BETTER HEALING PROCESS BY USING PROTOCOLS IN ICUs IN PLOVDIV, BULGARIA

Abstract

Purpose: The purpose of this study was to compare perceived utility by the ease of use, patient safety, drug therapy and compliance of protocols between nurses and physicians. Materials and Methods: The survey covered 178 medical specialists. Have been used documentary and survey methods. Data has been analyzed by using the software package SPSS v. 21.0 and graphics were prepared by using the program Microsoft Excel '13. Results: Almost half of respondents, 41.01% believe that protocols can contribute to reducing mortality and morbidity in ICUs due to early recognition of patient worsening p=0.000 (χ²=24.48, df=4). The remaining part 46.63% totally agree with this, the others 4.49% cannot predict, and 7.87% rather believe that this will not affect the mentioned indicators. Protocols can avoid a sudden change in basic vital functions, such as breathing rate, blood pressure, consciousness level, etc. and these changes should not be missed p=0.010 (χ²=13.35, df=4). More than 51.69% of the practitioners consider that and other 40.45% fully support this claim. Around 6.18% rather believe that this cannot be influenced, 1.69% cannot judge. A high percentage of 97 (54.50% ± 3.73) specialists, who are working in ICUs believe that the use of protocols contributes to the prevention of adverse drug reactions p=0.000 (χ²=23.41, df=4). Conclusions: Overcoming the perceived barriers of protocol use within ICUs requires personnel for development and physician support. A better protocol review process is necessary to assure optimal content, desired outcomes, and consistency with safe medication practices guidelines.

Keywords

• protocols
• intensive cares
• icus
• nurses