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ORIGINAL ARTICLE
Year : 2017  |  Volume : 14  |  Issue : 3  |  Page : 251-258

Effect of nursing care standards on nurses’ performance in caring for patients with cardiac arrhythmias


1 Department of Medical Surgical Nursing, Faculty of Nursing, Benha University, Benha, Egypt
2 Department of Medical Surgical Nursing, Faculty of Nursing, Ain Shams University, Cairo, Egypt
3 Department of Cardiology, Faculty of Medicine, Benha University, Benha, Egypt

Correspondence Address:
Rawia A Ibrahim
MSc in Nursing, Department of Medical Surgical Nursing, Faculty of Nursing, Benha University, Benha, 13511
Egypt
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Source of Support: None, Conflict of Interest: None


DOI: 10.4103/2090-6021.233665

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Background Nursing care should be guided by clearly defined standards to ensure a high quality of care. Standards of care are authoritative statements that describe a common or acceptable level of patient care or performance. Aim The aim of this study was to evaluate the effect of nursing care standards (NCSs) on nurses’ performance in the care of patients with cardiac arrhythmias in the coronary care unit (CCU) at Benha University Hospital. This research was based on the hypothesis that the mean score of nurses’ knowledge and practice level after NCS implementation may be higher than their score before NCS implementation. Participants and methods A quasi-experimental research design was utilized. This study was conducted in the CCU at Benha University Hospital. Two groups of participants were included in the study: experts and staff nurses working in the CCU. Three data collection tools were used in the different phases of this study: first tool, an experts opinion sheet was designed to test the face and content validity of the designed NCSs; second tool, a self-administered questionnaire was administered to nurses to assess their knowledge; and third tool, a nurses’ practice observational checklist based on the designed NCSs was completed. Results The results of the study showed that the majority of the jury was satisfied with the general form (face and content validity) of the NCS. The jury agreement ranged between 85.7 and 100%. Furthermore, the findings revealed a statistically significant improvement in the total mean knowledge scores of nurses in all items of the study after implementing the standards (P=0.000) as compared with the preimplementation period. There was also statistically significant improvement in the total mean practice scores of nurses in all items of the study after implementing NCSs (P=0.000). Conclusion There is a statistically significant improvement in nurses’ performance in the care of patients with cardiac arrhythmias in the CCU after NCS implementation. The study recommends that NCSs for management of patients with cardiac arrhythmias should be revised, updated, and available in the CCU in both Arabic and English language.


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