Evaluation of the nursing management for patients undergoing to water seal chest tube drainage system

Abstract

Objective(s): The study objectives are to identify the nursing management provided to patients undergoing to water- seal chest tube drainage system..

Methodology: A descriptive study which was using the quantitative design. The study was conducted in Alhariri, Alyarmouk, and Alkindy teaching hospitals starting in October 10th 2012 up to the September 30th 2013. To achieve the objectives of the study, A non-probability (purposive) samples of (50) nurses delete was consisted of all nurses who provides management for patients under-water-seal chest tube drainage systems. The questionnaire tool was constructed, consisting of two parts, first one the demographical data of the sample & the second is the 13th steps of observational checklist for nursing management of patients with under-water-seal chest tube drainage system, the questionnaire validity & reliability was determined by a panel of experts in and out of Nursing College, a suitable statistical analysis was applied for the data. stem. Data were collected by an application of direct observation as a means of data collection. Nurses were evaluated while they are working in the thoracic or surgical wards during the day. Instrument validity and reliability were determined through content validity, by a panel of experts and a suitable statistical analysis was applied for the data.

Results: The results of the study showed that most of the sample were males nurses at age group of (20-30) and (31-40) years old working at thoracic surgical wards since 1-5 years only with a poor nursing experience. Also, the result of study indicated that the male nurses who are with nursing institute (22), preparatory nursing school (20) and nursing school (8) were providing care to patients with chest tube under water- seal drainage not accepted. They were with knowledge deficit and experience in maintain patency and sterility when changing down tube, they do not note the presence of bubbling and recording the consistency of the drainage, which indicating poor management and technique provided and this may lead to complication such as pneumonia and pneumothorax, which may leads to pulmonary failure.

Conclusion: The study concluded that the most of nurses that work in thoracic or surgical wards have deficit knowledge in some aspects related to nursing management provided to patients with under water- seal chest tube drainage system.

Recommendations: The study emphasize that nurses working in thoracic wards must be at least with Diploma or Bachelorette degree of well educated to provide complete and accurate management for patients with chest tube. Also, the study recommends to apply an intensive courses for already these nurses to improve their knowledge and practice in caring for under-water-seal chest tube drainage system patients..