Health Management

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Browsing Health Management by Author "Amal Atiyeh Najib Ibrahim"

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    إدراك ممرضي اقسام الرعاية الحرجة لآثار ساعات العمل الطويلة على يقظتهم و سلامة المرضى
    (AL-Quds University, 2018-04-28) أمل عطيه نجيب ابراهيم; Amal Atiyeh Najib Ibrahim; محمد شاهين; معتصم حمدان; حسين جبارين
    Working for long hours favors increasing of daytime sleepiness and decreasing the state ofnurse’s vigilance, offering a greater risk of injuries and work accidents that affect the quality of nurse’s performance and patient’s safety (Seitz, 2016).Nurses who work in this setting may experience decreased ability to provide optimum care to patients. Thus, for enhancing and improving nurses’ performance and patients` safety,there is a need to better understand fatigue and sleepiness and their association with each other as well as performance and patient’s safety (Weinstein, 2016).The study assesses the effects of long working hours of nurses in critical care units on vigilance and patients` safety in Ramallah city. The study was conducted at two major hospitals Palestine Medical Complex and Al-Istishari Arab Hospital at the first quarter of 2018. A cross -sectional design was used. A structured questionnaire was used to collect data. A total of 233 critical care nurses were included in the study, the response rate was 78.5%. The study assessed four domains: level of vigilance during the long working hours, Patient safety level during the long working hours, Patient Safety /Frequency of Events Reported and Duties affected by vigilance and patients’ safety. Study findings shows that the nurses reported a relatively high prevalence degree of long working hours (42.61%). Also, the study finds a real significance difference between working more ≥12daily , ≥40 h /weekly and vigilance and, no relationship between long working hours and patient safety were recorded ( p=.737). On the other hand, age, gender, current position and place of work shows no significance relationship with vigilance and patient safety. Finally, a significant difference between level of nurses vigilance were found between the two hospitals, and nurses at Palestine Medical Complex were more alert. The study suggested the nurses to get as much sleep as possible before starting long working hours improves their performance, prevents fatigue and keeps them alert and vigilant. Limiting consecutive long working days to a maximum of 4 days and making sure there is adequate rest time between successive shifts.