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The Effects of Constructed Program on Nurses` Practices of Poisoned Children

Journal of Research in Medical and Dental Science
eISSN No. 2347-2367 pISSN No. 2347-2545

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Research - (2023) Volume 11, Issue 5

The Effects of Constructed Program on Nurses` Practices of Poisoned Children

Nuha Saeed Kadhim1 and Adraa Hussein Shawq2*

*Correspondence: Adraa Hussein Shawq, Department of Pediatric Nursing, College of Nursing, University of Baghdad, Baghdad, Iraq, Email:

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Abstract

This study was objected to evaluate the effect of constructed program on the nurses` practices for children who diagnosed with chemical poisoning. A Pre-experimental (pre-test, post-test I & II design), non-probability of (30) nurse participated from Al-Basrah Hospital for Maternal and Children, throughout the period 12th of September 2021 to 10th of October 2022. The constructed program based on previous literatures review that related to study purpose. The study instrument composed of nurses` socio-demographic data and questionnaire of (23) items to assess their practices for children with chemical poisoning, a self- report method was used to collect the data. SPSS program was used to analyze the data of the study through percentages, mean, standard deviation, and t-test. The study findings showed a statistical significant difference in nurses` practices scores between pre-test and post-test at (p=0.000) after the constructed program. However, no statistical significant difference in practices scores between post-test I and II at (p=0.587) after 4 weeks. The constructed program can used as nursing guideline during care of poisoned children chemically, to prevent complication of poisoning and reduce the burden of care.

Keywords

Effects, Constructed program, Nurses practices, Poisoned children

Introduction

Frequently, children with chemical poisoning admitted to emergency room as urgent case. They ingested, inhaled, or contact with danger chemical substances [1]. Many factors take place of increase the incidence of chemical poisoning among children such the socioeconomic status and parent awareness [2]. Major chemical poisoning effects may related to a number of chronic disorders such cancer, memory loss, allergies, chronic fatigue syndrome, learning and behavioral issues, infertility, and shock [3]. While the minor chemical poisoning effects may cause irritation and burns, headache, hazy vision, diarrhea, and breathing problems [4]. Mostly poisoned children admitted to emergency room with reported abnormal gastrointestinal and neurological signs [5].

However, children are vulnerable to experiencing feelings of anxiety, tension, and disappointment if they are not informed about what will happen to them or are not actively involved in their care. They may also feel rejected and disregarded in this situation [6].

The first hour is the best opportunity to stabilize and treat potentially life-threatening injuries before the patient's condition deteriorates, according to the "golden hour" idea. A similar idea should be highlighted when managing poisons that have been consumed; after the first hour, the amount of poison eliminated from the body significantly decreases. This principle should be remembered by medical professionals who treat poisoned individuals by considering early decontaminations after the overdose, preferably within the first hour [7].

In order to provide children with the outcomes they want, good quality clinical care is essential, and nurse performance evaluation is a key component of that. There has long been a need for, and ongoing worry about, an accurate and trustworthy way to assess nurses' clinical performance [8]. Nursing practice that based on scientific concepts for early detection of potential health problems and formulate activities for saving child`s quality of life [9]. The nurse's responsibilities also include preparing the children and their families for discharge, which is a continuous process during their hospital stay. The children and his family receive spoken and written instructions prior to leaving the hospital, when to seek medical attention, activity restrictions, drug administration directives, and infections [10].

Also, all nurses should be involved in continues intervention program to improvement and maintenance children care, and to know the suitable and active care has been produced. Instruction and direction are active methods for actual nursing [11]. Chemical poisoning is a common cause of mortality and morbidity in children around the world, with several million incidences reported annually. In Iraq, by reviewing the statistical data of ministry health, in the year 2019 it was revealed that the percentages of children who were admitted for chemical poisoning was 7236 children, and in the year 2020 was 16756 children while in the year 2021 was11497 children.

Finally, Encouraging nurses to be enrolled in training sessions to improve their knowledge and practice to keep them up to date about management of children especially in emergency situation decrease mortality and morbidity in children.

Methodology

Study Design

The study was designed as a Pre-experimental (one group pre- test, and post-test design). Pre-test conducted before post-test I, and post-test I done immediately after implementation constructed program was collected from nurses then after 4 week post-test II recollected again from nurses for one group of sample (study group).

Sample and Setting

A non- probability (convenience) sample of (30) nurses who consist of one group exposed to constructed program regarding chemical poisoning, participate from emergency department in Al-Basrah Hospital for Maternal and Children.

Instrument

The study instrument is composed of two parts, the first part is concerned with collection of nurses sociodemographic data that include their (age, gender, years of work in hospital, years of experience in emergency department, training courses). Obtained from the nurses by a self-administered questionnaire, while the second part is constructed to assess nurses practices regarding care of children with chemical poisoning, It consists of (23) closed-ended question. The reliability of the instrument was determined through the computation of Alpha Cronbach’s test (Alpha Correlation Coefficient).

Data collection of procedures

The constructed program is carried out in the emergency department at Al-Basrah Hospital for Maternal and Children for the period from May11th, 2022 to 29th June, 2022.

