Auditing phototherapy-related nursing care in neonatal general and intensive care units
Journal of Critical Care Nursing : April 03, 2015,
8 (3); e8284
July 30, 2015
Article Type: Research Article
August 14, 2016
September 26, 2015
F , Piri Neghabadi
F , Shirinabadi Farahani
A , Pourhoseingholi
M A , Nourian
M . et al. Auditing phototherapy-related nursing care in neonatal general and intensive care units ,
Crit Care Nurs J.
Aims: Jaundice is among the most prevalent problems among neonates which can have toxic effects on the brain and cause serious complications. The commonest treatment for neonatal jaundice is phototherapy. Providing phototherapy by using clinical standards can enhance its effectiveness and safety, reduce its duration, shorten hospital stay, and minimize phototherapy- related complications. The aim of this study was ‘to evaluate the accordance of phototherapy-related nursing care services with the current standards”. Methods: In this descriptive study, 120 phototherapy-related care delivery episodes were selected in 2013through time and event sampling and were observed and assessed by using a checklist. The checklist had been developed based on a literature review and the current standards. The validity of the checklist was established through content validity assessment and its reliability was confirmed by an inter-rater interclass correlation coefficient of 0.78. Study data were gathered through observing and documenting phototherapy-related care services provided in the neonatal care wards and neonatal intensive care units of four hospitals affiliated to Shahid Beheshti University of Medical Sciences, Tehran, Iran. The data were reported by using the measures of descriptive statistics which had been calculated by using the SPSS21. Results: The accordance of phototherapy-related nursing care services with the current standards in the study setting was moderate (58.7%). Conclusions: Phototherapy-related care services are way below the standards. This can be related to factors such as care providers’ inattentiveness, educational shortcomings, inadequate clinical supervision, limited equipment and facilities, and nurses’ lack of knowledge about the importance and the outcomes of accurate phototherapy-related care services.
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