Nurses' Knowledge and practices regarding the Perioperative Care of Patients with Cholelithiasis undergoing Laparoscopic Cholecystectomy: Guidelines Proposal | ||
| Alexandria Scientific Nursing Journal | ||
| Volume 25, Issue 1, March 2023, Pages 93-101 PDF (408.95 K) | ||
| Document Type: Research articles | ||
| DOI: 10.21608/asalexu.2023.300014 | ||
| Authors | ||
| Sanaa Mohamed Alaa; Heba Abdel Mowla Ahmed; Narges Mohammed Syam; Samira Saad Ali | ||
| Medical-Surgical Nursing, Faculty of Nursing, Alexandria University | ||
| Abstract | ||
| Background: cholelithiasis is considered one of the most common digestive tract diseases and constitutes an important health problem in the developed countries. Objective: Assess nurses' knowledge regarding the perioperative care of patients with cholelithiasis undergoing laparoscopic cholecystectomy, assess nurses' practices regarding the perioperative care of patients with cholelithiasis undergoing laparoscopic cholecystectomy, and propose perioperative care guidelines for patients with cholelithiasis undergoing laparoscopic cholecystectomy. Settings: This study was conducted in two settings namely; Alexandria Main University Hospital, and Medical Research Institute in the inpatient Hepato-biliary and Pancreatic Surgery Department. Subjects: Subjects were assigned into two groups as follows; Group one (Jury members): Thirty-seven expert members in nursing and education and service (twenty-five members of the Medical-Surgical Nursing Department, ten surgeons, and two head nurses.Group two (Studied nurses): Consisted of all nurses (n=50) who were available at the time of data collection; twenty from Alexandria Main University Hospital and thirty from Medical Research Institute. Tools: Three tools were developed by the researcher based on the review of recent related literature to collect the necessary data for this study; Tool I: Basic Nurses' Perioperative Care Opinionnaire Sheet for Patients with Cholelithiasis Undergoing Laparoscopic Cholecystectomy. Tool II: Nurses' Knowledge of the Perioperative Care of Patients with Cholelithiasis undergoing Laparoscopic Cholecystectomy Structured Interview Schedule . Tool III: Nurses' Perioperative Care practices of Patients with Cholelithiasis Undergoing Laparoscopic Cholecystectomy Observational Checklist.Results: The total interventions were fair in more than twothirds (80%) of the studied nurses, while (20%) had a good performance levels. there was no statistically significant relationship between the nurses' level of intervention and their age, gender, marital status, level of education, years of experience, and the working hospital (p=0.082, 0.192, 0.343, 0.279, 0.203, and 0.470) respectively .There was no statistically significant relationship between the level of nurses’ intervention and their level of knowledge (p=0.254).Conclusion: The results of the present study concluded that more than half of the studied nurses had a fair total level of knowledge regarding patients undergoing cholecystectomy and the majority of the studied nurses had a fair level of practice regarding patients undergoing cholecystectomy. Recommendations: Continuing developing nursing staff competencies in cholelithiasis undergoing laparoscopic cholecystectomy patient care before and after surgery, surgical units should be supplied with a protocol regarding nursing performance for patients undergoing surgical procedures, establishing regular and ongoing educational workshops for continuous updating of their knowledge of cholelithiasis undergoing laparoscopic cholecystectomy, and organizing periodic educational training sessions about the comprehensive care of cholelithiasis undergoing laparoscopic cholecystectomy and the role of the nurse. | ||
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