Results

In relation to the subject of " Age /years", Findings show participants age, the mean age for nurses included in current study is 27, the age 26-30 years old were recorded the highest percentage (43.3%).In regard with the participant’s gender, the female nurses were predominated (63.3%) as compared by those who are male nurses (36.7%). In respect to subject of "educational Level", Education related findings, the institute nursing were records more than half (56.7%). In terms of Years of Work in Hospital, it is obvious among findings that the less than 5 years of work in hospital were records highest percentage (50%)table 1.. In relation to the years of experience in emergency department, more than half were less than 5 years of experience in emergency department were records highest percentage (76.7%). In regard with the training associated findings, the majority of study sample were no attended training sessions (86.7%).

Age /years Classification Freq. %
(M± SD= 27±4.45) 21-25 years old 12 40
26-30 years old 13 43.3
31-35 years old 3 10
36 and older 2 6.7
Gender Male 11 36.7
Female 19 63.3
Education Level High School Nursing 7 23.3
Institute Nursing 17 56.7
College Nursing 6 20
Years of Work in Hospital <5 years 15 50
5-10 years 11 36.7
>10 years 4 13.3
<5 years 23 76.7
Years of experience in Emergency Department 5-10 years 4 13.3
>10 years 3 10
Training Courses No 26 86.7
Yeas 4 13.3

Table 1: Distribution of Study Sample by their Socio-Demographic Variables.

The analysis of variance by ANOVA in table 2 shows, there is a statistical significant difference in practices scores between pre-test and post-test I at (p=0.000) however, there were no statistical significant difference in practices scores between post-test I and post-test II at (p=0.587). Table 3 proves these differences.

ANOVA
Practices Periods Source of variance Sum of Squares d.f Mean Square F-statistic p-value
Pre-test
&
Post-test I
Between Groups 30.382 1 30.382 128.666 0
Within Groups 13.696 58 0.236
Total 44.078 59
Post-test I
&
Post-test II
Between Groups 0.061 1 0.061 0.299 0.587
Within Groups 11.835 58 0.204
Total 11.896 59

Table 2: Significant Differences of Nurses Practices about Care of Children with Chemical Poisoning during Period of Study.

Table 3 proves these differences.

  Post Hoc Test
Period (A) Period (B) Mean Differences (A vs. B) Std. Error p-value
Pre-test Post-test I -1.42319-* 0.12334 .000*
Post-test II -1.35942-* 0.12334 .000*
Post-test I Pre-test 1.42319* 0.12334 .000*
Post-test II 0.06377 0.12334 0.606
Post-test II Pre-test 1.35942* 0.12334 .000*
Post-test I -.06377- 0.12334 0.606

Table 3: Significant Differences of Nurses’ Practices about Care of Children with Chemical Poisoning During Period of Study by Post Hoc Test (LSD) Multiple Compassion.

Figure 1, shows nurses’ Practices about care of poison children was inadequate at Pre-test, however their responses were increase at post-test I and post-test II.

Medical-Dental-Poisoning

Figure 1: Nurses’ Practices about Care of Children with Chemical Poisoning During Period of Study.

Discussion

The present finding reflected that nurses had inadequate practices about care of children with chemical poisoning in pre-test table (2-3). Researcher point of view, the crowded patients and nursing shortage at emergency department may relate to inadequate nurses practices. In addition to the less training session about first aids for nurses at the setting of the study and most nurses had a similar duration of experience and educational level that reflect the level of practice. This findings supported by study which done in Ethiopia, to determine the nurses’ practice on the initial management of acute poisoning among patient at emergency department, the researcher discovered that (65.50%) of had unsatisfactory practice level [12]. This finding consisted with another study to assess nurses' performance for children with acute organophosphate poisoning, their finding reports that (54%) of nurses had incompetent practice [13].

However, after applying the constructed program about care poison children in table (2-3), the study findings showed a statistical significant difference in nurses` practices scores between pre-test and post-test. Also, no statistical significant difference in practices scores between post-test I and II. The researcher point of view, this result might be to the positive change in nurses believe and perceive about adequate practices during chemical poisoning among children. Also, this improvement may be attributed to a combination of the theoretical part and the practical training element of the intervention program such colored booklet, using of audiovisual aids, proper communication. This finding was supported by study to assess practices of critical care nurses about toxicological emergencies, a study that reports 76.5% of them had acceptable practices about toxicological emergencies, as p value is 0.002 [14]. This study was supported by study in India, who mentions the practice skills of the studied sample about Basic life support for the studied nurses had significantly increased after planned educational program [15, 16]. This finding approved with study in Egypt to identify effect of guideline protocol for nurses’ performance regarding care provided toward poisoned children, study which showed that more than two third of studied nurses had poor score of practices at pre guideline phase, post-guideline protocol the majority of the studied nurses had good practices level [17].

Conclusion

Before implemented the program about care of children with chemical poisoning, nurses’ practices was assessed at inadequate level at pre and post-test I.

After implemented the program about care of children with chemical poisoning nurses’ practices was assessed at adequate level at post-test I and II.

Acknowledgements

This research was supported by the Faculty of Nursing, Baghdad University and also Al-Basrah Hospital for maternal and Children. We would like to thank the staff and participants from Emergency department.

