Improving The Quality Of Nursing Care Provided For Children Undergoing Ventriculoperitoneal Shunt
Amal Ahmed Elbilgahy
Lecturers of Pediatric Nursing, Faculty of Nursing, Mansoura University, Egypt
Boshra Attia Mohammed
Lecturers of Pediatric Nursing, Faculty of Nursing, Mansoura University, Egypt
Keywords: Child, Hydrocephalus, Inservice Training, Nursing Care, Ventriculoperitoneal Shunt
Abstract
Background: Nursing care provided for infant and children with VP shunt was challenging for effective shunt functioning and complication reduction. Pediatric nurses play a necessary role in providing preoperative care and preparation, immediate post operative care, care of child with complication and provide discharge teaching to provide care for their children at home. Aim of the study: this study aimed to improve the quality of nursing care provided for children undergoing VP shunt. Methods: A quasi-experimental research was employed on a convenience sample of 41 nurses who were working at female neurosurgery department and neurosurgery intensive care unit affiliated to Mansoura university Hospital (MUH), Mansoura, Egypt. Two tools were used for data collection as follows: nursing care for infant and children with VP Shunt questionnaire and post-operative nursing care for infant and children with VP Shunt observation form. Results: The results of the study showed that, the majority of nurses were replied that shunt obstruction, malfunctions and infections were the most common complications of VP shunt. The minority of nurses was assessing the fontanel for bulging; eyes for nystagmus, proper shunt functioning and none of the nurses assess the abdomen for illus post operative. The percentage improved after program implementation with statistical significant difference. Conclusion: The study concluded that, the mean score of nurses' knowledge, reported practice, practice and discharge plane teaching was improved after program implementation with statistical significant difference. This difference reflects the importance of continuing education for nurses and health care team.