18th Annual Nursing and Midwifery Research Conference Docume

School of Nursing and Midwifery Scoil an Altranais agus an Chnáimhseachais

quality and safe care from HIQA maternity standards, 2016. Results : The results show there was high rate of C/S for Q4- 68% Nov had lowest TOL 16% (6% ARM, 10% SOL) , ERCS rate 75.5%, Em C/S 8%, and Vaginal births 12% VBAC class attendance & VBAC documentation for NOV shows the following: • 4% attended VBAC class- which highlighted poor class uptake. • 90% of midwives documentation on VBAC counselling- varied to advice (12%), advice with printed material (12%), advice & verbalises understanding (65%) - this demonstrated good documentary evidence that women got some information on VBAC. • 10% of midwives had no documentation on VBAC counselling. • 10% of notes there was an added clinic note from Obstetricians. Decision on C/S was made nearer to due date. Conclusion: QIP: All stakeholders to be communicated on findings. A more robust and reliable means of VBAC class availability to be made available for the women-propose that a letter is generated from MN-CMS and printed once the MW makes the referral. The admin officer can then confirm the VBAC class booking. Practice initiatives: from the data reviewed and pathway, women can only self-refer for VBAC classes for 1 hour per day via central appointments. Practice Enhancement: Re-evaluation- once proposal has been agreed to merge with existing PPG and then re-audit. This was an invaluable piece of work which took a systematic approach to the audit cycle and highlighted an improvement in care Nurses’ Experiences of Stress When Dealing With Stroke Patients and Families: A Mixed- Method Study Author(s) Inês Saramago, Suzanne Timmons, Paul Gallagher, Siobhán Fox Affiliation(s) University College Cork Abstract Background: Rehabilitative nursing care can be demanding, and nurses working in this setting may experience increased levels of stress. Despite the extensive literature about the nursing workload and its connection to occupational stress, very little research has been conducted particularly about stress levels experienced by nurses working with stroke patients, who may experience particularly high stress. The rationale for this research emerged from the scarcity of studies worldwide and specially in Irish stroke units. Aim: To explore nurses’ experiences of stress when dealing with stroke patients and families in acute stroke units. Methods: A mixed-methods design was employed. In the quantitative phase, 48 nurses from stroke and medical wards completed the Perceived Stress Scale. In the qualitative phase, 11 stroke nurses were interviewed about their stress experiences when caring for stroke patients and families. Results: Nurses in medical wards experienced significantly higher levels of stress (M=20.10, SD=5.42) when compared to nurses in stroke units (M=16.17, SD=4.41; t (46)= 2.757, p< 0.01, two-tailed). Three themes emerged from the Thematic Content analysis: nurses’ experiences of work-related stress, factors contributing to work-related stress and nurses’ coping mechanisms in the stroke environment. Conclusion: Nursing, including rehabilitation nursing, can be a stressful occupation owing to a number of factors. The participants’ experiences of stress shared in this study may help stroke nurses to deal better with future stressful events as well as provide guidance to managers in improving the organization of the stroke networks.

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