Evaluation of Quality of Wound dressing among Nurses in Surgical wards in Three Teaching Hospitals in Khartoum State 2012 - 2013

Abstract

Abstract Introduction: Quality of wound dressing was very important in order to prevent infection, improve quality of life in order to amputation and even death, in addition to enhance patient’s satisfaction. Objective: - This cross sectional descriptive study was carried out to evaluate the quality ofwound dressing among nurses including dressing techniques, available resources and patients’ satisfaction with nursing care of wound and hospital services in three teaching hospitals in Khartoum State. Material and Method: Design: a descriptive cross sectional hospital base study. Total coverage sample were used involving seventy eight nurses, and none probabilityof convenient sampling of one hundred and seven patients with wounds were admitted to surgical wards in three teaching hospitals (Khartoum, Omdunnan and Khartoum North teaching hospitals). Data were collected by i observational checklists for Nurses performing wound dressing and available resources via hospitals and interviewing questionnaire for patients to assess _ their satisfaction. Data were analyzed by SPSS version 16 and were calculated to evaluate nurses who performed wound dressing and patient’s satisfaction. Statistical significance was accepted when P value equals to or less than 0.05. Results: The result showed that 81% of participants performed the dressing by one nurse while 19 % were performed by two nurses during the procedure. Also more than 90% of participants did not follow barrier nursing (wash hands, wear gown, cap and face mask) in preparation of sterile field. Conceming sterilization less than 20% per three hospitals who depended on autoclave by

proper methods while 80% depends on hot_ oven for sterilization for both instruments and gauze plus surgical towels. In addition that all of participants did not maintain sterility during procedure such as surgical hand washing, wearing of sterile gloves and handling of instruments. The researcher conducted from the satisfaction of the patients that hospitals facilities and services in relation to wound care,, 32% was bad and, 49% was very bad. Conclusion: Most of participants had poor skills and did not apply proper good quality of wound care that may lead to poor out come and unsatisfactory patients. Recommendation: ' There is a need for health care facilities to develop policy and educational programmes for refreshment courses for stafl’ and put protocol of standard wound dressing for each surgical ward in the hospitals.