Improving Nurses Knowledge and Attitude regarding Early Mobilization of Post-Operative Patients

Abstract

Introduction:

Nurse is the first member of the healthcare team to begin mobilizing the patient. There was little knowledge about nursing decisions on whether to ambulate, how they ambulate, and when they ambulate older hospitalized patients and also lack of knowledge and training. The most important change to improve time starts their first postoperative activity. Dangling the client the of surgery day to enhance the benefits of the early mobility and have to decreased the time from 16.8 to 6 hours with no side effects of client consequences.

Methods:

An experimental study which was conducted in a tertiary care hospital about improving nurses knowledge and attitude regarding early mobilization of post-operative patients in Lahore, Pakistan. This was a quality improvement project utilized a pre-survey, educational intervention, post survey design. The educational intervention integrated knowledge obtained from the review of literature in the form of a 25 minute Power Point presentation. Pre and post-survey included knowledge-based questions and opinion-based questions.

Results:

The data was collected from 109 participants from different surgical department’s nurses. It was consist into 2 section pre and post survey, eight multiple choice question knowledge based and five opinion-based statements answered by marking a visual analogue scale. The gander of the surgical nurses all were female and age group was up to 20 years, education of surgical nurses in general nursing was 50.5%, BS Nursing (Generic) was 4.6%, BS Nursing ( Post RN) was 26.6%, Specialization was 18.3%. Marital status of surgical nurses those who married was 54.1% and unmarried was 44.9%. Nursing experience of surgical Nurses was more than 6 months and Department of surgical Nurses in general surgery was 28.4%, ICU was 33.0%, urology was 16.5%, Gynae was 20.2% and neurosurgery was 5.5%.

Conclusions:

All nurses was correctly responded in both the pre-survey and post-survey to questions regarding the complications of immobility and the positive effect of early mobilization of the postoperative patient. An evaluation piece such as chart reviews at a future date was provided the opportunity to ensure change had embedded into practice, becoming the new status quo.  The Advanced Practice Nurse was the ability to devise, implement, and evaluate such initiatives with the purpose of achieving integration of evidence based knowledge into practice and improving patient outcomes.

Keywords: Knowledge, Nurses, Early, Mobilization, Post-Operative, Attitude, Patients