Majallah-i Dānishgāh-i ’Ulūm-i Pizishkī-i Shahīd Ṣadūqī Yazd (Feb 2014)
Investigating Intensive Care Unit Nurses\\\' Performance and its Adjusting with Standard
Abstract
Introduction: Nursing in the intensive care unit requires knowledge, skill, experience and attitude. Due to the high sensitivity of intensive care units and that consideration for the standards can improve the quality of nursing care and safety of patient, the purpose of this study was to determine the performance score of the ICU nurses in teaching hospitals of Yazd and its Adjusting with the standard. Methods: In this cross-sectional descriptive study, performance of 74 nurses working in ICUs in teaching Hospitals, Yazd, Iran, was observed in three fields of Suctioning, Gavag and Extubation via using a checklist. Descriptive and inferential statistical procedures as well as SPSS software (version 16) were used for data analysis. Results: The results showed that the mean score for nursing performance in suction, gavage and extubation was 13.76 (±1/86), 16.16 (±1/20) and 11.54 (±1/38) respectively. Mean score of suction and gavage (P=0) and extubation (P=0/05) was significantly lower than the standard score. In the field of suction and gavage, the highest percentage of nonconcurrence with standard was related to hand washing 90.5% and 79.7% respectively. In the field of extubation, the highest percentage of disadjustment with standard, was related to the relationship with the patient that was 40.5%. Conclusion: According to the study findings, disadjustment of nurses' performance with standards in suction, gavage and extubation suggest that hospital leaders should act for scientific and practical training of nurses in the mentioned grounds. Furthermore, appropriate knowledge, skill, experience and ability should be regarded for applying nurses in ICUs.
