In the postoperative period, considerable effort is directed toward anticipation and prevention of problems. Patients undergoing surgery expected to have high quality of health care, and nurses play a significant role in the process together with other health care providers.
Of the study were: to assess the postoperative nursing care, demographic variables and equipment' check list in Orotta national referral hospital, Asmara.
The research design was,
The results showed that the majority of the samples (74.3%) were rated in the moderately adequate level of knowledge on practice of postoperative nursing care that they deliver for their patients during their nursing care practicing while some (22.9%) were rated in the adequate level of knowledge on practice and few (2.9%) were rated in an inadequate level of knowledge on practice
There were less short comings in the nursing care that can be improved by continuous training and courses and in the observational check list of equipment’s even though most are available, adequate & working in good condition there is some limitation. In order to improve the quality of nursing care given to the post operative patients, some recommendations are made by the researchers.
High-quality care is the right of all patients and it has the responsibility of all nurses.it could be defined as care that is provided according to hospital standards and job requirements. Patients undergoing surgery expected to have high quality of health care, and nurses play a significant role in the process together with other health care providers [1]
During the postoperative period the nursing process is directed towards the Re-establishment of the patient’s physiologic equilibrium, alleviation of pain and prevention of complications. Care full assessment & immediate intervention assist patient in returning to optimal function quickly, safely and as comfortable as possible.
Considerable effort is directed toward anticipation and prevention of problems in the postoperative period .Prompt assessment prevents complications that prolong hospital stay or endanger the patient. In this regard, the nursing care of the patient after surgery is equal in importance to the operation itself. (Brunner& Sudarths 1999) [2-7].
Recent statistics indicate that worldwide almost 234 million major surgical procedures are performed each year. This translates into 1 for every 25 people in the world. Majority of the patients who undergo the procedure get well and go home however major complications ranges from 3% to 16% and rates of permanent disability or death range from 0.4% to 0.8 %.( Healey MA 2002) [8]
Therefore, as nursing care is one of the most important contribution in preventing postoperative complications, study on the assessment of postoperative nursing care is very help full for the hospital to follow the standard protocols on postoperative nursing care in order to develop high quality of care on postoperative patients [9-10].
To assess the postoperative nursing care in OMSNRH.
To assess demographic variables
To assess post-operative Nursing care (wound care, vital signs, position & exercise, Fluid and electrolyte balance, Pain & health education).
To assess the Condition, adequacy & availability of equipment
A descriptive, cross sectional survey design was used. This study has been carried out in surgical wards of Orotta National Referral Hospital, Asmara. A convenient sampling technique used to select 35 nurses who met the inclusion criteria. A self-administered questionnaire and observational check list of equipment used for data collection. Data was entered and analyzed using Microsoft excel and statistical package for the social science (SPSS V18) [11-15].
n =35
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| 1 | 18935 | 51.4%25.7%8.6%14.3% | |
| 2 | 431 | 11.4%88.6% | |
| 3 | 18152 | 51.4%42.9%5.7% | |
| 4 | 101213 | 28.6%34.3%37.1% | |
| 5 | 81710 | 22.9%48.6%28.6% |
n=35
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| Adequate | 8 | 22.9 |
| Moderately adequate | 26 | 74.3 |
| Inadequate | 1 | 2.9 |
Table: 2 shows that majority of them [26(74.3%)] had moderately adequate level of knowledge on practice, 8(22.9) of them had adequate level of practice, only 1(2.9%) had inadequate level of knowledge on practice
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| Adequate | 5 | 14.3 |
| Moderately adequate | 18 | 51.4 |
| Inadequate | 12 | 34.3 |
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| Adequate | 28 | 80 |
| Moderately adequate | 7 | 20 |
| Inadequate | 0 | 0 |
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| Adequate | 12 | 34.3 |
| Moderately adequate | 20 | 57.1 |
| Inadequate | 3 | 8.6 |
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| Adequate | 20 | 57.1 |
| Moderately adequate | 9 | 25.7 |
| Inadequate | 6 | 17.1 |
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| Adequate | 15 | 42.9 |
| Moderately adequate | 18 | 51.4 |
| Inadequate | 2 | 5.7 |
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Table: 8 shows the equipment check list of RR . All equipment’s are available and most of them are also adequate except V/S equipment. There are only two thermometer, one BP apparatus and six beds & linens, which are inadequate. Regarding the functioning of the equipment most are working well except BP apparatus and linens are not in good condition.
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Table:9 shows the equipment check list of SA1 ward. All equipment’s are available and most of them are adequate and functioning well except pulse oximetry.
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Table:10 shows the equipment check list of SA2 ward. Most of the equipment are available except suction machine and most of them are adequate in numbers except bed linens. Regarding the functioning of the equipment, most are in good condition except the bed linens & oxygen cylinders.
Most of the staff nurses (88.6%) were females.
Most of the staff nurses (51.4%) were in age group of 20-25 years.
Most of them are (51.4%) had certificate nurses.
Most of the staff nurses (48.8%) had work experience of >2-5years.
Generally form the total score, the highest percentage (74.3%) of the samples had moderate level of knowledge on practice.
Regarding the vital sign questions highest percentage (51.4%) of the samples had moderate level of knowledge on practice.
Regarding position & exercise highest percentage (80%) of the samples had adequate level of knowledge on practice.
Regarding fluid balance questions highest percentage (57.1%) of samples had moderate level of knowledge on practice.
Regarding pain & wound care practice questions the highest percentage (51.7%) had adequate level of knowledge on practice.
Regarding health education practice questions majority(51.4%) of the samples had moderate level of knowledge on practice.
Regarding observational check list of equipment almost all of the equipment are available, adequate and working in a good condition but BP apparatus and thermometer were inadequate in RR, pulse oximetry was not working in a good condition in SA1 and there is no suction machine in SA2 and also bed linen was inadequate & not working in a good condition in all the wards.
www.iasj.net/iasj
http//www.Medinda.net.
http://www.adobe.com/go/acro_com_rd
www.bioline.org.br/pdf?js11025
www.science direct.com/science/article/pji/s0964339705000595.
www.north shorelis.com/cs/statellite? c=Document c& cid