Effect of Evidence-Based Nursing Care Guidelines on the Quality of Care of Patients in Neurosurgical Intensive Care Units

authors:

avatar zahra tayebimyaneh ORCID 1 , avatar Maryam Azadi 1 , avatar Seyedeh Zahra Hosseinigolafshani 2 , avatar farnosh rashvand 2 , *

Student Research Committee, Qazvin University of Medical Sciences, Qazvin, Iran.
Social Determinants of Health Research Center, School of Nursing and Midwifery, Qazvin University of Medical Sciences, Qazvin, Iran.
Journal of Inflammatory Diseases: Vol.24, issue 1; 56-67
article type: issue_documents_importer

how to cite: tayebimyaneh Z, Azadi M, Hosseinigolafshani S Z, rashvand F. Effect of Evidence-Based Nursing Care Guidelines on the Quality of Care of Patients in Neurosurgical Intensive Care Units. J Inflamm Dis. 2020;24(1):e156201. 

Abstract

Background: Evidence-based nursing care guidelines are important tools for increasing the quality of nurses’ clinical work. Objective: The aim of this study was to investigate the effect of implementing evidence-based nursing care guidelines on the quality of care of patients admitted to the Neurosurgical Intensive Care Units (NICUs). Methods: This is a quasi-experimental study on 54 nurses in NICUs of hospitals affiliated to Qazvin University of Medical Sciences selected using a convenience sampling technique and divided into two groups of intervention and control. The intervention included the teaching of evidence-based nursing guidelines and their implementation by the nurses. Before and two months after the intervention, the demographic characteristics and the quality of nurses’ patient care in both groups was evaluated by using a demographic form and a standard checklist with 37 items designed based on the standards of practice for All Registered Nurses (ANA). Data were analyzed in SPSS software using descriptive statistics (Mean±SD), and paired t-test, independent t-test and chi-square test. Findings: The mean score of nursing care quality in the two groups was not significantly different before intervention (P>0.05). After intervention, the mean score was 25.11±6.2 in the intervention group and 20.29±5.3 in the control group, and the difference was statistically significant (P<0.05). Conclusion: Implementation of evidence-based nursing care guidelines can improve the quality of nursing care. Therefore, it is recommended that the teaching of evidence-based nursing care guidelines should be on the agenda of the hospitals’ education unit and related departments.

References

  • 1.

    Aligood MR, Marriner-Tomey A. Nursing theory: Utilization & application. St. Louis: Mosby; 2002. https://books.google. com/books?id=4iptAAAAMAAJ&q.

  • 2.

    Shiri H, Nikravan Mofrad M. Intensive care in ICU. 12th ed. Tehran: Noure Danesh; 2010. [In Persian] http://opac.nlai.ir/ opac-prod/bibliographic/578071.

  • 3.

    National Association for Healthcare Quality. NAHQ defines the standard of excellence [Internet]. 2020 [Updated 2020]. Available from: https://nahq.org/about/about-national-association-healthcare-quality.

  • 4.

    Moosavi A, Foroghi S, Abassi N, Haqiqi Sh, Mahdian Nasab SA, Moosavi Z. Fundamentals and principles of management in nursing. Tehran: Khosravi; 2005. [In Persian] http://opac. nlai.ir/opac-prod/bibliographic/773431.

  • 5.

    Davis BA, Kiesel CK, McFarland J, Collard A, Coston K, Keeton A. Evaluating instruments for quality: Testing convergent validity of the consumer emergency care satisfaction scale. J Nurs Care Qual. 2005; 20(4):364-8. [DOI:10.1097/00001786200510000-00013] [PMID].

  • 6.

    Memarian R, Vanaki Z, Khazaei N, Rahmani A. The effect of mentoring program on quality of nursing care recording. J Nurs Manag. 2013; 2(2):49-54. [In Persian] http://ijnv.ir/article-1-142-en.html.

  • 7.

    Saifollahi Z, Bolourchifard F, Borhani F, Ilkhani M, Jumbarsang S. Correlation between nurses knowledge and quality of nursing care for prevention of pressure ulcers in intensive care units. Hayat. 2016; 22(1):90-101. [In Persian] http:// hayat.tums.ac.ir/article-1-1391-en.html.

  • 8.

    Munhall PL. Nursing research : A qualitative perspective. Sudbury, MA: Jones & Bartlett Learning; 2012. https://www. worldcat.org/title/nursing-research-a-qualitative-perspective/oclc/716890871.

  • 9.

    Rezaeehachesoo P, Habibi Sh, Fozonkhah Sh. Information technology, an effective tool in reducing and preventing medical errors: Suggestions for improvement. Health Inf Manage. 2007; 4(1):89-98. [In Persian] http://him.mui.ac.ir/ index.php/him/article/view/70.

  • 10.

    Neishabory M, Raeisdana N, Ghorbani R, Sadeghi T. Nurses and patients viewpoints regarding quality of nursing care in the teaching hospitals of Semnan University of Medical Sciences, 2009. Koomesh. 2011; 12(2):134-43. [In Persian] http://koomeshjournal.semums.ac.ir/article-1-1093-en.html.

