27^th International Congress on Nursing Care & Nursing Education November 21-22, 2018 Bangkok, Thailand

Session Introduction

Babak Motamedi

Islamic Azad University, Dehaghan Branch, Iran

Title: Workplace violence among nurses

Biography:

Babak Motamedi is a Professor of Nursing at the Department of Nursing, Islamic Azad University, Dehaghan Branch, Iran. He has done BS from Tehran University in 1988, and MS from Shiraz University of Medical Sciences in 1993. He received his PhD in Nursing Science from Azad University in 2001. From 1993 to 2002 he served as Vice president of University Research Center and from 2002 to 2010 he served as the Department Chair at Islamic Azad University, Dehaghan Branch, Iran. His research interest includes reducing health disparities through health promotion and disease prevention in underserved populations, the use of community-based participatory research methods, prevention and treatment of chronic diseases, violence control in health sector and clinical research ethics.

Abstract:

Objective: To explore the situation, contributing factors and management of workplace violence among nurses in the health sector of Isfahan, Iran.

Research design and methods: A total of 250 nurses were assessed from all the health care services available in Isfahan. Quantitative and qualitative data were collected through questionnaires and interviews. Nurses were asked a series of questions about their personal experience of workplace violence in addition to their views and perceptions of violence in the workplace more generally. This can include verbal aggression or abuse, threat or harassment as well as physical violence.

Results: Violence is a problem in the workplace for almost half of nurses. Among hospital nurses, those working in Psychiatry, Drug abuse and Screening units are more likely to report violence as a problem in their workplace. The majority of Nurses experienced form of verbal abuse and a third of them reported physical violence or abuse. Females, younger nurses, working in night shifts, having physical contacts with patients, working in crowded units and poor working experience nurses were more likely to experience violence. Dissatisfaction of service provided and with diagnosis or planned treatment was the most frequently stated reason for work place violence. Psychological backgrounds, inability to pay for hospital bill, low social security conditions were the indirect factors.

Conclusions: Improved training, better security measures, including provision of a safe environment to treat known or potentially violent patients, prevention programs, and health services for both nurses and patients should be provided.

Chair

Babak Motamedi

Islamic Azad University, Dehaghan Branch, Iran

Session Introduction

Zalina Binti Ahmad

UiTM Puncak Alam, Malaysia

Title: Evaluation of compliance to management protocol of immediate postpartum care for life threatening complication after delivery in a tertiary hospital in Malaysia

Biography:

Zalina Binti Ahmad is a Nursing Supervisor U41 (Matron) with Board Certified Midwife in Hospital Putrajaya. She began her career as a Registered Nurse U29 in Hospital Kuala Lumpur as Oncology and Radiotherapy Nurse in year 1998.

 

Abstract:

Introduction & Aim: Despite the global report on reduction rate of maternal death, pessimistically many developing countries have not achieved the Millennium Development Goal (MDG) 5 to reduce maternal and neonatal mortality. Even though all delivery facility and skilled birth attendance are increasing and improving, compliance to the content and Quality of Care (QoC) in ensuring the provision of immediate postpartum care that prevent the incidence of postpartum complications call for retrace. The purpose of this study is to determine compliance to the immediate postpartum care for mother and newborn been carried out within two hours after spontaneous normal delivery by healthcare professional.

Methodology: A double blinded observational clinical audit was conducted. Self-administered questionnaires and standard protocol tool for management of immediate postpartum care adapted from Mervat, et al were used. Mother’s information collected from HIS (Hospital Information System). Total of 112 samples was included using convenience sampling inclusive of caregiver (Midwives/doctors) profile who conducted spontaneous vaginal delivery. Data collection was over a period of two months. Data was analyzed using statistics analysis package for social science for frequencies and percentages of variables.

Result: This study shows compliance rate of performing immediate postpartum care for newborn was 100%. However, 93% (n=104) noncompliance to immediate postpartum care. Study identify majority (88.4%) staffs did not perform pain score assessment as in the standard protocol for management of immediate postpartum care. Nevertheless, only minority (25.9%) did not encourage mother to empty bladder and only 8.9% did not initiate early breast feeding within 1 hour as breastfeeding policy.

Conclusion: Our finding indicates Quality of Care (QoC) with compliance to management protocol of immediate postpartum care requires health care organization strengthened and enhanced and documented auditing in order to achieve MDG 5.