References

  1. Kumar SV, Venkateswarlu B, Sasikala M, et al. A study on poisoning cases in a tertiary care hospital. J Nat Sci Biol Med 2010; 1:35.
  2. Indexed at, Google Scholar, Cross Ref

  3. Bakhaidar M, Jan S, Farahat F, et al. Pattern of drug overdose and chemical poisoning among patients attending an emergency department, western Saudi Arabia. J Community Health 2015; 40:57-61.
  4. Indexed at, Google Scholar, Cross Ref

  5. Robinson M. The gale encyclopedia of alternative medicine. Reference Reviews 2010.
  6. Indexed at, Google Scholar, Cross Ref

  7. Schymanski EL, Williams AJ. Open science for identifying “known unknown” chemicals 2017.
  8. Indexed at, Google Scholar, Cross Ref

  9. Vilaça L, Volpe FM, Ladeira RM. Accidental poisoning in children and adolescents admitted to a referral toxicology department of a Brazilian emergency hospital. Rev Paul Pediatr 2019; 38.
  10. Indexed at, Google Scholar, Cross Ref

  11. Al-mosawi K. Effectiveness of health educational program on nurses’ knowledge about communication skills with children at welfare children teaching hospital in Baghdad city. Iraqi National J Nursing Specialties 2019; 32:67-74.
  12. Indexed at, Google Scholar

  13. Saikia D, Sharma RK, Janardhan KV. Clinical profile of poisoning due to various poisons in children of age 0–12 years. J Family Med Prim Care 2020; 9:2291.
  14. Indexed at, Google Scholar, Cross Ref

  15. Hadi A, Fadhil M. Evaluation of Staff Nurses’ performance at Primary Health Care Centers in Baghdad City. Iraqi National J Nursing Specialties 2020; 33:22-30.
  16. Indexed at, Google Scholar, Cross Ref

  17. Mahmoud R L, Shawq A H. Application of program for nurse’s management about care of children treated with Ventricular Peritoneal Shunt. Pak J Med Health Sci 2021; 16: 619.
  18. Indexed at, Google Scholar, Cross Ref

  19. Obaid BK, Hussein A, NOORI K. Nurses' knowledge concerning neonatal sepsis in neonatal intensive care units at pediatric teaching hospitals in Baghdad city. Asian academic research J multidisciplinary. 2016; 3:56-65.
  20. Google Scholar

  21. Abd Al-Muhsen D, Abdulwahid H. Evaluation of post-operative nursing care of psychological support and discharge plan for women undergone hysterectomy at maternity wards in Baghdad city's teaching hospitals. Iraqi National J Nursing Specialties 2021; 34:69-75.
  22. Google Scholar

  23. Beyene T. Assessment of knowledge and practice of nurses’ on initial management of acute poisoning at adult emergency department of two public hospitals in Hawassa town, Hawassa, southern Ethiopia.
  24. Indexed at, Google Scholar

  25. Hussein Ahmed Mohamed S, Abd Elaziz Mohamed M, Faheem Gendy J, et al. Nurses performance for patient with acute organophosphate poisoning. Egypt J Health Care 2021; 12: 275-290‏.
  26. Indexed at, Google Scholar, Cross Ref

  27. Saad Hassan SS, Abo El-Ata AB, Abdu El-kader HM. Critical care nurses'knowledge and practices about toxicological emergencies. Port Said Scientific J Nursing 2021; 8:68-83.
  28. Indexed at, Google Scholar, Cross Ref

  29. Nhan N. Evaluation of resuscitation cardiopulmonary training for the new nurse. 2019.
  30. Indexed at, Google Scholar

  31. Saramma P, Raj L, Dash P, et al. Assessment of long-term impact of formal certified cardiopulmonary resuscitation training program among nurses. Indian J Critical Care Medicine 2016; 20:226.
  32. Indexed at, Google Scholar, Cross Ref

  33. Mohammed SM, Abdelaziz Ismail AL, Nagy AA, et al. Effect of emergent nursing educational program on nurses’ performance for patients with acute poisoning. Tanta Scientific Nursing J 2021; 21:224-50.
  34. Indexed at, Google Scholar, Cross Ref

Author Info

Nuha Saeed Kadhim1 and Adraa Hussein Shawq2*

1Department of Community Health Nursing, College of Nursing, University of Basrah, Basrah, Iraq
2Department of Pediatric Nursing, College of Nursing, University of Baghdad, Baghdad, Iraq
 

Citation: Nuha Saeed Kadhim, Adraa Hussein Shawq, The Effects of Constructed Program on Nurses` Practices of Poisoned Children, J Res Med Dent Sci, 2023, 11(5):39-41.

Received: 26-Apr-2023, Manuscript No. jrmds-23-87017; Accepted: 28-Apr-2023, Pre QC No. jrmds-23-87017; Editor assigned: 28-Apr-2023, Pre QC No. jrmds-23-87017; Reviewed: 12-May-2023, QC No. jrmds-23-87017; Revised: 17-May-2023, Manuscript No. jrmds-23-87017; Published: 24-May-2023

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