CHAPTER FIVE 5.0 DISCUSSION
This chapter discusses the study finding on demographic characteristics, knowledge, practice, and challenges faces among nurses who care critically ill patients in the ward at Mnazi Mmoja Hospital. This is followed by the conclusion of the study, limitations, implication and recommendation from the study.
5.1 Demographic characteristics
In this study, it was found that the majority of participants were female 134 (77.9%) with the male to female ratio 1:3.5. The majority of participants 58.7% had working experience from one to five years. This is similar to the study done in Singapore on “front line nurses experiences with deteriorating ward patients” by Chua et al., which demonstrates that 75% were female and …show more content…
This is supported by Clarke ( 2014) on Promoting the 6Cs of nursing in patient assessment.illustrated that patient assessment dependent on effective communication between clinicians in order to provide appropriate care and treatment. Sub-optimal communication is a common occurrence which associated with untoward events, with omissions and inaccuracies in the information shared, despite extensive education and collaboration. Effective communication can equally be enhanced through the use of the SBAR …show more content…
Among the challenges were inadequate equipments or materials used for critically ill patients (91.3%), shortage of staffs (72.1%), lack or poor knowledge and skills (37.2%), poor cooperation between staffs, relative as well as inter-departmental (34.9%), lack of guidelines or tools (28.5%), workload of nurses (poor nurse : patient ratio) 22.1%, lack of training (10.5%) and poor monitoring of patients (9.3%). Several studies also identified similar or some challenges faces during caring of critically ill patients including study done by Nazila ( 2014) on care of acutely ill patients showed that shortage of staff and equipment, overcrowding of acutely ill patients in general wards, lack of nurse-physician communication using individual judgment instead of guidelines and protocol, lack of knowledge and training in some nurses. Also, another study done by Parker (2015) on challenges confronting clinicians in acute care were poor communication (between nurses and doctors, between allied health staffs and nurses, between families and patients), staffing issues like shortage of staffs, working life like workload, inadequate resources( not enough basic equipment)and lack of maintenance, staff attitudes and behaviors, lack of support and opportunity for further education and so on. Other challenges faced by staff nurses in dealing with critically ill patients in ward were low
This chapter discusses the study finding on demographic characteristics, knowledge, practice, and challenges faces among nurses who care critically ill patients in the ward at Mnazi Mmoja Hospital. This is followed by the conclusion of the study, limitations, implication and recommendation from the study.
5.1 Demographic characteristics
In this study, it was found that the majority of participants were female 134 (77.9%) with the male to female ratio 1:3.5. The majority of participants 58.7% had working experience from one to five years. This is similar to the study done in Singapore on “front line nurses experiences with deteriorating ward patients” by Chua et al., which demonstrates that 75% were female and …show more content…
This is supported by Clarke ( 2014) on Promoting the 6Cs of nursing in patient assessment.illustrated that patient assessment dependent on effective communication between clinicians in order to provide appropriate care and treatment. Sub-optimal communication is a common occurrence which associated with untoward events, with omissions and inaccuracies in the information shared, despite extensive education and collaboration. Effective communication can equally be enhanced through the use of the SBAR …show more content…
Among the challenges were inadequate equipments or materials used for critically ill patients (91.3%), shortage of staffs (72.1%), lack or poor knowledge and skills (37.2%), poor cooperation between staffs, relative as well as inter-departmental (34.9%), lack of guidelines or tools (28.5%), workload of nurses (poor nurse : patient ratio) 22.1%, lack of training (10.5%) and poor monitoring of patients (9.3%). Several studies also identified similar or some challenges faces during caring of critically ill patients including study done by Nazila ( 2014) on care of acutely ill patients showed that shortage of staff and equipment, overcrowding of acutely ill patients in general wards, lack of nurse-physician communication using individual judgment instead of guidelines and protocol, lack of knowledge and training in some nurses. Also, another study done by Parker (2015) on challenges confronting clinicians in acute care were poor communication (between nurses and doctors, between allied health staffs and nurses, between families and patients), staffing issues like shortage of staffs, working life like workload, inadequate resources( not enough basic equipment)and lack of maintenance, staff attitudes and behaviors, lack of support and opportunity for further education and so on. Other challenges faced by staff nurses in dealing with critically ill patients in ward were low