Background: Immobility refers to a reduction in the amount and control
of movement. Immobility can adversely affect all physiological bodily
systems. The nurseʹ interventional actions for immobilized patient should
support the normal functions of the body and maintaining the strength and
flexibility of the musculoskeletal system. Aim of this study was: To assess
the effect of implementing guidelines for nurses caring for immobilized
orthopedic patients on their performance. hypothesis: Was formulated that
Nurses' performance related to caring for immobilized orthopedic patients
will be improve after application of developing guidelines & Significant
correlation between knowledge and practice post guidelines implementation.
. Design: A quasi-experimental design was used. Setting: This study was
conducted in the orthopedic department at Benha University Hospital.
Subject: (convenience sample).consist of all available nurses (n=05) working
at orthopedic department Tools: Two tools were used, I nurses' knowledge
questionnaire & II Nurses Practice Observational checklist regarding caring
for immobilized orthopedic patients Results: This study showed that the
majority of the nurses had unsatisfactory knowledge and practice regarding
caring of immobilized orthopedic patients pre guidelines implementation (888
and 068) which improved significantly immediately post guidelines
implementation where the majority of the nurses had satisfactory knowledge
and practice (828 and %6.58). Conclusion The majority of the studied nurses
had unsatisfactory level of performance (knowledge and practice) regarding
caring of immobilized orthopedic patients pre guidelines implementation.
Meanwhile, the majority of the studied nurses had statistically significant
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improvement in their performance post guidelines implementation, which
supported the study hypothesis. The study recommended an educational
program, continuous in-service training programs and establishing booklet
guideline should be prepared to help the orthopedic nurses to revise, acquire and
develop their knowledge and practice regarding caring of immobilized patients. |
