of their
total knowledge in pre and post test in relation to child safety, compared
to 96% of nurses in study group improved to good level post nursing
intervention program, with there is high statistical significant difference.
* There was high statistical significant difference between attitude
of nurses in control and study groups, post nursing intervention program,
where all nurses in study group had positive attitude toward child’s
safety post nursing intervention program, compared to only 55% of
nurses in control group.
* There was high statistical significant difference between practice
of nurses in study group pre and post nursing intervention program
toward nursing role to protect child from fall, burn, electrical shock,
suffocation, infection, wound injury, stress related to illness, poisoning,
miss identification and using of appropriate local fire extinguisher, where
the majority of them were having good practice post nursing intervention
program.
* There was no statistical significant difference in practice of nurses
in control group between pre and post nursing intervention program
toward child safety care plan during use of different medical devices,
where the majority of them were having poor practice pre and post
nursing intervention program. While there was a great difference in
practice of nurses in study group between pre and post nursing
intervention toward child safety care plan during use of different medical
devices, where the majority of them were having good practice level post
nursing intervention program.
* In control group (72%) of nurses had poor level of their total
practice level in pre and post nursing intervention program in relation to
child safety. While 96% of nurses in study group improving their total
practice in relation to child safety to good level post nursing intervention
program, where there was high statistical significant difference between
nurse’s practice level pre and post nursing intervention program.
* There was no significant relation between nurses’ knowledge,
attitude and practice pre and post nursing intervention program about
child’s safety and their age and their years of experience.
* There was high statistical significant relation between nurses’
knowledge, attitude and practice pre and post nursing intervention
program in both groups of the study about child’s safety and their
qualification, occupation and their training courses.
Conclusion:
The majority of studied nurses in both control and study groups
have poor level of knowledge and practice, pre nursing intervention
program at pediatric health care settings in Tanta university hospital.
While post nursing intervention program showed statistically significant
differences between pre and post nurses’ knowledge and practice
regarding child’s safety were observed reflecting the effectiveness of the
program in improving their knowledge and practice and in helping them
to protect their pediatric patients from specific hospital safety hazards.