The aim of this study was to describe the quality of practice offered by nurses to patients who underwent surgical incision into the abdomen (post-laparotomy) at tertiary hospitals (Kamuzu, Mzuzu, Queen Elizabeth and ...The aim of this study was to describe the quality of practice offered by nurses to patients who underwent surgical incision into the abdomen (post-laparotomy) at tertiary hospitals (Kamuzu, Mzuzu, Queen Elizabeth and Zomba) in Malawi. The study design was descriptively cross sectional and utilized a quantitative data collection and analysis method. All available 48 registered nurses in the surgical ward of four central hospitals and 100 patients that were admitted in the ward during the time of study were recruited. A 3-point scale rating consisting of compliance (C = 1), partial compliance (C 1.0-0.5) and non compliance (C 0.5-0.0) was used to describe the nurse midwives compliance with the process standards of care. Results show that nurses in all the 4 central hospitals partially complied with assessment and planning standards. During assessment, the nurses assessed the physical aspects of care but did not assess the psychological, spiritual and cultural aspects of care. At planning the nurses assigned and delegated tasks based on the knowledge and skills of the provider selected but did not comply with factors related to safety, effectiveness and cost of care. All the facilities fully complied with implementation standard because they implemented care in a safe and appropriate manner and communicated with patients/ significant others and other health care providers. However, regarding systematic and ongoing evaluation of patients’ condition only Mzuzu Central hospital partially complied while the rest of the facilities were not compliant. All the facilities did not comply with documentation standard of care because the patient records were not legible and did not precisely depict comprehensiveness of care nor bore signatures of the implementers of the care. Results are discussed by relating the level of compliance to standards and the quality of patient care.展开更多
自联合国国际搜索与救援咨询团(The International Search and Rescue Advisory Group,简称INSARAG)成立30多年来,通过不断总结巨灾国际救援经验,形成了一套覆盖国际救援准备阶段、行动阶段到撤离阶段的国际救援全流程全要素的协调工作...自联合国国际搜索与救援咨询团(The International Search and Rescue Advisory Group,简称INSARAG)成立30多年来,通过不断总结巨灾国际救援经验,形成了一套覆盖国际救援准备阶段、行动阶段到撤离阶段的国际救援全流程全要素的协调工作机制,并通过出台一系列的指南、指导性文件和推荐性技术文件,规范救援能力和队伍建设,强化国际救援协调和现场救援的效率。该文系统介绍了INSARAG标准和技术文件组成体系架构,并阐述了各标准及技术文件的出台背景、主要内容及对中国的搜救队伍建设的推动作用,并讨论其对我国灾害救援工作的启示与借鉴意义。展开更多
文摘The aim of this study was to describe the quality of practice offered by nurses to patients who underwent surgical incision into the abdomen (post-laparotomy) at tertiary hospitals (Kamuzu, Mzuzu, Queen Elizabeth and Zomba) in Malawi. The study design was descriptively cross sectional and utilized a quantitative data collection and analysis method. All available 48 registered nurses in the surgical ward of four central hospitals and 100 patients that were admitted in the ward during the time of study were recruited. A 3-point scale rating consisting of compliance (C = 1), partial compliance (C 1.0-0.5) and non compliance (C 0.5-0.0) was used to describe the nurse midwives compliance with the process standards of care. Results show that nurses in all the 4 central hospitals partially complied with assessment and planning standards. During assessment, the nurses assessed the physical aspects of care but did not assess the psychological, spiritual and cultural aspects of care. At planning the nurses assigned and delegated tasks based on the knowledge and skills of the provider selected but did not comply with factors related to safety, effectiveness and cost of care. All the facilities fully complied with implementation standard because they implemented care in a safe and appropriate manner and communicated with patients/ significant others and other health care providers. However, regarding systematic and ongoing evaluation of patients’ condition only Mzuzu Central hospital partially complied while the rest of the facilities were not compliant. All the facilities did not comply with documentation standard of care because the patient records were not legible and did not precisely depict comprehensiveness of care nor bore signatures of the implementers of the care. Results are discussed by relating the level of compliance to standards and the quality of patient care.
文摘自联合国国际搜索与救援咨询团(The International Search and Rescue Advisory Group,简称INSARAG)成立30多年来,通过不断总结巨灾国际救援经验,形成了一套覆盖国际救援准备阶段、行动阶段到撤离阶段的国际救援全流程全要素的协调工作机制,并通过出台一系列的指南、指导性文件和推荐性技术文件,规范救援能力和队伍建设,强化国际救援协调和现场救援的效率。该文系统介绍了INSARAG标准和技术文件组成体系架构,并阐述了各标准及技术文件的出台背景、主要内容及对中国的搜救队伍建设的推动作用,并讨论其对我国灾害救援工作的启示与借鉴意义。
