| dc.description.abstract | Background: An increase in the day surgery rate over the last 15 years has saved the approximately
£2 billion and enabled 1·3 million more surgical patients to be treated within the minimal stay setting,
high patient turnover is implicit, multitasking common and intervention undertaken during time
limited nurse patient encounters. There is empirical evidence that effective nursing care remains a
crucial element in such settings and the information provided of vital importance to aid patient
satisfaction, reduce anxiety and enable a swift home recovery.
Objectives: The main objective was to assess factors influencing adherence to pre-operative
assessment of patients prior to surgery among Nurses on Surgical ward at Mulago Hospital in
Kampala District. A descriptive cross-sectional survey was employed because the data was collected
once at the point in time using qualitative and quantitative approaches. The study was carried out in
Kampala District Mulago national referral hospital. The study involved all nurses who consented to be
interviewed. A sample size 50 nurses on surgical wards was interviewed. Purposive sampling
technique was used to select the study participants because only nurses who are currently working in
surgical wards are being targeted for this study. A self administered questionnaire was used for data
collection. The research instruments were pretested in Lubaga hospital before the final data collection
was carried out. Quantitative variables were analyzed using Epi info.
Methods: Categorical variables were analyzed using Chi- square tests. Majority 45 (90.00%) of the
respondents was in the age range of 20-40years. Majority, 27 (54.00%) of the respondents had at least
attained a certificates. 24 (48.00%) of them had a working experience of 2-5years while 14(28.00%)
of them had a working experience of 1-2years and least 12 (24.00%) of them had worked for over six
years. 18 (36.00%) of them worked in orthopedist department and were nursing officers. 47(94.00%)
revealed that stress was a key factor for poor adherence to pre-operative assessment of patients prior
to surgery. Majority 33(66.00%) of them were knowledgeable about pre-operative assessment of
patients while 17(34.00%) of them noted that they were less knowledgeable. 39(78.00%) of the respondents assessed surgical patients prior to surgery while 11(22.00%) of them never assessed the
patients prior to surgery.
Conclusion and Recommendation: The study concluded that Age, education attainment, working
experience of a nurse, stress at the unit and increased patients’ anxiety prior to surgery was one of the
complications of not conducting pre-operative assessment of clients prior to surgery while 78.00% of
the respondents assessed surgical patients prior to surgery by nurses in Mulago hospital. | en_US |
