Evaluation of the Clinical Performance of Nurses Employed in the Neonatal Intensive Care Units

Fateme Amiri Simkoii, Anahita Masoumpoor, Azam Shirinabadi-Farahani, Bagher Pahlevanzadeh

Abstract


15

Abstract Introduction: Nurses are as the most important health care providers who require extensive knowledge and skills in this field. Despite the high importance of the issue, our knowledge of the current status of clinical performance and levels of nursing skills in the neonatal intensive care units is very low. The present study was done with the aim of determining the status of clinical performance of neonatal nurses in the NICU. Methods: The present research is a descriptive study, through which the clinical performances of 96 neonatal nurses were observed in eight areas. Data collection was done using a researcher-made Scale. The data were analyzed with SPSS version 21. Results: The neonatal nurses’ clinical performances were acceptable (69.74%) in all the areas which includes vital signs control, daily cares, respiratory cares, infants feed, vessels' access, medicine prescription, phototherapy and using required equipment for neonates (such as warmer, Infusion pump, Defibrillator, Incubator, Ventilator and Phototherapy).The highest and lowest practices were assessed in the fields of infant nutrition (84.11%) and equipment utilized (51.93%), respectively. Conclusions: The nursing skills in the study areas seems within an acceptable range, which could be due to the NICU nurses’ interests in this field. In order to improve the performance of nurses in areas where there is a weakness, we suggest considering the importance of these care and disadvantages due to negligence.

Keywords:
Health Personnel, Nurses, Neonatal, Intensive Care Units, Neonatal


Keywords


Key Words: Evaluation, clinical performance, nurses of NICUs

Full Text:

PDF

26

References


References

] 1[ Robert, M. Kliegman, MD. Nelson textbook of pediatrics. 19th edition. Malassezia, Philadelphia(2011). 703-731.

] 2[ Nayeri f, et al. Evaluation of the cause and predisposing factors in neonatal mortality by using international coding version 10 in valiasr hospital.iran journal pediatr (2007). 17(1)21-26. [Farsi].

] 3[ Sheikh Bahauddinzadeh E, Raii E. Neonatal Intensive Care Nursing. Publications Tohfe. First Edition. Tehran.(2006). [Farsi].

] 4[ Tramo, M. J, Lense, M, Van Ness, C, Kagan, J, Settle, M. D & Cronin, J. H. Effects of Music on Physiological and Behavioral Indices of Acute Pain and Stress in Premature Infants Clinical Trial and Literature Review. Music and Medicine(2011). 3(2), 72-83.

] 5[ New Zealand Nurse’s Organisation Neonatal Nurses College. Neonatal Nursing Standards(2012).

] 6[ Safadi, R., Jaradeh, M., Bandak, A. & Froelicher, E. Competence assessment of nursing graduates of Jordanian universities. Nursing & Health Sciences(2010). 12, 147-154 .

] 7[ Patricia R., Tammy E., & Patrick A. Reviews of human factors and ergonomics. Volume 5, Chapter: Performance in nursing, Publisher: Human Factors and Ergonomics Society, Editors: F. Durso(2013) .1-40.

] 8[ Jafari Prdsty H, Heidarzadeh M Et Al. Service Package On The Health Care In The Country. Tehran. Publishing Company Idehpardazan , Technology And Art.(2011). [Farsi].

] 9[ Thelan L A et al. Critical care nursing diagnosis and management. 4th edition. Louis, mosby Inc(2002).112-131.

] 10[ Cashin, A. Chiarella, M., Waters, D. & Potter, E. Assessing nursing competency in the correctional environment: The creation of a self-reflection learning and development tool. Journal For Nurses In Professional Development (2008). 24, 267-273.

] 11[ Bahreini M, Moattari M, Kaveh M, Ahmadi F. A Comparison Of Nurses'clinical Competence In Two Hospitals Affiliated To Shiraz And Boushehr Universities Of Medical Sciences: A Self-Assessment . Iranian Journal Of Medical Education. 2010; 10 (2) :101-110. [Farsi]

] 12[ Goudarzi Z, Tefagh M, Monjamed Z, Memari A, Kamali P. The Effect Of Continuing Education Of Neonatal Intensive Care Nursing On Knowledge And The Practice Of The Nurses Working In The Children’s Hospitals. Hayat. 2004; 10 (1) :25-31. [Farsi]

] 13[ Alizadeh G, Ebrahimi M, GHARIBI F. Improve The Quality Of Burn Care Unit Sina Hospital With Clinical Audit. Conference Clinical Audit And Quality Improvement. Tabriz.(2012) . [Farsi]

] 14[ Cummings, J. N., & Haas, M. R. So many teams, so little time: Time allocation matters in geographically dispersed teams. Journal of Organizational Behavior(2012). 33(3), 316-341.

] 15[ Snijders, C., Van Lingen, R. A., Molendijk, H. & Fetter, W. P. F. Incidents and errors in neonatal intensive care: A review of the literature. Archives of Disease in Childhood-Fetal and Neonatal Edition (2007).

] 16[ Asgharpour R, Taleghani Gh. 360 Degree Feedback Strategies, Approaches And Ways For Managers. Tehran. First Edition. Sapco Publications.(2000). [Farsi]

] 17[ Imanipour M, Jalili M, Mirzazadeh A, Dehghan Nayeri N, Haghani H. Viewpoints Of Nursing Students And Faculties About Clinical Performance Assessment Using Programmatic Approach. Iranian Journal Of Medical Education. 2013; 12 (10) :743-755. [Farsi]

] 18[ Calman L, Watson R, Norman I, Redfern S, Murrells T. Assessing practice of student nurses: methods, Preparation of Assessors and Student Views. Journal of Advanced Nursing(2002). 38(5), 516-523.

