Assessment of Nurse’s Knowledge and Practices Regarding Pediatric Cardiac Catheterization at Sulaimani Cardiac Hospital

Section: Original Articles
Issue
Vol. 10 No. 1 (2022): Volume 10 Issue 1
Published
Jan 1, 2022
Pages
111-123

Abstract

Pediatric Cardiac catheterization is considered one of the most diagnostic and interventional procedures available to the cardiologist. Pediatric Cardiac Catheterization has decreased morbidity and mortality for cardiovascular defects, and this invasive process is not free of complications.The study's objective is to assess the nurse's knowledge and practices regarding pediatric cardiac catheterization. Descriptive -analytical designs are used in the current study. A purposive non-probability sample of ( 30 ) Nurses were recruited who worked in Sulaimani Cardiac Hospital. The present study shows that most participants were males aged between (45-49). years. The study demonstrated that nurses' knowledge in pediatric cardiac catheterization was satisfied, and more than half of them worked with "good practice." Further, the study's result indicates a significant positive statistical correlation between (nurses' knowledge and Nurses' practice at Pre-cardiac, Intra-cardiac, Post-cardiac). The study recommends specific special training courses for all the nurses working with children undergoing pediatric cardiac catheterization to reinforce their skills and promote their experience, and further studies are also recommended.

References

  1. ,
  2. , as their sample were primarily male; however, they differ in sample age groups as most of them were aged between 25-29 years old.
  3. Regarding the educational level, the current study showed that most participants hold a technical institute degree in nursing, estimated as 66.7%, and 23.3% have preliminary nursing graduates. This conclusion supported a study conducted in Eygpt by
  4. , which indicated that the maximum percentage of job experience was ranged between (1-10) years. However,
  5. , Which were agreed, reported that more than half of nurses had a general nursing diploma according to their qualification. The experience in nursing and the duration of work for nurses in this center revealed that most of the nurses were 4 8 Years experienced in pediatric cardiac catheterization, and the minority had more than nine years of experience in the care of Pediatric Cardiac Catheterization. These findings confirm the study done in Baghdad
  6. .
  7. Patients undergoing pediatric cardiac catheterization need a knowledgeable nurse who recognizes and spots the complications, Using an appropriate practice of nursing care that will assist the patients to cope successfully with their situation and reduce their vascular complications
  8. .
  9. Cardiac catheterization in the pediatric community has similarities with catheterization in adults. However, visible differences in adults, the coronary atherosclerotic disease is more common and extremely rare in pediatrics. The techniques, interventions, and indications performed in pediatrics are different. A variety of therapeutic procedures was done in the pediatric cardiac catheterization lab, including balloon angioplasty of stenotic lesions, embolization and device closure of vessels, device closure of septal defects, and valvuloplasty of stenotic valves stenting vascular stenosis, and even percutaneous pulmonary valve implantation. An entire patient assessment is required and determines the best sedation
  10. .
  11. In contrast,
  12. .
  13. Regarding the Nurse's practices, the percentage of people who worked with "good practice" was (65.56%), those with "Average practice" by (11.11%) and (23.33%) of them were in a "poor practice" the result of the study done in Erbil found that overall quality of pre cardiac catheterization nursing care, 81.8% of the nurses were at an acceptable level compared to 18.2% were at a reasonable level. At the same time, the mean score of overall quality of care was 2.18, indicating an acceptable level of patient care. This contrasts with the cross-sectional analytical study in Pakistan
  14. .
  15. There is also a probability of more severe but uncommon complications, including hematoma, severe bleeding, blood vessel or nerve damage, irregular heart rhythms and lung or heart failure, stroke, heart attack, blood clots in the lungs or legs
  16. .
  17. This invasive process is not free of complications. However, it is safe when a knowledgeable team achieves it. The complications are usually brief and may consist of minor complications as abnormal heartbeats, reaction to dye or medications, bruising, temporary pain, minor infections, and bleeding put
  18. . Further,
  19. . However, this finding contradicts the study results done in Mosul Hospital, which indicated that nurses working in medical and surgical ward nurses' Knowledge of Patient Safety After Cardiac Catheterization were unacceptable
  20. . Nurses' knowledge was excellent and sufficient about cardiac catheterization procedures. Inconsistent with the present study, a study conducted in the cardiac unit in Palestine to determine the Nurse's knowledge about pacemaker implantation showed similar results
  21. . There is also a probability of more severe but uncommon complications, including hematoma, severe bleeding, blood vessel or nerve damage, irregular heart rhythms and lung or heart failure, stroke, heart attack, blood clots in the legs or lungs, and renal failure
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Authors

SABAH QADIR AZIZ

Diploma in Nursing, B.Sc. Ministry of Health -Director General of Health in Sulaymaniyah Governorate / Pediatric Nursing College Sulimani Cardiac Hospital

PARY M AZIZE

PhD, MSc, BSc,Assistant Professor Sulimani Polytechnic University Nursing Department Sulimani technical institute

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