عنوان الإطروحه |
Jordanian Nurses Knowledge of Anticoagulation Therapy for the Atrial fibrillation patients; Effectiveness of an Educational Course
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تاريخ مناقشة الاطروحه |
2020-07-16 |
اسم الطالب |
عبدالله حسين محمد عموش
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المشرف |
سامي محمد ابراهيم علوش |
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المشرف المشارك |
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اعضاء لجنة المناقشة |
| احمد سالم احمد موسى |
| عبدالله الخوالدة |
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الكلية |
كلية الاميرة سلمى بنت عبدالله للتمريض |
القسم |
تمريض صحة البالغين/ العناية الحثيثة |
الملخص بالعربية |
يهدف البحث إلى دراسة مدى معرفه الممرضين الأردنيين في العلاج بمضادات التخثر لمرضى الرجفان الأذيني, وفاعلية الدورة التعليمية في تحسين معلومات الممرضين في استخدام العلاج بمضادات التخثر, حيث أنه على الرغم من وجود اهتمام متزايد بالبلدان المتقدمة باستخدام مضادات التخثر بين مقدمي الرعاية الصحية بشكل عام والممرضين بشكل خاص ، فإن معرفه الممرضين في استخدام مضادات التخثر في البلدان النامية بما في ذلك الأردن تحوز على اهتمام أقل. لذا ، فإن البحث الحالي سيحدد مدى معرفه الممرضين الأردنيين في العلاج بمضادات التخثر, وفاعلية الدورة التعليمية في تحسين معلومات الممرضين في استخدام العلاج بمضادات التخثر.
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الملخص بالانجليزي |
Background: Atrial fibrillation (AF) is a common cardiac arrhythmia that is associated with significant complications such as pulmonary embolism, heart failure, and stroke. Around one-third of ischemic strokes are caused by AF. Anticoagulation therapy is a key element in its management, preventing clot formation and reducing the risk of ischemic stroke. Nurses are the frontline workers in charge of administration of anticoagulants and assessment of its effectiveness and complications. Their knowledge of anticoagulants is therefore a critical factor to ensure proper quality of care. Few studies have been conducted in Jordan to investigate nurses? knowledge regarding anticoagulation therapy.
Purposes: This study aimed to assess the knowledge of Jordanian nurses about anticoagulation therapy, to evaluate the effectiveness of educational courses on increasing their knowledge, and to identify the factors that affect nurses? changing knowledge following completion of the educational course.
Method:
Design : A pre/post-test quasi experimental design was used. The participants? knowledge was assessed twice, before and after the educational course.
Data analysis: SPSS version 23 was used for data analysis. Paired sample t-test was used to measure the change in knowledge scores before and after the course of anticoagulation therapy.
Sample: A total of 123 nurses participated in the study, identified by convenience sampling and recruited from five hospitals in Jordan.
Measurement: A survey questionnaire based on European cardiovascular nurses? knowledge on anticoagulation therapy was used to measure changes in knowledge pre- and post-test. The questionnaire is composed of four parts: socio-demographic variables; oral anticoagulants in general; knowledge about warfarin?s use as an oral anticoagulant; and knowledge about dabigatran. An educational courses that is composed of four hour-long sessions was given in order to improve participants? knowledge about anticoagulation therapy.
Setting: The study was conducted at five governmental hospitals in Jordan, between September and November 2019. Hospitals were selected based on the number of nurses and availability of ethical permission.
Results: Nurses? knowledge of anticoagulants was poor; however a significant improvement was achieved following the educational course (M=25.5, SD=3.41), as compared to before conducting it (M=12.2, SD=5.3, t= 42.54, p<0.001). Having an academic degree was found to affect the change in knowledge scores among participants (t= -3.52, p = 0.001).
Conclusion: The educational course undergone by participants was effective in improving their knowledge. Baccalaureate degree holders achieved more improvement in their knowledge scores after completion of the course. Post-graduate education for nurses would help to improve their knowledge about anticoagulants. Revision of nursing curricula may be deemed necessary in order to improve the quality of education for nurses during their degree work, especially regarding anticoagulants
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رقم ISN |
6603 |
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