] 19[ Van Der Vleuten, C. P., & Schuwirth, L. W. Assessing professional competence: from methods to programmes. Medical education(2005). 39(3), 309-317.

] 20[ Bahreyni, Masoud, M. Moatari, S. H. Akaberian, And K. Mirzaei. "Determining Nurses'clinical Competence In Hospitals Of Bushehr University Of Medical Sciences By Self Assessent Method." (2008): 69-75. [Farsi]

] 21[ neonatal-icu-skills-checklist.(2013). Available via http://thenursenetwork.com.previewdns.com/wpcontent/uploads/2013/01/neonatal-icu-skills-checklist.pdf

] 22[ Karimyar Jahromi M. Nurses’ Quality Of Performance In Intensive Care Units Based On Synergy Model. IJN. 2013; 26 (82) :74-83 . [Farsi]

] 23[ Piers, R. D., Azoulay, E., Ricou, B., Ganz, F. D., Decruyenaere, J., Max, A., Michalsen, A., Maia, P. A., Owczuk, R. & Rubulotta, F. Perceptions of appropriateness of care among European and Israeli intensive care unit nurses and physicians. The journal of the American Medical Association(2011). 306, 2694-2703.

] 24[ Mohammad Khani Ghiasvand A., Karimi R, Mohammadi E. Comparison Of Nurses And Doctors Of The Assessment Criteria Pain In Preterm Infants. Congress Newborn Health Promotion. Mashhad. (2012) . [Farsi]

] 25[ Najafi Pur S, Rassouli M, Masoum Pur A, Kavousi A. Auditing of preventive nursing care regarding neonatal hypothermia at Shahid Beheshti Medical Sciences University selected hospitals in 2011. Modern Care Journal 2012; 9(2): 104-13. [Farsi]

] 26[ Cleveland LM. Symbolic Interactionism And Nurse–Mother Communication In The Neonatal Intensive Care Unit. Research And Theory For Nursing Practice 2009; 23(3): 216-29.

] 27[ Ugwu GM. Pattern of morbidity and mortality in the newborn special care unit in a tertiary institution in the Niger Delta region of Nigeria: A two year prospective study. Global Advanced Research Journal of Medicine and Medical Sciences 2012; 1(6): 133-8.

] 28[ Godarzi Z, Rahimi O, Khalesi N, Shamshiri A, Mohammadi N, Soleimani F. The rate of developmental care delivery in neonatal intensive care unit. Journal of Critical Care Nursing 2015; 8(2): 117-124. [Farsi]

] 29[ Jaloo Z. Auditing of nursing care of neonatal respiratory distress in NICU at Shahid Beheshti University of Medical Sciences selected hospitals in 2008. [msc Thesis]. Tehran, Iran: School of Nursing & Midwifery, Shahid Behshti University of Medical Sciences 2008. [Farsi]

] 30[ Gupta, B., Agrawal, P., Soni, K. D., Yadav, V., Dhakal, R., Khurana, S., & Misra, M. C. Enteral nutrition practices in the intensive care unit: Understanding of nursing practices and perspectives. Journal of anaesthesiology, clinical pharmacology(2012). 28(1), 41.

] 31[ Bektash Sh. Evaluation Of Nursing Care Of Patients With Parenteral Nutrition In Intensive Care In Teaching Hospitals Affiliated To Tehran University Of Medical Sciences And The Consequences Of The Shahid Beheshti University Of Medical Sciences In 1995. [msc Thesis]. Tehran, Iran: School of Nursing & Midwifery, Shahid Beheshti University of Medical Sciences 1995. [Farsi].

] 32[ Najafi Anari HR, Rasouli M, Atashzadeh-Shoorideh F, Namdari M. Auditing preterm neonatal nutrition nursing care at Shahid Beheshti Medical Sciences University selected hospitals. Journal of Nursing Management 2013; 2(4): 29-37. [Farsi]

] 33[ Allahverdi Pour H. The Relationship Between Knowledge And Practice In The Field Of Neonatal Nurses In Hospitals Vessel Formation In 2013. [msc Thesis]. TABRIZ, Iran: School of Nursing & Midwifery, TABRIZ University of Medical Sciences 2013. [Farsi].

] 34[ Tajali S. Auditing Heamovigiliance naring care in NICU at Shahid Beheshti Medical Sciences University selected hospitals. [msc Thesis]. Tehran, Iran: School of Nursing & Midwifery, Shahid Beheshti University of Medical Sciences 2014. [Farsi]

] 35[ Piri Naghabadi F. Auditing of nursing care in phototherapy in NICU at Shahid Beheshti Medical Sciences University selected hospitals. [msc Thesis]. Tehran, Iran: School of Nursing & Midwifery, Shahid Beheshti University of Medical Sciences 2014. [Farsi].

] 36[ Hasani Kheiri M. Auditing of nursing care of Medication in NICU at Babol Medical Sciences University selected hospitals in 2014. [msc Thesis]. Tehran, Iran: School of Nursing & Midwifery, Shahid Beheshti University of Medical Sciences 2013. [Farsi].




DOI: https://doi.org/10.22037/anm.v28i2.19364

Creative Commons License
This work is licensed under a Creative Commons Attribution-NonCommercial 4.0 International License.

Print ISSN: 2383-3750
Electronic ISSN: 2538-399x