Healthcare-associated infections continue to be a major problem that endangers patient safety, especially for critically ill hospitalized patients. Reducing the risk of this infection can be achieved through improving compliance with infection control guidelines and identifying and controlling the associated factors. This study aim to investigate factors impacting compliance with infection control guidelines and increasing the risk of healthcare-associated infections in neonatal intensive care units. A qualitative approach, a one-to-one interview design, was used, between April 15 and May 15, 2021, to interview ten participants who worked in the neonatal intensive care unit at a Saudi Arabian referral hospital. Through data analysis, two major themes and four sub-themes were found, which include a factor related to the workforce (shortage of staff and lack of knowledge) and factors related to the workplace (shortage of supplies and lack of monitoring). In conclusion, healthcare-associated infections in neonatal intensive care units are a serious issue that could lead to an increase in mortality and morbidity rates among patients. Thus, healthcare settings' commitment to improve compliance with the infection control guidelines is essential to lowering the incidence of healthcare-associated infections. This can be achieved through proper staffing, sufficient supplies, and effective monitoring.

This study investigated neonatal home-care practices of mothers in Ihiala Local Government Area of Anambra State. 398 nursing mothers participated in a longitudinal survey to evaluate the newborn home-care behaviors of mothers in Ihiala, Anambra State. For the study, newly delivered moms who gave their informed consent were progressively selected from communities in each town in Ihiala, L.G.A., Anambra State. Data was gathered from the women in their homes using a questionnaire that the researchers had devised, tested, and validated. Data collected were loaded into SPSS version 23. Data were analyzed and summarized in tables of frequencies and percentages. The study's findings demonstrated that, despite being below the specified level of 75% and above, the majority of moms received adequate cord and thermoregulatory care, with mean scores of 65.48 and 73.6%. There was still evidence of subpar neonatal care practices in the area, including the use of tooth paste (12.9%), shea butter (27.9%), and herbs (27.4%) on the cord, as well as the non-practice of exclusive breastfeeding (72.6%) and skin-to-skin care (75.6%). Neonatal practices are influenced by age, parity, education, occupation, and delivery location. Despite their high level of awareness, it was found that the mothers did not perform proper neonatal home care. To enhance neonatal care practices and empower moms to make educated decisions about their own and their child's health, it is advised that maternal education and women's empowerment be promoted.

Background: Burnout is a state of physical, mental, and emotional exhaustion caused by chronic overwork, and nurses are particularly susceptible to experiencing burnout, which can have implications for both job satisfaction and patient well-being. This study aimed to investigate job satisfaction, burnout, and the relationship between these factors among nurses working in the pediatric ward of a tertiary hospital in Bangladesh. Methods: A descriptive cross-sectional study was conducted, involving 105 conveniently selected nurses from various pediatric wards at the Bangabandhu Sheikh Mujib Medical University Hospital. Face-to-face interviews were conducted using a structured questionnaire to collect data. Statistical Package for Social Science (SPSS) was used to analyze the data, with 101 participants' data being considered for analysis after excluding four participants. Descriptive statistics such as frequency, percentage, mean, and standard deviation were used, along with inferential statistics including two-sample t-test, ANOVA, and correlation. Results: The participants' mean age was 28 years (SD±4.20). The average job satisfaction score was 2.50 (SD=.56), with approximately 16.3% of nurses reporting being very satisfied and 36.6% expressing satisfaction. Notably, nurses working in gastrology and neurology wards reported significantly higher job satisfaction (M=3.02; SD=.25) than those in other units (F=7.38; p=.000). Additionally, nurses who had participated in at least one training showed significantly higher job satisfaction (M=2.59; SD=.65) compared to those who had not received any training (M=2.40; SD=.55) (t=3.56; p<.05). Regarding burnout, the mean score was 2.11 (SD=.69). Work place (F=3.03; p=.03) and length of service (F=2.55; p=.04) were found to be significantly associated with burnout. Job satisfaction was negatively correlated with burnout, though the correlation was weak (r=-.09; p=.32). Conclusion: The study concluded that nurses in Bangladesh generally experience a moderate level of job satisfaction and a low level of burnout.

