Impactof Training Program About Management of Children In Hypovolemic Shock on Nurses’ Knowledge And Performance: Evidence-Based Practice Guidelines
Journal Title: IOSR Journal of Nursing and health Science - Year 2018, Vol 7, Issue 5
Abstract
Aim of the Study: This study aimed at assessing the impact of training program based on clinical guidelines for management of children in hypovolemic shock on nurses’ knowledge and performance,as well as on the clinical outcome measures (discharge weight, length of hospital stay and mortality rate) of shocked children. Study Design: A quasi- experimental design was utilized. Setting: The study was carried out at Pediatric Emergency and Medical Departments/Pediatric Children's Hospital, affiliated to Ain Shams University Hospitals. Subjects: A convenience sample of 60 nurses who were provided care for children in hypovolemic shockin addition to 60 pediatric patients who were randomly divided into two equal groups; pre- intervention or usual care group, and post-intervention groupwere included in the study.Data collection: Four tools that consisted of an assessment questionnaire sheet about the characteristics of children and their medical data, a questionnaire sheet, observational checklists to assess nurses’ knowledge and their practices pre- and post-implementation of the study training program, and the clinical guidelines about nursing management of children in hypovolemic shock were used. Results: The studied nurses’ knowledge and their clinical performance regarding care of children in hypovolemic shock were significantly improved post implementation of the study training program. Furthermore,children in the post-intervention groupshowed a significant improvement in their clinical outcome measures immediately after implementation of the training program compared with the usual care group.Conclusion: Implementation of training program based on clinical guidelinesabout a hypovolemic shock management had a positive impact on the improvement of nurses' knowledge and their performanceand on the clinical outcomes of children in hypovolemic shock. Recommendations:The study recommended On Job Training programs for the nurses according to their needs in order to refresh and update knowledge and improve theirclinical performance for those critically ill children.
Authors and Affiliations
Rabab El-Sayed Hassan El-Sayed, Hyamrefaattantawi .
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