الفهرس 
IntroductionOnly 14 pages are availabe for public view
 |  | from | 100 |  |  |
| | | from | 100 | | |
Abstract
Venous thromboembolism, including DVT and PE, is a common complication in the ICU. Critically ill patients are at high risk of VTE as they are susceptible to both general risks factors of VTE as well as those specific to ICU patients, such as sedation, immobilization, and vasopressors.
VTE is common in critically ill patients, yet preventive treatment for ICU hospitalized patients at risk remains suboptimal. CCNs are the key players in the prevention of VTE and its complication. Patients who develop VTE can also have increase length of stay which can equate to increased avoidable costs.
Aim of the study
To identify the factors associated with nurses’ practices regarding prevention of venous thromboembolism in critically ill patients
Research question
What are the factors associated with nurses’ practice regarding prevention of venous thromboembolism in critically ill patients?
Setting
This study was carried out at (Unit I, Unit II, and unit III) in Alexandria Main University Hospital.
Subjects
A convenience sample of hundred critical care nurses in which 67 nurses actual stuff and 33 nurses were intern who were responsible for providing direct care for critically ill patients in the previous settings throughout the three different shifts were included in the study.
Tools
Two tools were used in data collection of this study:
Tool one: Venous Thromboembolism Preventive Practices Observational Check List”.
This tool was developed by the researcher based on the related literature (18, 19, 54, 55, 110- 115), and it was used to observe nursing practice in preventing VTE in critically ill patients, It consists of two parts and four checklists. Each checklist covers the steps of a procedure done to prevent VTE.
Tool Two: “Factors associated with nurses’ Practices Regarding Prevention of Venous Thromboembolism in Critically Ill Patients Structured schedule Interview.”
This tool was developed by the researcher based on the review of the related literature (18- 21, 109, 117) and it was used to investigate the factors affecting critical care nurses’ practices regarding prevention of VTE. It includes 3 factors nurses’ related factors, patient related factors, and organization related factors.
Approval of ethics committee of the faculty of nursing was obtained. Permission to conduct the study was obtained from hospital responsible authority after explanation of aim of the study and delivery of an official letter from the Faculty of Nursing. The study tools were tested for content validity by 10 experts in the field of the study. The necessary modifications were done accordingly. Reliability of tool two was tested using Cronbach’s Alpha test and result was 0.806 which is accepted. A pilot study was carried out on 10% of the study sample in order to test the clarity and applicability of the research tools.
The data was collected as follows:
Data were collected in two phases (observation and interview phase) over a period of four consecutive months (from January to April 2016) from 100 nurses.
Observation phase: The researcher assessed nurses’ prevention of VTE practices using (tool Ι) three observations were done throughout 3 shifts for each nurse.
After finishing observation phase each nurse was interviewed individually by the researcher once using (tool ΙI) to identify the factors associated with nurses’ practices regarding prevention of VTE during the break time, each interview took 15 minutes.