Appraising Quality of Nursing Practices in the Medical and Surgical Wards of Public Hospitals in Erbil City
Background and objectives: Appraising the quality of nursing practices is a cornerstone for improving the nursing services. The objective of the study was to appraise the quality of nursing care provided to patients in the medical and surgical wards
Methods: A cross-sectional study was conducted in the medical and surgical wards of Hawler, Rizgary, and the Maternity Teaching Hospitals located in Erbil city, Kurdistan region of Iraq, starting from December 17, 2016, until September 30, 2017. The researcher used to visit the hospital wards four days per week in order to monitor the nursing practices using a questionnaire adapted from the WHO. All the nurses were included in the study except for those who were not present during the researcher’s visit. Data were analyzed by the SPSS program, and a p-value of less than 0.05 was considered significant.
Results: Only 37.8% of the nurses performed assignments in a good manner, and none performed assignments in a very good manner. Nearly all the nurses performed poorly in the following areas: disposal of soiled linen promptly; ventilation and adequate lighting in the ward; cleanliness in ward/room; hand washing before and after patient treatment; and observation rules and upholding standards. Results showed that 52.7% of nurses showed a genuine interest in the comfort and health improvements of patients.
Conclusions: The performance of nurses working in Erbil public hospitals was, in general, not so satisfactory (fair). It is recommended to engage the nurses in courses of continuing professional development (CPD) and to set standards for nursing care in the mentioned hospitals.
 Al-Kandari F, Thomas D. Perceived adverse patient outcomes correlated to nurses’ workload in medical and surgical wards of selected hospitals in Kuwait. Journal of Clinical Nursing. 2009 Feb;18(4):581-90.
 Cornell P, Riordan M, Herrin-Griffith D. Transforming nursing workflow, part 2: the impact of technology on nurse activities. JONA: The Journal of Nursing Administration. 2010 Oct 1;40(10):432-9.
 Semachew A. Implementation of the nursing process in clinical settings: the case of three governmental hospitals in Ethiopia, 2017. BMC research notes. 2018 Dec;11(1):173:1-5
 Burhans LM, Alligood MR. Quality nursing care in the words of nurses. Journal of advanced nursing. 2010 Aug 1; 66(8):1689-97.
 Faltas SF, Abd-Allah KF. The relation be-tween Nurses' Workload and Patients' Safe-ty in Surgical and Neurological Intensive Care Units. IOSR Journal of Nursing and Health Science (IOSR-JNHS). 2018; 7(6): 21-33
 Westra BL, Clancy TR, Sensmeier J, Warren JJ, Weaver C, Delaney CW. Nursing knowledge: Big data science—Implications for nurse leaders. Nursing administration quarterly. 2015 Oct 1;39(4):304-10.
 Johny SA, Moly KT, Sreedevi PA, Nair RR. Effectiveness of Nursing Process based Clinical Practice Guideline on Quality of Nursing Care among Post CABG Patients. International Journal of nursing education. 2017 Apr;9(2):120-6.
 World Health Organization. Principles of administration applied to nurse service 1985. Monograph series; No.41
 Soilkki KK, Cassim N, Karodia AM. An evaluation of the factors influencing the performance of registered nurses at the national referral hospital in Namibia. Australian Journal of Business and Management Research. 2014 May 1; 4(2):47.
 Sleem WF, El-Sayed NM.The effect of job conscientiousness on job performance. Nature and Science. 2011 9(1) 130-136. Retrieved on May 9, 2015, from https:// www.sciencepub.net/nature.
 Duffield C, Diers D, O'Brien-Pallas L, Aisbett C, Roche M, King M, Aisbett K. Nursing staffing, nursing workload, the work environment and patient outcomes. Applied nursing research. 2011 Nov 1;24(4):244-55.
 Montgomery TL, Steward RE, Shenk EP. Observations on the rooming-in program of baby with mother inward and private service. American Journal of Obstetrics & Gynaecology. 1949 Jan 1;57(1):176-86.
 Al-Banna DA. Impact of Nurse’s Satisfaction on Work Performance. Erbil Journal of Nursing and Midwifery. 2018 May 5;1(1):2-9.
 Qadir DO, Younis YM. Quality of nursing care for patients with acute myocardial infarction at coronary units of Erbil city hospitals. Zanco J. Med. Sci. 2015; 19 (2): 1011-1018 Theses MSc
 Al-Ftlawy DM. Determination of Nurses' knowledge Toward CareProvided to Patients with Acute Myocardial Infarction in-Najaf City. Kufa Journal for Nursing sciences. 2012; 2(2):1-1.
 Ara BN, Somibala T, Urmila B. Quality of Nursing Care Rendered by Staff Nurses and Patients Satisfaction: a Comparative Study. International Journal of Nursing Education. 2015 Apr; 7(2):87-92.
 Rotter I, Kemicer-Chmielewska E, Lipa P, Kotwas A, Jurczak A, Laszczyńska M, Karakiewicz B. Assesment of psychosocial work conditions of nurses at selected hospi-tal wards. Med. Pr. 2014 Jan 1; 65:173-9.
 Trinkoff AM, Johantgen M, Storr CL, Han K, Liang Y, Gurses AP, Hopkinson S. A comparison of working conditions among nurses in Magnet® and Non-Magnet® hospitals. Journal of Nursing Administration. 2010 Jul 1;40(7/8):309-15.
 Kamati SK, Cassim N & Korodia AM. An evaluation of the factors influencing the performance of registered nurses at the national referral hospital in Namibia. Australian Journal of Business and Manage-ment Research. 2014; 4(2) 47-62.
 Shang DJ, Friese DC, Wu ME, Aiken LH. Nursing practice environment and out-comes for oncology nursing. Cancer nursing. 2013 May;36(3):206.
 Soliman HM, Kassam AH, Ibrahim AA. Correlation between Patients' Satisfaction and Nurses' Caring Behaviors. J Biol Agric Healthc. 2015; 5(2):30-41.
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