Explore the vast range of titles available.

Acute Kidney Injury (AKI) is a common, often undocumented disorder causing significant morbidity and high mortality. It affects 20% of hospitalized patients, with over 50% incidence in ICUs. Nurses play a crucial role in AKI management, particularly in in-patient care. Early detection and management depend on nurses' knowledge and practice, impacting outcomes. AKI is a global concern, with over 2.3 million projected annual deaths worldwide. To examine the impact of an educational intervention on nurses' knowledge and practice in early detection of AKI at Mbarara Regional Referral Hospital. A quasi-experimental study was conducted at Mbarara Regional Referral Hospital in the Accident and Emergency and Intensive Care Units. It involved a pre-test, intervention, and post-test. Thirty nurses completed self-administered questionnaires to assess knowledge, while 25 medical charts were reviewed using a checklist to evaluate practice. Paired t-tests and Chi-square tests were used to analyse changes in knowledge and practice before and after an educational intervention. The findings revealed that the knowledge and practices in early detection of AKI among the nurses was inadequate with only 3.3% of the nurses having excellent knowledge in the early identification of AKI while most of the medical charts had incorrectly performed practices. However, after the educational intervention the knowledge and practice in detection of AKI improved. The mean knowledge scores were 43.0333 (SD = 16.9) pre-test and 68.3 (12.8) post-test. There were significant differences in mean knowledge and practice scores before and after intervention, mean of (t (29) with 18.7018-31.96487 (95% confidence interval) and P-value of <0.0001. There is a need to organize regular sessions on AKI to improve the knowledge and practices of nurses in early detection of AKI.

The aim of this study is to assess the knowledge, attitudes, and practices of complementary and alternative medicine (CAM) among physicians and nurses at the American University of Beirut Medical Center (AUBMC) in Beirut, Lebanon. A web-based survey was emailed to 518 physicians and 423 registered nurses in all medical departments at AUBMC. Of the 94 physicians responding to the survey, 61% have never referred a patient to a CAM practitioner yet 33% reported that they would refer if available. Sixty-two percent of physicians believed that incorporating evidence-based CAM therapies will increase patient satisfaction and 66% thought that offering CAM would attract more patients. Of the 80 nurses who responded, 78.7% have never referred a patient to a CAM practitioner, yet half reported that they would likely refer if a CAM practitioner was available. Fifty-seven percent of nurses surveyed believed that offering CAM would attract more patients while 59% thought that it would increase patient satisfaction. Most nurses were uncomfortable counseling patients about CAM modalities. Favorable attitudes towards CAM were reflected by the physicians and nurses as signified by the above-average attitude means towards CAM (M = 4.01, SD = .16 and M = 3.25, SD = .59, respectively). The study findings demonstrate that despite the physicians' and nurses' limited knowledge and their discomfort in counseling on CAM, they expressed acceptability and willingness in using and incorporating CAM therapies into clinical practice at AUBMC. This is the first study conducted in Lebanon that assesses both nurses' and physicians' perspectives on the use of all CAM domains in general within the same healthcare setting. This study not only provides baseline data but also highlights the knowledge gap and learning needs among physicians and nurses with regards to CAM.

Nurses in closed hospital wards, such as Intensive Care and isolation units, play a pivotal role in identifying potential donors and supporting families during sensitive decision-making moments. However, gaps in knowledge or negative attitudes among nurses can hinder donation efforts. This study aims to explore the knowledge and attitudes of closed-ward nurses regarding organ donation and transplantation, providing insights to enhance education, advocacy, and clinical practices in these critical settings. Modern analysis was performed on the data collected from questionnaires distributed to nurses of … General Hospital. The study involved 108 nurses. The questionnaire used to collect the data was provided by the Department of Social Work of the … University and distributed in electronic form to hospital nurses. After analyzing the nurses’ responses, it emerged that 85.19% of nurses are positive about the idea of organ donation and declare themselves willing to become donors, motivated by their will to really help their fellow human beings. In contrast, 5.56% said they would not be willing to donate. The main cause of their refusal seems to be fear and the prejudices they have, but also the fact that there is no trust in the organizations responsible for transplants. Finally, regarding the knowledge of the nurses who participated in the survey, the average knowledge score on the scale 0–100 is 72. There is a clear need for specialized training for nurses managing organ donation. The emotional burden and responsibilities they face are significant. Enhanced training supports their well-being and ensures a more compassionate, efficient process for donors and families, ultimately improving the experience for all involved.

