A Comparative Study of Nurses Knowledge, Attitudes, and Practices Concerning Fluid Therapy in Children in Public versus Private Hospitals in Erbil City

  • Nazar Ramadhan Othman Department of Nursing, College of Nursing, Hawler Medical University, Erbil, Iraq
  • Abbas Abdulqader Ahmed Department of Nursing, College of Nursing, Hawler Medical University, Erbil, Iraq.
Keywords: Nurses, KAP, Fluid, Public, Private, Hospital

Abstract

Background and objectives: Dehydration caused by diarrhea is considered as a significant cause of morbidity and mortality among children all over the world, fluid therapy remain the most effective methods to treat dehydration. Nurses are responsible for initiating, monitoring, terminating, knowing preventing and complications of intravenous fluid therapy. The main aim of the study was to compare nurses’ knowledge, attitude, and practice concerning fluid therapy in children in public versus private hospitals.
Methods: A comparative study design was conducted in children hospitals in Erbil City. A randomized sampling technique was used for enrolling 98 nurses from three pediatric hospitals; from three pediatric hospitals; 70 from Rapareen Public Hospital other 28 nurses from Lala and Consultant Medical City Private Hospitals. The data were collected through direct interview and analyzed through descriptive and inferential statistics (paired Samples t-test) using SPSS 22.0.
Results: The results revealed that highest percentage of nurses age group were 22-28 years, 67.1% %were female in public hospital, about 34.3% and 64.3% graduated from institutes in both hospitals. there was no significant difference between the nurses socio-demographic characteristics from public hospital and private hospitals. There was a significant difference between the nurses from public hospital and private hospitals regard-ing their KAP. The nurses from private hospital have better KAP than public Hospital.
Conclusion: Knowledge, attitude, and practice of fluid therapy among nurses of Rapareen Public Hospital were poor, while the nurses from private hospitals had an acceptable level of knowledge, attitude, and practice of fluid therapy.

