Effect of Nursing Care Standards for Preventing Deep Vein Thrombosis among Patients Undergoing Hip Surgery on Nurses' Performance and Patients' Outcome

Abstract

The aim of this study isto evaluate the effect of Nursing care standards (NCSs) for preventing deep vein thrombosis (DVT) among patients undergoing hip surgery on nurses' performance and patients' outcome. Research hypothesis are (1): Orthopaedic nurses' performance level for prevention DVT will be improved post NCSs implementation than pre implementation. (2): The incidence of DVT among patients undergoing HS post NCSs implementation (study group) will be lesser than pre implementation (control group). A quasi- experimental Research design was utilized. Setting: This study was conducted in orthopedic unit and outpatient at Benha university hospital. Subjects: 30nurses who working in orthopedic unit. Purposive sample of 132 patients were divided into equally study and control groups. Four tools were used; nurses' interview questionnaire sheet, nurses' practice observational checklist, hospital structure checklist inpatients outcome assessment sheet. The Results: 70%&80%of nurses had unsatisfactory level of knowledge and practice scores pre implementation. Meanwhile, 96.7%&93.3%of nurses had satisfactory level of knowledge and practice scores post implementation respectively. The incidence of DVT among patients in study group was lesser than patients in control group with highly statistically significant improvement in patients' outcome (P≤ 0.001). Conclusion: there was statistically significant improvement in nurses' performance and reducing incidence of DVT among the patients in study group than the patients in control group. Recommendation: Orientation programs should be provided for all newly nurses about the developed NCSs for preventing DVT among patients undergoing HS