Intradialytic hypotension (IDH) remains a significant and distressing complication of hemodialysis, often reducing the efficiency of the dialysis procedure and leading to adverse clinical outcomes. IDH is strongly associated with increased morbidity and mortality rates among hemodialysis patients. This study aimed to evaluate the impact of an educational intervention on nurses' knowledge and practices regarding the prevention and management of IDH at Kiruddu National Referral Hospital (KNRH) and Mulago National Referral Hospital (MNRH). A quasi-experimental study was conducted in the dialysis units of KNRH and MNRH between May and July 2024, involving 25 dialysis nurses. Data were collected using semi-structured questionnaires to assess knowledge and an observation checklist to evaluate practices, both administered pre- and post-intervention. The study recruited 25 nurses with a mean age of 33.1 years, including 13 males. The majority had 1-4 years of dialysis experience. The mean knowledge score significantly increased from 5.3 before the intervention to 13.1 after the intervention (p < 0.05). Similarly, the mean practice score improved from 12 to 20, with the difference also being statistically significant (p < 0.05). The baseline knowledge of nurses was generally low. The educational intervention significantly enhanced nurses' knowledge and practices in the prevention and management of IDH, highlighting the importance of continuous training to improve patient outcomes in hemodialysis care.

Background Medication errors (MEs) are unintended failures in the drug treatment process that can occur during prescription, dispensing, storing, preparation or administration of medications. High alert medications (HAMs) are defined as those medications that bear the highest risk of causing significant patient harm when used incorrectly, either due to their serious adverse events or to a narrow therapeutic window. Nurses are responsible for administration of HAMs; incorrect administration can have a significant clinical outcome. This study aimed to assess the level of knowledge of HAMs among nurses in government hospitals in West Bank, Palestine. Methods A cross-sectional study was conducted in 2015, in West Bank, Palestine. Data were collected via a face to face interview questionnaire, which was taken from a previous study. Data were collected by convenient sampling. The questionnaire consisted of four parts: demographic characteristics of the nurses, drug administration knowledge (10 true-false questions), drug regulation knowledge (10 true-false questions), and self-evaluation. Results A total of 280 nurses participated in the study; these nurses were working in the emergency room (ER), intensive care unit (ICU), paediatric or medical ward. The response rate was 93%. Nurses were found to have insufficient knowledge about HAMs; 67.1% of participants had a score of less than 70%, with a mean total score of 59.9 ± 15.1. Factors associated with sufficient knowledge among nurses were HAMs training and ICU training, both with p -values of 0.002. Nurses with a master degree, those working in the ICU ward, head nurses, and male nurses were the most knowledgeable groups, with a p-values < 0.001. 81.8% of respondents hoped to obtain additional training. The leading obstacles reported were inconsistent opinions between doctors and nurses (37.9%), and no established standard operating procedure for HAMs (37.1%). Conclusions Lack of knowledge was one of the obstacles that nurses encountered during administration of HAMs which might result in MEs. Nurses reported that they would like to have additional training to update their pharmacology knowledge. Nurses could benefit from additional continuing education and training programs.

The Advanced Practice Nurse (APN) is a master-prepared Registered Nurse with additional knowledge and clinical expertise for expanded practice as defined by the country in which the APN practices. The growth of the APN role has resulted in measurable healthcare outcomes including improvement in the quality of patient care and patient safety, mitigation of the physician shortage in underserved areas, improved perception of the public image of nursing, and reduced cost of healthcare delivery. The COVID-19 pandemic has further raised the importance of the APN role and has reinforced its significance in the multidisciplinary healthcare team. The APN role was established in the 1960s in the United States, and after five decades, approximately fifty countries have adopted the APN model. However, Pakistan's healthcare system has yet to embrace the APN role. The purpose of this study was to identify nurses' knowledge and perception about developing an Advance Practice Nurse role in Pakistan. Using a descriptive qualitative design, twelve semi-structured interviews of Registered Nurses working in Pakistan were conducted from August 2022 to October 2022. The data was analyzed using inductive analysis. First, codes were generated from the data which were then grouped into sub-categories and finally into the main categories. The data analysis revealed that nurses believe introducing the APN role in Pakistan will enhance the accessibility of healthcare in underserved areas. In addition, APNs will bring consistency in care delivery; will improve the quality of care, which will be cost-effective and more accessible. Furthermore, establishing the APN role will improve nurses' image and career prospects, which will increase nurses' retention and satisfaction. However, certain barriers were highlighted towards the implementation of APN model, which included Pakistan's unstable political and legislative structure, opposition from physicians, a lack of quality nursing education, and a lack of acceptance of the role among the general public as well as opposition from seasoned nurses and nursing leaders. The growing need for healthcare access as well as improved patient and population outcomes could be addressed through the development of the APN role in Pakistan. Increased recognition of the nursing profession and enhancement of nursing career opportunities are potential benefits of expanding nursing practice roles.