References

[1] Welch, K. “Fluid balance”. Learning Disability Practice.2010; 13: 6, 33-38.
[2] Walker CL, Aryee MJ, Boschi-Pinto C, Black RE.Estimating diarrhea mortality among young children in low and middle income countries.PLoS One.2012; 7(1):e29151
[3] Troeger C, Forouzanfar M, Rao PC, Khalil I, Brown A, Reiner RC Jr, Fullman N et al; Global Burden of Diseases. Estimates of global, regional, and national morbidity, mortality, and aetiologies of diarrhoeal diseases: a systematic analysis for the Global Burden of Disease Study. Lancet Infectious Disease. 2017;17(9):909-948
[4] Ulusoy, MF. and Görgülü, RS. Principles of Nursing Basic Theory, Concept Principles and Methods: (3rd ed). TDFO Ltd. Şti: An-kara, Turkey, 1996; 233‑276.
[5] Karadağ, A. Intravenous Fluid Therapy: Complications and Nursing Care. CU Journal of School of Nursing, 1999;3: 39-47.
[6] Karadeniz, G., Baykal, D. and Özbakkaloğlu, B. Nurses' Knowledge about the Development of Phlebitis in a Patient with Intravenous Catheter Applications to patients with phlebitis. Ege Journal of School of Nursing. 1999; 15: 103-113..
[7] NICE , National Institute of Health and Care Excellence guidance on giving intravenous fluids, Nursing Times, 2014;110 (6), 12-13.
[8] Selbst, M., Fein, A.Medication and intravenous fluid errors in a paediatric emergency Department; Pediatric Emergency Care Journal;1999;15(1); 1-4.
[9] Mehran A., Seyed, M., Roya, R, Seyed, M., Fard, A., Mahnaz, J, et al; Comparison Quali-ty of Health Services between Public and Private Providers: The Iranian People’s Perspective. Electron Physician. 2016; 8(9): 2935–2941.
[01] Sanjay, B., Andrews, J., Kishore, S., Panjabi, R., and Stuckler, D.Comparative performance of private and public healthcare systems in low- and middle-income countries: a systematic review. PLoS Medicine.2012; 9(6): e1001244. doi: 10.1371
[00] Liina-K, T. and Karsten, V. Comparing public and private providers: a scoping review of hospital services in Europe. BMC Health Services Research. 2018;18;141
[01] Mehdi, R., Mohammad, K. Bahadori, R., Ramin, R. and Seyed, M. Comparing the quality of nursing services between two public and private hospitals. International Journal of Healthcare Management. 2017; 10(4):252-258.
[01] Kwame, R, and Florence, A. Service quality in public and private hospitals: A comparative study on patient satisfaction. International Journal of Healthcare Management. 2017; 12(4). 251-258
[01] Elshamy, F, Mohammed, A., and Mohammed, A. Effect of Implementing Intravenous Infusion Therapy Protocol on Nurses’ Knowledge and Performance at Specialized Medical Hospital. Journal of American Science.2015;11(11)
[01] Mohamed A. Salwa and Weheida M Soheir.Effects of implementing educational program about pressure ulcer control successfully complete a test of basic knowledge on nurses’ knowledge and safety of immobilized and performance before assuming independent patients, Journal of Nursing Education and Practice. 2015;5 (3). 1-10.
[16] Deshmukh, M. and Shind, M. Impact of Structured Education on Knowledge and Practice Regarding Venous Access Device Care among Nurses”. International Journal of Science and Research (IJSR).2012; 3.358 1 2
[07] Shaymaa s. Khalil, Zeinab a. Mohammad, manal e. Ez el-deen, Nagwa m. Ahmed, Impact of Implementing A Designed Nurs-ing Intervention Protocol on Nurses' Knowledge and Practice Regarding Patients Undergoing Blood Transfusion. Medical. Journal of Cairo University. 2013;81(2), 163-171
[08] Ahmed Abd. Sherein. Study of nurse’s performance regarding infection control for patients with central venous catheter. Master Thesis. Faculty of Nursing, Zagazig University,2007 p. 95.publications.zu.edu.eg.
[09] Ghorbani A. Ali, Hesamzadeh A, Khadem-loo M, Khalili S, Hesamzadeh Sh and Berger V.Public and Private Hospital Nurses’ Perceptions of the Ethical Climate in Their Work Settings, Sari City, Nursing Midwifery Study. 2014; 3(1): e12867.
[11] Haukedal A.Thor, Reierson A. Inger, Hede-man H and Bjørk T. Ida. The Impact of a New Pedagogical Intervention on Nursing Students’ Knowledge Acquisition in Simulation-Based Learning: A Quasi-Experimental Study. Hindawi. Nursing Research and Prac-tice. 2018; ID 7437386, 10 pag-es.doi.org/10.1155/2018/7437386
[10] Keleekai L. Nowai, Schuster L. Cathe-rine, Murray L. Connie, King A. Mary, Stahl R. Brian, Labrozzi J. Laura, Gallucci S. Improving Nurses' Peripheral Intravenous Catheter Insertion Knowledge, Confidence, and Skills Using a Simulation-Based Blended Learning Pro-gramA Randomized Trial. Simulation Healthcare 2016; 11(6): 376–384.
[11] Javadi M, Karimi S, RaiesiA, YaghoubiM., Kaveh K.Comparison of patients’ and nurses’ viewpoints about responsiveness among a sample from public and private hospitals of Isfahan. Iranian journal of nursing and midwifery research. 2011; 16(4): 273–277.
[11] Mohammed, K., and Taha, S., Critical Care Nurses’ Knowledge and Practice Regarding Administration of Total Parenteral Nutrition at Critical Care Areas in Egypt. Journal of Biology, Agriculture and Healthcare. 2014;4(13):10-22
[24] Alrubaiee, G., Baharom, A., Shahar, K., Daud, M. and Basaleem, O. Knowledge and practices of nurses regarding nosocomial infection control measures in private hospitals in Sana’a City, Yemen. Safety in Health. 2017; 3(16):2-6
[25] Kwateng O. Kwame, Lumor R. and Acheam-pong o. Florence. Service quality in public and private hospitals: A comparative study on patient satisfaction. International Journal of Healthcare Management 2017;12(4). 251-258
[26] Moonaghi K., Hasanzadeh F,, Shamsoddini S,., Emamimoghadam, Z. and Ebrahimza-deh, S. A comparison of face to face and video-based education on attitude related to diet and fluids: Adherence in hemodialysis patients Iran. Journal of Nursing and Midwifery Research. 2012;17(5): 360–364.
[27] Feng X. Li., Liu, A. and Qin, Y. Nurses' perception of risk factors for infusion phlebitis: A cross-sectional survey. Chinese Nursing Research .2016;3(1). pp37-40
[28] Camilleri D, Mark O’Callaghan. Comparing public and private hospital care service quality. International Journal of Health Care Quality Assurance. 1998;11(4-5)127-33
[29] Mogileeswari P, Ruth M., Knowledge and practice regarding fluid and electrolyte re-placement therapy for patient with burns. International Journal of Multidisciplinary Research and Development. 2016; 3( 4).217-220.
[30] Vijayan, A. “A study to assess the knowledge and practices of staff nurses regarding fluid and electrolyte administration in postoperative cardiac surgical patients admitted in cardiac surgical ICU and cardiac surgical ward, free chitra tirunal institute for medical sciences and technology. 2011; P1-27.
Published
2020-05-30
How to Cite
Othman, N., & Ahmed, A. (2020). A Comparative Study of Nurses Knowledge, Attitudes, and Practices Concerning Fluid Therapy in Children in Public versus Private Hospitals in Erbil City. Erbil Journal of Nursing and Midwifery, 3(1), 22 - 30. https://doi.org/10.15218/ejnm.2020.03
Section
Original Articles