دورية أكاديمية

Standardization of caregiver and nursing perioperative care on gynecologic oncology wards in a resource-limited setting

التفاصيل البيبلوغرافية
العنوان: Standardization of caregiver and nursing perioperative care on gynecologic oncology wards in a resource-limited setting
المؤلفون: Janice Wong, Pius Mulamira, Jessica Arizu, Mariam Nabwire, Dorothy Mugabi, Sarah Nabulime, Dorine Driwaru, Esther Nankya, Ritah Batumba, Augustin Hagara, Anthony Okoth, Jane Lindan Namugga, Judith Ajeani, Carolyn Nakisige, Stefanie M. Ueda, Laura J. Havrilesky, Paula S. Lee
المصدر: Gynecologic Oncology Reports, Vol 39, Iss , Pp 100915- (2022)
بيانات النشر: Elsevier, 2022.
سنة النشر: 2022
المجموعة: LCC:Gynecology and obstetrics
LCC:Neoplasms. Tumors. Oncology. Including cancer and carcinogens
مصطلحات موضوعية: Quality improvement, Nursing, Peri-operative care, Gynecology and obstetrics, RG1-991, Neoplasms. Tumors. Oncology. Including cancer and carcinogens, RC254-282
الوصف: Introduction: In Kampala, Uganda, there is a strong cultural practice for patients to have designated caregivers for the duration of hospitalization. At the same time, nursing support is limited. This quality improvement project aimed to standardize caregiver and nursing perioperative care on the gynecologic oncology wards at the Uganda Cancer Institute and Mulago Specialised Women and Neonatal Hospital. Methods: We developed, implemented, and evaluated a multidisciplinary intervention involving standardization of nursing care, patient education, and family member integration from October 2019 – July 2020. Data were abstracted from medical records and patient interviews pertaining to the following outcomes: 1) pain control; 2) post-operative surgical site infections, urinary tract infections, and pneumonia; 3) nursing documentation of medication administration, pain quality, and vital sign assessments, and 4) patient and caregiver education. Descriptive statistics, Fisher’s exact test, and independent samples t-test were applied. Results: Data were collected from 25 patients undergoing major gynecologic procedures. Pre- (N = 14) and post- (N = 11) intervention comparison demonstrated significant increases in preoperative patient education (0% to 80%, p = 0.001) and utilization of a comprehensive postoperative order form (0% to 45.5%, p = 0.009). Increased frequency in nursing documentation of patient checks (3 to 8, p = 0.266) and intraoperative antibiotic administration (9 to 10, p = 0.180) in patient charts did not reach significance. There was no change in infection rate, pain score utilization, caregiver documentation, or preoperative medication acquisition. Conclusion: Our findings suggest that patient- and family-centered perioperative care can be improved through standardization of nursing care, improved education, and integration of caregivers in a nursing-limited setting.
نوع الوثيقة: article
وصف الملف: electronic resource
اللغة: English
تدمد: 2352-5789
Relation: http://www.sciencedirect.com/science/article/pii/S2352578921002198; https://doaj.org/toc/2352-5789
DOI: 10.1016/j.gore.2021.100915
URL الوصول: https://doaj.org/article/e9112c11725747d7a24df1bc04105461
رقم الأكسشن: edsdoj.9112c11725747d7a24df1bc04105461
قاعدة البيانات: Directory of Open Access Journals
الوصف
تدمد:23525789
DOI:10.1016/j.gore.2021.100915