Knowledge and perception of nurses regarding fluid and electrolyte balance in intensive care units
Keywords:
fluid balance, knowledge, perception, nursesAbstract
Background: Fluid balancing activities must be accurately monitored as part of the patient's baseline information, which informs medical and nursing interventions to attain physiological stability. Therefore, the aim of this study was to explore nurses’ knowledge and perception of maintaining fluid and electrolyte balance. Methods: Descriptive design was used to conduct this study. Settings: This study was conducted at Maternity and Children Hospital, Makkah City, Saudi Arabia. Sample: A convenient sample of 66 nurses was represented in this study. The data were collected through a structured interview online questionnaire to assess nurses' knowledge and perception of maintaining fluid and electrolyte balance. Results: The findings revealed that all studied nurses were female (100%) and more than half of the studied sample was Saudi Arabian (56.1%). More than half of the studied sample had correct knowledge about the average urine output, the required amount of fluid intake per day, and normal measurement of CVP (60.6%, 59.1%, and 53.0% respectively). The majority of studied nurses reported that time management, workload, lack of skills, training, and lack of communication with other healthcare workers are affecting fluid balance monitoring.
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Abd Elalem, S, and Fouad, N. (2018). Effect of an instruction intervention about body fluid balance assessment on knowledge and practice among nurses in Intensive Care Unit International Journal of Novel Research in Health care and Nursing; 5 (1): 94-105.
Asfour, H. (2016), Fluid Balance Monitoring Accuracy in Intensive Care Units. IOSR Journal of Nursing and Health Science (IOSR-JNHS) e-ISSN: 2320–1959.p- ISSN: 2320–1940 Volume 5, Issue 4 Ver. I (Jul. - Aug. 2016), PP 53-62
Aslam, S., Afzal, M., Kousar, R., Waqas, A., and Gilani, S. (2017). The Assessment of Nurses’ Knowledge and Practices about Fluid and Electrolytes Monitoring and Administration among Cardiac Surgery Patients: A Case of Punjab Institute of Cardiology. International Journal of Applied Sciences and Biotechnology, 5(2), 208-215.
Bennett, C. (2010). Fluid Balance Bar Chart. London: NHS Institute for Innovation and Improvement 2010. Retrieved on June 15, 2015
Besen, B., Gobatto, A., Melro, L., Maceil, A and Park, M. (2015). Fluid and electrolyte overload in critically ill patients: An overview. World J Crit Care Med 4: 116–129.
Bhagwanjee, S and Scribante, J. (2007). National audit of critical care resources in South Africa–unit and bed distribution. South African Medical Journal, 97(12), 1311- 1314.
Buckley, M. (2012). Electrolyte disturbances associated with medications in the critically ill. International Journal of Intensive Care 19: 74-79.
Buckley, M. (2012). Electrolyte disturbances associated with medications in the critically ill. International Journal of Intensive Care 19:74-79. Available at https: //www. Research gate. net/publication/ 233760694_
Buckley, M., LeBlanc, J and Cawley, M. (2010). Electrolyte disturbances associated with commonly prescribed medications in the intensive care unit. Crit Care Med 2010; 38(Suppl.): S253–S264.
Culleiton, A, and Simko, L. (2011). Keeping electrolytes and fluids in balance. Nursing2013 Critical Care 2011; 6 (2):30-5.
Dicon, A, and Bell, J. (2014). Investigating the recording and accuracy of fluid balance monitoring in critically ill patients. Southern African Journal of Critical Care 30(2):55-57 DOI:10.7196/SAJCC.193
Elliot, M, and Coventry, A. (2013). Critical care: the eight vital signs of patient monitoring. Retrieved from Published Online:16 Aug 2013 https: //doi.org /10.12968/ bjon.2012.21.10.621
Hassan, H., El-sayed, E., Mohammad, S and Sobeh, D. (2021). Assessment of nurses' knowledge and practice regarding fluids and electrolyte imbalance in critical care units. Port Said Scientific Journal of Nursing Vol.8, No. 2, June 2021.
Herbert, L and Elsayed, M. (2016). Fluid and Electrolyte Balance in the Intensive Care Unit – Trickle or Flood? http:// www. appraisal. nes. scot. nhs. uk/media /179709/fluid-poster.pdf retrieved May 14, 2016.
