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Barriers to Nursing Performance from the Perspective of Nurses Working in Intensive Care Units
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Zahra Rajaeian   , Negin MasoudiAlavi * |
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Abstract: (2760 Views) |
Background: Therearemanyperformanceobstaclesinintensivecareunits(ICU)thatcanwasteanurse’stimeandenergy. Detectionandeliminationof theseobstaclescanimproveefficacyinICUs. Objectives: ThisstudywascarriedouttoidentifytheperformanceobstaclesexperiencedbynursesinICUsof selectedhospitalsin Kashan,Iran,2015. Methods: In this descriptive analytical cross-sectional study, all 80 nurses working in ICUs reported their performance obstacles in 240 working shifts. The research instrument had 2 parts: 1- information of nurses and their working shift; 2- nursing performance obstacles questionnaire of Gurses. The questionnaire evaluates performance obstacles in 4 dimensions of environment, task,technology,andorganization. ThedataanalyzedwiththedescriptiveandanalyticalstatisticsincludingMann-WhitneyUand Krukall-Wallistests,andmultipleregressionanalysisusingSPSS16. Results: The most common obstacles were: receiving too many phone calls from family members (75%), delay in getting medicationsfrompharmacy(54.6%),insufficientspacetositdownanddopaperwork(52.9%),anddisorganizedunit(51.6%). Inthefieldof technology, havingtouseequipmentinpoorcondition(35%)wasthemostfrequentobstacle. Delayinseeingnewmedicalorders (48.3%)andinadequateinformationfromphysicians(30.4%)wereothercommonobstacles. Thenurseswithlessthan3yearsof experienceworkinginICUs,thoseworkingmorningshifts,andnurseswhohadadmittedmorepatientsreportedsignificantlymore obstacles. Conclusions: Nursing performance obstacles were different. Many obstacles such as receiving too many phone calls and having touseequipmentinpoorconditioncanbemanagedbysimpleinterventionssuchasusingtechnologytogiveinformationtothe familymembers.Managementpoliciesandenhancingteamworksareneededtoreduceobstaclessuchasinadequateinformation from physicians and disorganized unit. We need further studies, to evaluate how the elimination of these obstacles can improve thenursingcareinICUs.
Keywords: CriticalCareNursing,IntensiveCareUnits,WorkPerformance,BarrierandPerception |
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Full-Text [PDF 119 kb]
(1667 Downloads)
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Type of Study: Research |
Subject:
General
Received: 2019/06/23 | Accepted: 2019/06/23 | Published: 2019/06/23
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