Background: Despite medical advancement, Bangladesh still show high infant mortality rate. Infections, pre-term birth, and birth asphyxia are identified as the three leading causes of neonatal deaths worldwide. Advanced quality care and essential newborn care practices can minimize the mortality as well as the morbidity of neonates. Therefore, this study aimed to examine the neonatal care practice among nurses working at both public and private hospitals in Bangladesh. Methods: A descriptive cross-sectional study was conducted among conveniently selected 117 nurses working at the selected three public and two private hospitals in Bangladesh. A face-to-face interview was carried out through a structured questionnaire containing two domains including the socio-demographic part and the neonatal care-related segment. Descriptive and inferential statistics including frequency, percentage, mean, SD and t-test, and ANOVA were used to analyze the data. Results: The total mean score of neonatal care practice was 46.27±9.22 in public hospital and 50.85±5.03 in Private Hospital. The mean age of participants in public was 32.35 (SD=6.85) and in private hospitals was 29.91(SD=3.69) years. There was a statistically significant positive relationship between number of nurses (r=.834, p<.001), number of bed (r=.559, p<.001), job experience (r=.294, p= .023) and neonatal care practice among nurses in public hospital. There was a statistically significant negative relationship between number of nurses (r=-.812, p<.001), number of beds (r=-.812, p<.001) and neonatal care practice among nurses in private hospitals. Conclusion: It is concluded that the overall neonatal care practice of nurses in Bangladesh is at a satisfactory level. Though private hospital nurses show a higher level than government hospitals with respect to neonatal care practice.

Background: Despite focused efforts on error prevention, the incidence of medication errors (MEs) occurring in the health care system continues a concern. Patient harm can be diminished or prevented by adequate reporting processes that include identifying, analyzing, and correcting MEs on time. Both medication error prevention and reporting strategies are critical components in advancing patient safety. Methods: To analyze the strategies used by the Health Care Professionals (HCPs) to facilitate reporting medication errors in a health care setting, an integrative review of the literature, guided by Whittemore and Knafl's (2005) five-step process, was applied for the period between 2011-2021. With a comprehensive search conducted using PubMed, DSL, Google Scholar databases, nine articles only met our inclusion criteria which are, in the English language, performed by peers and full-text articles that answered the guiding questions included in this review. Result: The articles were analyzed in terms of objectives, methodological path, main results, and recommendations for improvement. The analysis reveals that MEs reporting strategies are varied either web-based, paper-based, or Technician Enhanced Administration of Medication (TEAM) model. Staff awareness and non-blame culture are influencing HCPs' ability to adopt the proper strategy for reporting MEs, understanding of HCPs' characteristics and organizational factors that influence error reporting can foster the development of effective strategies to report MEs and enable organizations to enhance patient safety.

In this review we explain the role of nurses in improving healthcare in hospitals and how the interest of nurse education make different in increasing patient safety especially in ICU and in cases of thrombosis, stroke and all dangerous cases need to speed and skill. The role of nurses is as important as the role of doctor as they cable of diagnoses and this role not limited to doctors. The searches have proven that the quality care and patient safety has been highly improved after the nurse education in all over the world. Nursing students need to be taught how to ensure and improve patient safety since nurses play a critical role in enhancing patient safety. Many nursing students contest their competency in patient safety issues, despite the fact that educators have long recognized that undergraduate education is crucial in providing nurses with the patient safety competencies required to practice. Among hospital workers, nurses make up the largest single component. The planning stage of the educational program is where to start when deciding which outcomes to assess. To design a worthwhile educational activity, educators need to be able to precisely pinpoint students' knowledge or skill deficiencies. The Nursing Outcomes Classification (NOC), which is "a comprehensive, standardized classification of patient outcomes developed to evaluate the effects of interventions provided by nurses and other healthcare professionals," can be consulted by nurse educators since education is built upon foundations.