  • 11.

    vretveit J. Quality evaluation and indicator comparison in health care. Int J Health Plann Manage. 2001; 16(3):229-41. [DOI:10.1002/hpm.629] [PMID].

  • 12.

    Adib-Hajbaghery M. Factors facilitating and inhibiting evidence-based nursing in Iran. J Adv Nurs. 2007; 58(6):566-75. [DOI:10.1111/j.1365-2648.2007.04253.x] [PMID].

  • 13.

    Melnyk BM, Fineout-Overholt E. Evidence-based practice in nursing & healthcare: A guide to best practice. Philadelphia: Wolters Kluwer Health; 2014. https://books.google.com/ books?id=drzbswEACAAJ&dq.

  • 14.

    Taheri F, Khademolhoseini M, Mokhtari Nouri J. Designing evidence-based nursing care guidelines for neurosurgical patients in Intensive Care Unit. Iran J Crit Care Nurs. 2015; 8(1):27-34. http://jccnursing.com/article-1-307-fa.html.

  • 15.

    Azizi M, Sirati Nayer M, Mokhtari Nouri J, Motahedeyan Tabrizi E. Designing and accrediting the evidence-based care guidelines on insomnia and constipation in psychiatric patients. Evid Based Care. 2013; 3(3):81-9. [In Persian] [DOI:10.22038/EBCJ.2013.1796].

  • 16.

    Koh SS, Manias E, Hutchinson AM, Donath S, Johnston L. Nurses perceived barriers to the implementation of a fall prevention clinical practice guideline in Singapore hospitals. BMC Health Serv Res. 2008; 8:105. [DOI:10.1186/1472-6963-8105] [PMID] [PMCID].

  • 17.

    Yusefzadeh E, Akbarzadeh R, Khademolhoseini SM, Akrami R. The effect of implementing evidence-based guidelines on the quality of nursing care provided to patients with angina pectoris. Iran J Crit Care Nurs. 2015; 8(1):1-6. http://jccnursing.com/article-1-303-en.pdf.

  • 18.

    LoBiondo-Wood G, Haber J. Nursing research: Methods and critical appraisal for evidence-based practice. Amsterdam: Elsevier Health Sciences; 2013. https://books.google.com/ books?id=wXWSAAAAQBAJ&dq.

  • 19.

    Mohammadpoor A. Comparative standards of hospital hygiene standards of the international joint commission on hospital accreditation [MSc. thesis]. Tehran: Iran University of Medical Science; 2006. [In Persian] http://opac.nlai.ir/opacprod/bibliographic/1637772.

  • 20.

    Khaki S, Esmaeilpourzanjani S, Mashoof S. The relationship of ethical observance of nurses with quality of care from patients point of view. J Clin Nurs Midwifery. 2016; 5(1):1-11. [In Persian] http://jcnm.skums.ac.ir/article-1-367-en.html.

  • 21.

    You LM, Aiken LM, Sloane DM, Liu K, He GP, Hu Y, et al. Hospital nursing, care quality, and patient satisfaction: Cross-sectional surveys of nurses and patients in hospitals in China and Europe. Int J Nurs Stud. 2013; 50(2):154-61. [DOI:10.1016/j.ijnurstu.2012.05.003] [PMID].

  • 22.

    Alizadeh H, Mokhtari Nuri J, Taghva A, Azizi M. The effect of the implementation of evidence-based nursing care guidelines on standard quality criteria in psychiatric department. Mil Caring Sci. 2016; 3(2):123-32. [In Persian] [DOI:10.18869/ acadpub.mcs.3.2.123].

  • 23.

    Mokhtari L, Babaei R, Zeinali A. The effect of evidence base training on nursing student ability in executive skills of nursing process. J Urmia Nurs Midwifery Fac. 2018; 16(2):122-9. [In Persian] http://unmf.umsu.ac.ir/article-1-3271-en.html.

  • 24.

    Khalili R, Khaghnizadeh M, Sirati Nir M, Mokhtari Noori J, Zicker F. Evidence-based nursing education: A scoping review. Int J Med Rev. 2015; 2(3):273-77. http://www.ijmedrev. com/article_68659.html.

  • 25.

    Mena-Tudela D, Gonzlez-Chord VM, Cervera-Gasch A, Maci-Soler ML, Orts-Corts MI. Effectiveness of an evidence-based practice educational intervention with second-year nursing students. Rev Lat Am Enfermagem. 2018; 26:e3026. [DOI:10.1590/1518-8345.2502.3026].

  • 26.

    Lucas K, Knobel RB. Implementing practice guidelines and education to improve care of infants with neonatal abstinence syndrome. Adv Neonatal Care. 2012; 12(1):40-5 [DOI:10.1097/ANC.0b013e318241bd73] [PMID].

  • 27.

    Hommersom A, Lucas PJF, Van Bommel P. Checking the quality of clinical guidelines using automated reasoning tools. Heor Pract Log Prog. 2008; 8(5-6):611-41 [DOI:10.1017/ S1471068408003451]##.