Nurse's knowledge, attitude and practice on the initial management of acute poisoning amongadult casualties: Study at Kenyatta National Hospital, Kenya

Citation:
Odero T. "Nurse's knowledge, attitude and practice on the initial management of acute poisoning amongadult casualties: Study at Kenyatta National Hospital, Kenya." Open Journal of Nursing. 2012;2:149-156.

Abstract:

doi: I0.4236/ojn.20 12.23023 Published Online September 2012 (http://www.SClRP.orghoumallom/)
OJN
Nurse's knowledge, attitude and practice on the initial
management of acute poisoning amongadult casualties:
Study at Kenyatta National Hospital, Kenya
'''"heth RuffO·, James M.waura, Angeline Chepchirchi.r, Theresa Odero
School of Nursing, The University of Nairobi, Nairobi, Kenya
Email: *kolonget@yahoo.com
Received 13 June 2012; revised 10 July 2012; accepted 18 July 2012
ABSTRACT

The purpose of this study was to determine nurse's
knowledge, attitude and practice on the initial management
of acute poisoning among adult casualties
seen at Accident and Emergency Department (AED),
Kenyatta National Hospital (KNH). The study was
cross sectional. Both 'qualitative, and quantitative
methods of data collection were employed. The target
population were all nurses working at AED, KNH.
Purposive sampling was used to select study subjects.
Sample size included all Accident and Emergency
(A&E) nurses who met subject's inclusion criteria.
Structured questionnaires, observation checklist and
interview were used to collect the data. Sixty eight
(82%) of A&E nurses participated in this study. The
study found out that with higher nursing qualification
and training on courses related to emergency care,
knowledge and skills of A&E nurses on the initial
management of acute poisoning is enhanced. A&E
nurses with lower education level had a higher mean
score of positive attitude compared with nurses with
higher nursing qualification. Majority 60 (88.2%) of
the A&E nurses indicated that, they required more
training on the initial management of acute poisoning.
Study recommends that 'A&E nurses should be
trained on various types of poisoning including; assessment,
clinical presentations and management to
include gut decontaminations. In addition, refresher
courses should be organised for those already trained.
Flowcharts that will enhance easy identification and
management of poisoned casualties should be put in
place and utilized accordingly.
Keywords: Knowledge; Attitude; Practice; Initial
Management; Acute Poisoning; Adult Casualties;
Accident and Emergency Department; Kenyatta
National Hospital (KNH)

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