This study aimed to evaluate nurses’ knowledge, attitudes, and practices (KAP) regarding pressure ulcer prevention in a tertiary care hospital. A cross-sectional design was employed to assess nurses’ KAP regarding pressure ulcer (PU) prevention. The study was conducted at the Government Hospital of Faisalabad, Pakistan. A purposive sampling method selected 200 registered nurses currently employed at the hospital. The average age was 30.20 ± 5.61 years, with 75% ( n  = 150) married and 92% ( n  = 182) holding a diploma in nursing. Knowledge regarding pressure ulcers was high, with 49.5% ( n  = 98) strongly agreeing and 31.8% ( n  = 61) agreeing that pressure ulcers cause severe illnesses, yielding a Likert score of 4.15. Awareness of the Braden Scale was also high, with 50% ( n  = 99) strongly agreeing and 31.3% ( n  = 62) agreeing, resulting in a score of 4.18. The practice of turning patients every two hours was well-received, with 47.5% ( n  = 94) strongly agreeing, leading to a score of 4.10. Age ( p  = .134), marital status ( p  = .571), and level of education ( p  = .072) were not significant predictors of knowledge scores. However, higher knowledge scores significantly predicted more positive attitudes ( p  < .001) and better practices ( p  < .001) in pressure ulcer prevention. The study highlights significant gaps in nurses’ knowledge, attitudes, and practices regarding PU prevention. The findings underscore the need for continuous education and training to enhance nurses’ competence in PU prevention. Addressing these gaps through targeted interventions can improve patient outcomes and reduce the prevalence of PUs in healthcare settings.

Background: Health literacy has become the best predictor of healthcare status. However, two-thirds of health providers are unaware of patients’ health literacy. Thus, the aim of the study is to investigate factors related to Chinese-speaking nurses’ knowledge and experience of health literacy. Methods: This cross-sectional study used a web-based survey. A total of 430 nurses were recruited by stratified sampling from different levels of hospitals and community health centers in Taiwan. Primary outcome measure by Health Literacy Knowledge and Experience. Results: The participants’ overall health literacy knowledge was limited; the correct responses were 51%. The education level of the participants, job category, working years, and having attended in-service patient education programs were the predictors of knowledge of health literacy (p < 0.05); Institute, job category, and having attended in-service patient education programs were the predictors of experience of health literacy (p < 0.01). Conclusions: Participants’ education levels and In-service patient education programs are beneficial factors to improve nurses’ knowledge of health literacy. Furthermore, nursing education should emphasize on how to identify individuals’ health literacy and using readable healthcare materials to improve health education.

Introduction Nursing as a profession is still changing, developing and seeking a place in the healthcare system. It also defines a new tasks and competencies in response to increasing patients’ needs and changing environment. Nursing tasks include not only strictly clinical tasks, but also non-nursing tasks that are necessary to carry out the treatment process such as logistics processes. The main aim of the study was to assess the level of knowledge of nurses about logistics processes and to assess the perception of the role of a nurse in selected hospital logistics processes. An additional objective was to assess the frequency of application of the 7R principle (the right product, in the right quantity, in the right condition, to the right place, at the right time, for the right customer/patient, at the right cost). Materials and methods This is a cross-sectional study. In the study, 152 nurses participated. The original questionnaire included a sociodemographic and logistical section, which consisted of questions about the definition of the logistics process and its understanding, respondents’ participation in logistics processes, and the occurrence of logistics processes in the workplace. The nurses’ knowledge was assessed through five questions, and the results could range from 1 to 6 points. Four questions were used to analyze the role of nurses in logistics processes, with possible scores ranging from 2 to 9 points. The frequency of the 7Rs principle usage ranged from 0 to 35 points. Results The level of respondents’ knowledge was moderate, with an average score of 4.67 points, and more than half of the nurses were characterized by a high level of knowledge about logistics processes (51.32%). The role of the nurse in the logistics process was assessed as moderately important, with a score of 5.91 points. The 7Rs principle was applied ‘sometimes,’ achieving a score of 26.67 points. Conclusions Although logistics as a science is not widely included in nursing education and practice, respondents reported a moderate level of knowledge and assessed the role of nurses in logistics processes as moderately significant, suggesting that logistics is important in the work of nurses.

Background This study aimed to analyze latent profiles and characteristics of nurses’ knowledge, attitudes, and practices (KAP) regarding pressure injury (PI) prevention, as well as influencing factors across distinct profiles. Methods A convenience sampling method was employed to recruit nurses from hospitals at various tiers in Guangxi Zhuang Autonomous Region between July and August 2024. Data were collected using a General Information Questionnaire and a Nurse PI-KAP Questionnaire. Latent profile analysis (LPA) identified distinct PI-KAP profiles, while univariate analysis and multinomial logistic regression determined profile-specific influencing factors. Results Among 17,253 enrolled nurses, the total PI-KAP score was 63.44 ± 7.69. Three latent profiles emerged: low-level PI-KAP (12.82%), moderate-level PI-KAP (52.23%), and high-level PI-KAP (34.95%). Multinomial logistic regression revealed that hospital tier, years of experience, education level, professional title, gender, and attitudes toward PI training significantly influenced PI-KAP profiles ( p  < .05). Conclusion Heterogeneity exists in nurses’ PI-KAP profiles, with a substantial proportion demonstrating suboptimal competency. Nursing administrators should establish hierarchical training systems tailored to PI-KAP characteristics. Capacity-building strategies include prioritizing training for core nurses, optimizing resource allocation, and establishing tiered hospital assistance mechanisms to enhance team-based PI prevention capabilities. Clinical trial number Not applicable.