Enhancing the Effectiveness of Chest Physical Therapy by Patients' Personal Care Assistants in a Respiratory Care Ward

2.50
Hdl Handle:
http://hdl.handle.net/10755/335569
Category:
Abstract
Type:
Presentation
Title:
Enhancing the Effectiveness of Chest Physical Therapy by Patients' Personal Care Assistants in a Respiratory Care Ward
Author(s):
Hsieh, Li-Wei; Yen, Miaofen
Lead Author STTI Affiliation:
Non-member
Author Details:
Li-Wei Hsieh, MS, RN, Director and Doctoral student, hliweister@gmail.com; Miaofen Yen, PhD, RN, Director and Professor
Abstract:
Session presented on Saturday, July 26, 2014: Enhancing the effectiveness of chest physical therapy by patients’ personal care assistants in a respiratory care ward. Purpose: In the respiratory care ward, there are many patients with prolonged ventilator dependence. As a consequent, nurses give health care education in chest respiratory care to patients’ personal-care assistants (PCAs) and its correct execution to PCAs, and both influence the quality of respiratory care. This project was designed to evaluate and enhance the accuracy of chest physical therapy by patients’ PCAs in a respiratory care ward. Methods: Data collection and status analysis. A Table for Chest Physical Therapy was designed to evaluate the status before and after chest physical therapy by patients’ PCAs in a respiratory care ward. In a sample of 52 transactions, only 11.3% accuracy was achieved. Based on the questionnaire results from 30 patients’ PCAs, 24 (80%) identified instructions from nursing staff, 10 (33.3%) recognized their regular instructions, and another 10 (33.3%) neither realized the importance of chest physical therapy nor that the lack of this therapy might cause complications. The data also showed that 85% of the patient’s PCAs were foreigners who might have had communication problems. Setting measurements and improvement. We established a Team for Standardizing Nursing Instructions in order to conduct a documentary survey and to issue health education pamphlets like “ Chest Physical Therapy” and “Chest Physical Therapy Standards” to ensure the consistency of nursing instructions to major PCAs. The CD-ROM “Multi-language Demonstrations of Chest Physical Therapy” was produced to provide a learning model for foreign PCAs. Results: An on-site survey of the execution of chest physical therapy conducted by patient’s PCAs in the respiraoty care ward was carried out. Twenty-seven (86%) patients’ PCAs indicated the importance of chest physical therapy and the possibility of ignorance causing complications. Use of the Table for Chest Physical Therapy increased the accuracy from 11.3% to 77.1%. Based on a paired t-test analysis of the two sets of scores, the recognition increase was statistically significant (p <0.001). Conclusion: This project was designed to provide learning opportunities for patient’s personal-care assistants by providing nursing instruction standards and learning aids. Multi-media learning aids are highly recommended for the provision of complete nursing care through clinical demonstrations. Key words: respiratory care ward, chest physical therapy, multi-media instructions
Keywords:
multi-media instructions; respiratory care ward; chest physical therapy
Repository Posting Date:
17-Nov-2014
Date of Publication:
17-Nov-2014
Conference Date:
2014
Conference Name:
25th International Nursing Research Congress
Conference Host:
Sigma Theta Tau International, the Honor Society of Nursing
Conference Location:
Hong Kong
Description:
International Nursing Research Congress, 2014 Theme: Engaging Colleagues: Improving Global Health Outcomes. Held at the Hong Kong Convention and Exhibition Centre, Wanchai, Hong Kong
Note:
This is an abstract-only submission. If the author has submitted a full-text item related to this abstract, you may find it by browsing the repository by author. If author contact information is availabe in this abstract, please feel free to contact him or her with your queries regarding this submission.

Full metadata record

DC FieldValue Language
dc.language.isoen_USen_GB
dc.type.categoryAbstracten_GB
dc.typePresentationen_GB
dc.titleEnhancing the Effectiveness of Chest Physical Therapy by Patients' Personal Care Assistants in a Respiratory Care Warden_GB
dc.contributor.authorHsieh, Li-Weien_GB
dc.contributor.authorYen, Miaofenen_GB
dc.contributor.departmentNon-memberen_GB
dc.author.detailsLi-Wei Hsieh, MS, RN, Director and Doctoral student, hliweister@gmail.com; Miaofen Yen, PhD, RN, Director and Professoren_GB
dc.identifier.urihttp://hdl.handle.net/10755/335569-
dc.description.abstractSession presented on Saturday, July 26, 2014: Enhancing the effectiveness of chest physical therapy by patients’ personal care assistants in a respiratory care ward. Purpose: In the respiratory care ward, there are many patients with prolonged ventilator dependence. As a consequent, nurses give health care education in chest respiratory care to patients’ personal-care assistants (PCAs) and its correct execution to PCAs, and both influence the quality of respiratory care. This project was designed to evaluate and enhance the accuracy of chest physical therapy by patients’ PCAs in a respiratory care ward. Methods: Data collection and status analysis. A Table for Chest Physical Therapy was designed to evaluate the status before and after chest physical therapy by patients’ PCAs in a respiratory care ward. In a sample of 52 transactions, only 11.3% accuracy was achieved. Based on the questionnaire results from 30 patients’ PCAs, 24 (80%) identified instructions from nursing staff, 10 (33.3%) recognized their regular instructions, and another 10 (33.3%) neither realized the importance of chest physical therapy nor that the lack of this therapy might cause complications. The data also showed that 85% of the patient’s PCAs were foreigners who might have had communication problems. Setting measurements and improvement. We established a Team for Standardizing Nursing Instructions in order to conduct a documentary survey and to issue health education pamphlets like “ Chest Physical Therapy” and “Chest Physical Therapy Standards” to ensure the consistency of nursing instructions to major PCAs. The CD-ROM “Multi-language Demonstrations of Chest Physical Therapy” was produced to provide a learning model for foreign PCAs. Results: An on-site survey of the execution of chest physical therapy conducted by patient’s PCAs in the respiraoty care ward was carried out. Twenty-seven (86%) patients’ PCAs indicated the importance of chest physical therapy and the possibility of ignorance causing complications. Use of the Table for Chest Physical Therapy increased the accuracy from 11.3% to 77.1%. Based on a paired t-test analysis of the two sets of scores, the recognition increase was statistically significant (p <0.001). Conclusion: This project was designed to provide learning opportunities for patient’s personal-care assistants by providing nursing instruction standards and learning aids. Multi-media learning aids are highly recommended for the provision of complete nursing care through clinical demonstrations. Key words: respiratory care ward, chest physical therapy, multi-media instructionsen_GB
dc.subjectmulti-media instructionsen_GB
dc.subjectrespiratory care warden_GB
dc.subjectchest physical therapyen_GB
dc.date.available2014-11-17T13:55:05Z-
dc.date.issued2014-11-17-
dc.date.accessioned2014-11-17T13:55:05Z-
dc.conference.date2014en_GB
dc.conference.name25th International Nursing Research Congressen_GB
dc.conference.hostSigma Theta Tau International, the Honor Society of Nursingen_GB
dc.conference.locationHong Kongen_GB
dc.descriptionInternational Nursing Research Congress, 2014 Theme: Engaging Colleagues: Improving Global Health Outcomes. Held at the Hong Kong Convention and Exhibition Centre, Wanchai, Hong Kongen_GB
dc.description.noteThis is an abstract-only submission. If the author has submitted a full-text item related to this abstract, you may find it by browsing the repository by author. If author contact information is availabe in this abstract, please feel free to contact him or her with your queries regarding this submission.en_GB
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