Evaluation of Nurse’s Practice for Patient with Craniotomy after Discharge in Baghdad Teaching Hospitals

Abstract

Craniotomy is a terrifying ordeal for patients and their families. The postoperative period is a patient's weakest and most vulnerable time. Despite teaching moments about postoperative directions, patients' concerns about daily living activities prior to and after discharge are the most common.

Objectives: evaluation of Nurse’s Practice for Patient with Craniotomy After Discharge and to find out the relationship between nurse’s knowledge and practices and their demographics characteristics.

Methodology: A non-probability (purpose) sample of (60) nurses who were working in neurosurgery wards, were selected from Baghdad Teaching Hospitals. Study starting from march 16nd, 2022 up to the April 16th, 2023. Non-probability (purposive sample) of (80) nurses, who were working in emergency departments, were selected from Baghdad Teaching Hospitals.

The data were collected through the use of constructed questionnaire, which consist of two parts (1) Demographic data that consist (7) items and (2) Nurses’ practice which consist of (24) items and Reliability was determined through a pilot study and the validity through a panel of (13) experts, Descriptive statistical analysis procedures (frequency, percentage, mean of score, Relative Sufficiency) and inferential statistical analysis procedures (anova) were used for the data analysis.

Results: The results of the study indicated that (66.7%) of the study sample were female, their advance age within 23-27years, (38.3%) were graduate from collage of nursing, (51.6%) had years of experience in neurosurgical ward within (1-5) years and (50.0%) Number of years of employment in hospitals within (6-10) years, (40.0%) had one training session (5.0 %).

Conclusions: The researcher can conclude that the majority of the nurses had poor practice concerning patient with craniotomy and There was non-significant association between the nurse’s knowledge and their gender and age but there is significant association between nurse’s knowledge and educational level.

Recommendations: The study recommends that the referral hospitals should develop procedure manuals that provide detailed information about all procedure and care for patient with craniotomy, the procedure manual should be subject to an annual audit, and active steps should be initiated to remedy identified deficiencies.