Hinckle, J and Cheever, K. (2022). Brunner & Suddarth's Textbook of Medical-Surgical Nursing (Brunner and Suddarth's Textbook of Medical-Surgical). 14th Ed. Available at https://www.amazon.com/Brunner-Suddarths-Textbook-Medical-Surgical-Nursing/dp
Hunt, P and Sendell, B. (1987). Nursing patients with disturbances of fluid and electrolyte balance. In: Nursing the Adult with a Specific Physiological Disturbance. The Essentials of Nursing. Palgrave, London. Retrieved from https://doi.org/10.1007/978-1-349-09490-5_1
Joseph, B. (2019). Fluid and Electrolyte Balance. Volume 685604. Retrieved from http://globalindiannurses.org/fluid-and-electrolyte-balance/
Kanakalakshmi, R. (2014). Knowledge and practice regarding fluid and electrolyte replacement therapy for patient with burns among working nurses. Narayana nursing journal, 3(4), 34-36.
Lee, J. (2010). Fluid and Electrolyte Disturbances in Critically Ill Patients. ISSN 1738-5997 (Print) ISSN 2092-9935 (Online) Retrieved from https: //www. ncbi. nlm. nih. gov/ pmc/ articles/PMC3043756/pdf/ebp-8-72.pdf
Leilah, M., Kandeel, N., Shebl, A and Mansour, H. (2019). Developing Nursing Standards for Maintaining Fluid and Electrolyte Balance for Critically Ill Patients in Intensive Care Units. Journal of Intensive and Critical Care. 5:4. doi: 10.21767/2471-8505.100123. Retrieved from https://criticalcare.imedpub.com
Malekzadeh, J., Mazluom, S., Etezadi, T and Tasseri, A. (2013) A Standardized Shift Handover Protocol: Improving Nurses’ Safe Practice in Intensive Care Units J Caring Sci. 2013 Sep; 2(3): 177–185. Published online 2013 Aug 27. doi: 10.5681/jcs.2013.022
McGloin, S. (2015). The ins and outs of fluid balance in the acutely ill patient. January. British journal of nursing (Mark Allen Publishing) 24(1):14-18. DOI:10.12968/bjon.2015.24.1.14. PubMed
McLfferty, E., Johnstone, C., Hendry, C and Farley, A. (2011). Fluid and electrolyte balance. Volume doi: 1 0.7748/ns2014.03.28.29.42. e5531. Retrieved from https: //criticalcare .imedpub.com
Mogileeswari, P and Ruth, M. (2016). Knowledge and practice regarding fluid and electrolyte replacement therapy for patient with burns. International Journal of Multidisciplinary Research and Development 2016; 3 (4):217-20.
Pegram, A and Bloomfield, J. (2015). Nutrition and fluid management. Nursing Standard, 29 (31). Available at https://www.proquest.com/openview
Porth, C. (2011). Essentials of Pathophysiology: Concepts of Altered Health States. 3rd ed., Philadelphia, PA: Lippincott Williams and Wilkins.
Reid, J. (2004). Improving the monitoring and assessment of fluid balance. Nursing Times 2004; 100:20, 36-9.
Scales, K and Pilsworth, J. (2008). The importance of fluid balance in clinical practice. Nursing Standard 2008; 22: 47, 50-7.
Vijayan, A. (2011). A study to assess the knowledge and practices of staff nurses regarding fluid and electrolyte administration in postoperative cardiac surgical patients admitted in cardiac surgical ICU and cardiac surgical ward. Sree Chitra Tirunal Institute. In press 2011.
Vijayan, A. (2011). A study to assess the knowledge and practices staff nurses regarding fluid and electrolyte administration in post-operative cardiac surgical patients admitted in cardiac surgical ICU and cardiac surgical ward, SCTIMST, Trivandrum
Vincent, M and Mahendiran, T. (2015). Improvement of fluid balance monitoring through education and rationalization. Retrieved from http://qir.bmj.com/ retrieved on May 14, 2016.
Welch, K. (2011). Measuring and managing fluid imbalance, Fluid balance learning. Disability Practice, 13 (6), 33-38.
Suryasa, W., Sudipa, I. N., Puspani, I. A. M., & Netra, I. (2019). Towards a Change of Emotion in Translation of Kṛṣṇa Text. Journal of Advanced Research in Dynamical and Control Systems, 11(2), 1221-1231.
Suwija, N., Suarta, M., Suparsa, N., Alit Geria, A.A.G., Suryasa, W. (2019). Balinese speech system towards speaker social behavior. Humanities & Social Sciences Reviews, 7(5), 32-40. https://doi.org/10.18510/hssr.2019.754
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