Background: The Ventricular Assist Device (VAD) Coordinator Nurse plays a vital role in managing patients with end-stage heart failure requiring mechanical circulatory support. However, limited research exists on the specific responsibilities and contributions of VAD coordinators, particularly in Saudi Arabia. Understanding their roles and impact on patient care and organizational outcomes is crucial for healthcare improvement. Objective: This study examined the role of VAD Coordinator Nurse in Saudi Arabia by describing the role characteristics, including demographic information, qualifications, compensation, job preparation, work setting and responsibilities, scope of practice, contributions to patient care, and organizational outcomes. Methods: A descriptive study was conducted to explore the roles of VAD Coordinator Nurses in Saudi Arabia. A survey instrument developed by Casida (2011) was used to collect data from VAD coordinators working in Saudi Arabian centers offering VAD services. Convenience sampling was employed, and the survey was distributed electronically through the hospital's email system. Descriptive statistics, including percentages and frequencies, were calculated using the Statistical Package for the Social Sciences (SPSS). Results: The study involved VAD coordinators with an average age of 36.47 years, predominantly male (60%), and Arab (80%). Most participants held a bachelor’s degree (60%) and had previous experience as staff nurses. Findings revealed that VAD Coordinator Nurses have diverse responsibilities, including patient monitoring, VAD performance evaluation, medical emergency management, and coordination of ancillary tasks. Conclusions: This study highlights the dynamic and multifaceted roles of VAD Coordinator Nurses in Saudi Arabia. They play a crucial role in bridging the technical and clinical aspects of VADs, ensuring optimal patient care, and contributing to positive organizational outcomes. Understanding their demographics, qualifications, responsibilities, and contributions is essential for healthcare policies and job preparation enhancements. Future research should address challenges faced by VAD coordinators and support their professional growth in delivering high-quality care to patients with end-stage heart failure.

Background: In recent years, there has been a growing interest in exploring innovative approaches to healthcare delivery that prioritize patient-centred care and enhance clinical outcomes. Nurse-led rounds have emerged as a promising strategy to foster patient engagement, improve communication among healthcare team members, and optimize patient care delivery. Therefore, the objective of the present study was to examine the impact of Nurse-Led Rounds on patient satisfaction and patient clinical outcomes in a Middle Eastern Country. Methods: A mixed-method research design was used in this study. A Clinical trial was carried out by using a non-equivalent control group design was adopted to design to assess the impact of Nurse-led Rounds on patient satisfaction and patient clinical outcomes through quantitative data collection and semi-structured individual interviews identified the benefits of hourly rounding to enhance patient satisfaction through qualitative data collection. The study was conducted at New Najran General Hospital, Najran Saudi Arabia. The quantitative data was collected from 68 clients and qualitative data with 10 participants. Results: The results of the quantitative analysis showed that the experimental group's mean score significantly improved when nurse-led rounds were implemented, reflecting the quality of care given by nurses. Compared to the control group, which had a mean score of 4.75 (SD=1.578) on the first day of hospitalization, the experimental group had a higher mean score of 6.06 (SD=0.531). This early disparity implies that the experimental group had a higher standard of care from the beginning. The qualitative study revealed two primary themes about individual advantages and organizational benefits were found, according to the qualitative study. The deployment of Nurse-led rounds was judged by clients to offer many specific benefits related to patient satisfaction and overall clinical result levels. Theme 1: Better communication, reduced anxiety, support for drug administration and patient safety, and general increases in patient satisfaction. The second theme focuses on improving overall client healthcare outcomes, improving interprofessional collaboration and teamwork, and reducing readmission rates. Conclusion: The implementation of nurse-led rounds has demonstrated a significant positive impact on both patient satisfaction and clinical outcomes. Through the integration of nursing expertise, patient-centred care principles, and effective communication strategies, nurse-led rounds have enhanced the overall patient experience and contributed to improved clinical outcomes.

Background: Electronic Health Record (EHR) systems have been implemented globally to enhance healthcare delivery. In Saudi Arabia, the adoption of EHRs has rapidly increased in recent years, yet little is known about the experiences of healthcare professionals (HCPs) with EHR implementation in this context Aim: This qualitative study aims to explore the experiences of HCPs in Saudi Arabia before and after the implementation of EHR systems, with a focus on understanding the challenges and benefits associated with this transition. Methods: Semi-structured interviews were conducted with a purposive sample of HCPs from various healthcare settings across Saudi Arabia. Interviews were audio-recorded, transcribed verbatim, and analyzed using thematic analysis to identify patterns and themes related to HCPs' experiences with EHR implementation. Results: Analysis of the interviews revealed several key themes related to HCPs' experiences before and after EHR implementation. Before implementation, HCPs expressed concerns about workflow disruptions, technical challenges, and resistance to change. However, after implementation, many HCPs reported improvements in information accessibility, care coordination, and patient outcomes. Despite these benefits, challenges such as increased documentation burden and decreased face-to-face interaction with patients were also identified. Conclusion: The findings of this study highlight the complex and multifaceted nature of EHR implementation in Saudi Arabia. While the transition to EHRs presents both challenges and opportunities for HCPs, it is crucial to address concerns related to workflow optimization, training, and support to ensure successful implementation and maximize the benefits of EHRs in improving healthcare delivery in the Saudi context.