AUDITING OF PRE & POSTOPERATIVE NURSING CARES IN NEONATES ADMITTED AT SELECTED HOSPITALS OF SHAHID BEHESHTI UNIVERSITY OF MEDICAL SCIENCES

Razmara, R and Pahlavanzadeh, B and Dabirian, A and Masoumpoor, A (2015) AUDITING OF PRE & POSTOPERATIVE NURSING CARES IN NEONATES ADMITTED AT SELECTED HOSPITALS OF SHAHID BEHESHTI UNIVERSITY OF MEDICAL SCIENCES. The Journal of Urmia Nursing and Midwifery Faculty, 13 (8). pp. 718-727.

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Abstract

About 3% of neonates have large physical disorders that need surgeries. Upon increase in birth of premature neonates, the disorders that need surgeries have increased.esophagial atresia , bowel obstruction and imperforated anus are among the common disorders of neonates that can be dealt more effectively and safer with nursing cares according to the existing standards and the duration of stay of neonates at hospitals shall be decreased. This study aims to evaluate the compatibility of pre and Postoperative nursing cares with the existing standards. Materials and Methods: The present research is a descriptive auditing study in which 150 cases of nursing cares before and after the neonatal surgical operations have been studies and compared with the existing standards. The data collecting tool was checklist containing the data related to the manner of standard cares before and after neonatal surgical operations, being designed based on the review of existing contexts and standards and its validity and reliability was evaluated by contextual validity study and calculation of ICC (Intraclass Correlation Coefficient), respectively, equivalent to 0.88. The method of information collecting was done by observation and recording the choices of the checklist at NICU (Neonatal Intensive Care Unit) of Mofid and Mahdieh Hospitals, affiliated with Shahid Beheshti University of Medical Sciences. The data were then analyzed with descriptive statistics. Results: The compatibility of pre and Postoperative nursing cares at the neonates’ wards and NICUs was evaluated as medium (66.9%), where 60.7% of the cares were done properly and 12.5% of them were not done properly and 26.8% of the cares were not done. Conclusion: The pre and Postoperative neonatal nursing cares are far away from the standards and it can be attributed to the carelessness of the caretakers, insufficiency at education, and shortage of facilities and equipment

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