الفهرس 
IntroductionOnly 14 pages are availabe for public view
 |  | from | 194 |  |  |
| | | from | 194 | | |
Abstract
Burns are the second- leading cause of death from un- intentional injury in children between 1 and 4 years of age and the third leading cause in all persons under 19 years old. Children less than 6years of age are at highest risk of burns, and the mortality rate from burns in young children is twice that of older children. Most pediatric burn- related injuries don’t in death, but injuries from burns often cause extreme pain and extensive burns can results in serious disfigurement. Burns are soft tissues injuries creative by destructive energy transfer via radiation, thermal or electrical energy. Most pediatric burns are tragic un-intentional injuries, about 75% of them could have been prevented, and child abuse is the cause of about 15-30% of serious pediatric burns. Carbon monoxide poisoning often occurs is conjunction with burns as a results of smoke inhalation, and infants and children are at greater risk for carbon monoxide poisoning than adults. Worldwide, an estimated 6 million pediatric patients seek medical help for burns annually, but the majorities are treated in outpatient clinics. Whether inpatient treatment in a specialized burn unit is required depends principally on the severity of the burn, the concomitant trauma, and the general condition of the patient. In the European Union, transport accidents constitute (21.8%), accidental falls (19.4%), and suicide (24.7%) are the three most common “fatal injuries,” with burns reported as “other Unintentional fatal injuries,” together with poisoning drowning (34.1%).Role of nurse involves fluid and electrolyte replacement, burn care (using sterile dressings, debridement and topical ointments) and physical therapy. Systemic antibiotics, relieving anxiety and fear and nutritional support. Children with critical burn injury may require parenteral nutrition if unable to tolerate trace elements. Effective pain control is important to allow for complete debridement. Care of burn also includes discharge planning about nutrition and diet needed safety in home to prevent burn, wound care and range of motion exercises to prevent contraction. This care should help the child to perform activities of daily living and return to normal activities and provide social, emotional, and psychological and rehabilitation support to the child and his family.
Aim of the study:
This study aimed to assess nurse’s performance regarding caring for children with burn injuries.
Research question:
• What is the nurses’ knowledge regarding caring for children with burn injuries?
• What is the nurses’ practice regarding caring for children with burn injuries?
• Is there a relation between nurses’ performance regarding caring for children with burn injuries?
Subject and methods:
Research design:
A descriptive design was used to conduct this study.
Research settings:
This study was conducted at burn center affiliated to Ain Shams University Hospitals and Embaba hospital.
Subject of the study:
Convenient sample of all available nurses, at burn center affiliated to Ain Shams University Hospitals and Embaba hospital. The subjects of this study was composed of 40 nurses were worked in the previously mentioned study setting over a period of 6 months regardless of their age, gender and residence.
Tools and data collection:
Data collected through using the following tools:
1. Self-administered questionnaire sheet:(Appendix I):
It was designed by the researcher after reviewing the related literature and written in a simple Arabic language. It consists of the following three parts.
Part I: characteristics of nurses:
It concerned with characteristics of nurses include: Their age, ranking, residence, level of education, years of experience, previous training course related to burn injuries.
Part II: Nurse’s knowledge related to burn injuries:
To assess nurse’s knowledge about burn injuries.
It concerned with definition of burn, causes, degree of burn, signs and symptoms, first aids, treatment, nurse roles and complications of burn injuries.
Scoring system for knowledge questions:
The correct answers were scored 1, and incorrect answer were scored zero. These scores were summed-up and the total score is 23 which equal to 100% using percentage and converted into the following levels:
• Score <60% referred to poor knowledge.
• Score 60 <75% referred to average knowledge.
• Score 75 ≤ 100% referred to good knowledge.
2. Observational checklists: (Appendix II):
The observational checklists were carried out to assess the level of nurse’s practice regarding care of children with burn injuries, It was adopted from Salah (2002).
The steps of each procedures were competent when giving score one or two according to importance and weighing for each steps and zero for the incompetent step, total score is 30 which equal to 100% using percentage and total score of each procedure classified as the following:
• Score <80% referred to incompetent performance.
• Score 80≤ 100% referred to competent performance.
Results:
The most important finding of the current study can be summarized as the following:
• More than half of study sample (52.5%) were in the age group of 20-30 years old; Mean ±SD (25.15±2.31), more than three quarters of them (95.0%) were females and 40% of them had diploma nurse.
• Distribution of the studied sample according to their years of experience, the above table reveals that, one third of the study subjects (35.0%) was having experience between 5<10 years in nursing field and 97.5% of them attend a training courses about burn injuries.
• 60.0% of studied nurses were had correct answer regarding anatomy of the skin and 72.5% of them give incorrect answer about physiology of the skin.
• 40.0% & 30.0% of them were give incorrect answer about definition and types of burn respectively.
• 32.5% & 72.5% of nurses were had incomplete knowledge about signs and symptoms of burn and degrees of the burn respectively.
• 60.0% of studied sample were mentioned that loss of body fluid is the complications of burn, and 50.0% of them mentioned that10% of total body surface area affected to burn considered from third degree. 92.5 % of studied sample were known the characteristic of second degree of burn, 77.5% mentioned the plaster full with fluid is a common characteristic of second degree of burn, 65.0% of them mentioned that injury reached to muscle is a common characteristic of third degree of burn.
• 77.5% of studied sample were mentioned that improvement of live quality as the aim of treatment for the children suffering from burn and 55.0% of them mentioned that blood gases is the laboratory investigations needed for children suffering from burn.
• 77.5% of children suffering from burn are given fluid compensation as the first aid for children suffering from burn, 70.0% of them leave the burn till the doctor come for first aid for second burn degree and 57.5% of them give him antibiotics to decrease the risk of infection for first aid for chemical burn.
• 50.0% of the studied children are cleaning and cut the dead skin and control of pain during dressing on burn and 50.0% of them are given oral and intravenous fluid to feed the children suffering from burn.
• 77.5% & 70.0% of the schedule are given psychological and emotional support to the children and their families as discharge instructions regarding burn.
• 40.0% of the studied sample had poor score of total knowledge regarding burn injuries and 25.0% of them had good score of total knowledge.
• The practice of studied sample regarding care of the first degree of burn, the above table reveals that 67.5% of them were care of the first degree of burn
• The practice of schedule regarding care of second and third degrees of burn, the above table reveals that 65.0% of them were care of the second & third degrees of burn.
• 65.0% of the studied samples are incompetent regarding burn care 35.0% are competent regarding burn care.
• There is statistically significant differences between age and qualification of the studied sample and their knowledge regarding burn injuries at p <0. 05%. Also this table shows statistically insignificant difference between gender of the studied sample and their knowledge regarding burn injuries at (p < 0. 0001), respectively.
• There is a statistically significant differences between years of experience of the studied sample and their knowledge regarding burn injuries at p <0. 05. Also, this table shows non-statistically significant difference between attended training course and knowledge regarding burn injuries at p > 0. 05.
• There is a statistically significant differences between age of the studied sample and their practice regarding burn at p <0. 05. Also there is non-statistically significant difference between gender of the studied sample and their practice regarding burn injuries at p > 0. 05.
• There is a statistically significant differences between years of experience of the studied sample and their practices regarding burn injuries at p <0. 05. Also there is non-statistically significant difference between attended training course of the studied sample and their practice regarding burn injuries at p > 0. 05.
• There is a positive correlation between total knowledge of the studied sample and their total practice regarding care of burn injuries at p< 0. 05.