Journal of Advanced Practices in Nursing

Aim: The aim of the present study was to investigate the intention of nurses working in a Greek public general hospital to leave either the nursing profession or the hospital they work for and to identify the factors correlated to this intention.

Materials and methods: It is a quantitative cross-sectional study with a sample of 245 nurses (response rate 94.6%) working in the clinical departments of the General Hospital of Kavala (n=420 beds). The survey was conducted between June and July 2016. Data were collected via a structured questionnaire with closed-ended questions, filled out by the participants. The data analysis was conducted using the SPSS v 21.0 statistical package. The significance level was set to 0.05.

Results: Two-third of the study population (154 out of 232 nurses) stated their intention to leave the nursing profession and most of them quite soon, due to poor salary (60%), absence of work incentives (70%) and lack of skills development and career improvement opportunities (60%). However, about 50% of the participants reported that they didn’t want to leave the hospital they were working for. Correlation analysis indicated that young age, reduced job satisfaction, years of working experience and improved level of education were positively correlated with nurses’ intention to leave their profession (p<0.05).

Conclusions: As with most hospitals in the world, the issue of nurses’ intention to leave is increasing in Greece as well, especially during the years of the economic crisis. Effective practices for maintaining human resources, wage adjustments, education and distribution of benefits in a fair manner are needed in order to prevent the phenomenon ensure better healthcare services and patient safety conditions and enable the healthcare system to respond effectively to the negative consequences of the economic crisis.

Introduction: Ethiopia adopts nursing process guideline and had been implementing at all hospitals since 2010. It is essential for improving quality of nursing care provided for admitted patients. However, there is no clear evidence on the compliance of nurses with this national guideline specifically to the study area.

Objective: To assess the compliance of nurses with national nursing process guideline at Tercha general hospital, Southern Ethiopia, 2018 B.C.

Methods: This study was conducted in the Tercha General Hospital of Dawuro zone, which is located 554 km far from Addis Ababa in the southern part of Ethiopia. Single case study design with mixed methods of data collection was employed from March 15-30/2018. Data were collected through observation sessions of 125 clients to nurse interactions and review their charts, and 14 key informants. Descriptive statistics like frequency, mean, media and percentage were done by using SPSS version 23. Qualitative data were analyzed manually by categorizing in to different themes and triangulated with the observation findings. The results were presented in form of texts and table.

Results: The overall compliance of nurses with national nursing process guideline in Tercha general hospital was 47%. Nursing assessment and diagnosis were performed for 67% and 62% of patients, respectively. Whereas, nursing care planning, implementation and evaluation were made only for 54%, 52% and 47% of admitted patients, respectively. Qualitative study explained that these under performances were due to inadequate medical supplies, reference materials, staffing, and limited capacity building activities like training.

Conclusion and recommendation: The practice of nursing process as the national standard was low. We therefore recommend the hospital to fulfill resources for practicing nursing process and should provide capacitybuilding activities like training and regular internal mentorship.

Aim: To Assess the level of stress among B.Sc nursing 1^st year students.

Materials and methods: A quantitative research approach, descriptive research design was adopted for the study. Total 30 samples obtain from 1st year B.Sc nursing students selected by using consecutives sample technique. Stress scale was used to assess the level of stress. The data was analysed by using the descriptive and inferential statistic.

Results and conclusion: It is found that among B.Sc nursing 1^st year students 30% are having mild stress, 63.33% are having moderate stress, and 6.67% are having severe stress. Statistical analysis showed that mean of B.Sc nursing student level of stress is 24.63. Significant difference were found at score (p<0.05) thus the study revealed that there is no association with the selected socio demographic variables regarding level of stress among 1st year B.Sc nursing students. Thus null hypothesis (H0) retained.

Objective: This study sought to determine the impact of educational intervention on the caregivers’ understanding of the SBAR tool used during the patients’ handover practices by utilizing a quasi-experimental design.

Methods: This quantitative study was conducted within the Transfer Center of a tertiary care hospital in Abu Dhabi. In a quasi-experimental design, the researcher collected data in two separate phases using a borrowed questionnaire. The first phases, pretest, was administered to all the 40 participants within the first week of July, 2018 to assess their knowledge levels regarding the use of SBAR communication tool during patient handover practices. Subsequently, the educational training was offered to all the 40 participants before administering the posttest on the first week of August 2018.

Results: Descriptive data analysis showed that majority of the participants had ages of between 30 and 49. 72.5% of the participants had over four years of experience and with a Bachelor’s degree in nursing. Further comparative analysis using ANOVA descriptive statics showed mean score of 57.4% in pretest and 94% in posttest. Chi-Square analysis of the impact of the various demographic factors and educational intervention on the participants’ scores showed a statically significant (p<.05) impact of the educational training on the posttest scores.

Conclusion: The educational intervention had a significant improvement on the caregivers’ understanding and use of the SBAR tool as used during patient handover practices. It is also apparent that most caregivers do not possess sufficient skills an understanding necessary for effective use of the SBAR communication tool as used during patient handovers and should thus be given further training.