1. Investigating influential factors of the provision of Bed Side Care at the Medical Ward, Paediatric Unit & Orthopaedic ward – National Referral Hospital, Honiara, Solomon Islands
18th South pacific nurses forum 31st oct to 4th Nov 2018
Towards Nursing excellence for universal (pacific)Health.
Sanneth Talo, Sandra Rolland, Vaelyn Ehamana, Oliver Sokana, Harriet Salokeni, Nester Rathamana,Lylita Maeohu, Hellen Orihao, Dora Gonu, Florence Rocky, Maria Noela.

2. LITERATURES
Jones & Bartlett Learning, LLC: The Development of Professional Nursing: History, the Profession, and the Nursing Education Experience.
Michael Larui: The development of Nursing Regulation in Solomon Islands; Inaugural Commonwealth Nurses Conference Our health: our common wealth; March 2012, London UK
One statement we have all heard from mom is, "Treat others as you would like to be treated." That moniker definitely applies to bedside nursing.
We all have time to show compassion to our patients. If you think you don't, perhaps you need to re-evaluate your job description or work location.
Sue Heacock on Wed, Jan 30, 2013

3. LITERATURES
Bedside care is a term that can be used to describe any type of nursing and care that goes on at the bedside of a bedbound or limited mobility patient. However, most often bedside care is given to seniors who are suffering from serious health problems or reaching the end of their life. Bedside care for the elderly generally encompasses everything that the patient needs from taking care of feeding to dealing with incontinence, to managing any other health issues. This can be a difficult but highly rewarding type of care that can be performed for your loved one
Malkowski. D, Dec 2012

4. Definition
Bedside care is any type of care given to patients confined to Bed and/or with limited Mobility
Malkowski D
This may include Old age and young children that are not able to support themselves

5. AIM
The aim of this study is to assess and understand the level of nursing practice of bedside care and to investigate influential factors of bedside care in the 3 units at the national referral hospital in Honiara.

6. QUESTION
Is bedside care, part of the Nursing care plan and is practiced by Nurses of these selected wards?

7. - Convenience sampling - Nurses working in the selected wards
STUDY DESIGN
Observational study/Interview
Study Sites:
Medical ward
Children’s Ward
Nursery ward
Orthopaedics ward
Ethics approval obtained
Sampling process
- Convenience sampling
- Nurses working in the selected wards
- Patients/relatives

8. STUDY DESIGN Data collection process Variables Personal Interview:
Blinding observational approach with nurse while on practice
Personal Interview with Patient/relative
Variables
Observational Data
On Admission of the patient
Security/Privacy
Comfortable environment
Communication with patient
Nursing care plan & handing over report
Personal Interview:
Patients Knowledge of the nurse
Patient’s feeling of the care given
Types of assistant provided
Patient overall satisfaction

9. frequency/distribution) Cross tabulation
DATA ANALYSIS
Excel
SPSS
Descriptive Analysis
frequency/distribution)
Cross tabulation

10. FINDINGS

11. Observed Practice of nurses during admission (n= 20)
Variables
Number of nurses observed
Performance category
Not at all
Sometimes
Always
Receive pt. with self Introduction 20
(80%)
2 (10%)
Address pt. by name
(5%)
17 (85%)
Receive full report of pt.
1 (5%)
8 (40%)
11 (55%)
Orientation done
0 (0%)
17 (85%)
3 (15%)

12. Observed Practice of nurses on Security/Privacy of patient (n= 20)
Variables
Number of nurses observed
Performance category
Not at all
Sometimes
Always
Patient’s safety is Considered 20
2 (10%)
10 (50%)
8 (40%)
Patient’s Privacy is considered
0 (0%)
9 (45%)
11 (55%)

13. Observed Practice of nurses for comfortable Environment (n= 20)
Variables
Number of nurses observed
Performance category
Not at all
Sometimes
Always
Assist with bathing 20
4 (20%)
15 (75%)
1 (5%)
Urinal/Bedpans are removed soon after use
(25%)
12 (60%)
3 (15%)
Linens changed as appropriate.
0 (0%)
7 (35%)
13 (65%)
IV Fluids Managed
2 (10%)
16 (80%)
2 (10%)
Feeding tubes managed
6 (30%)
12 (60%)

14. Observed Practice of nurses for Communication with patients/relatives (n= 20)
Variables
Number of nurses observed
Performance category
Not at all
Sometimes
Always
Address pt. by name 20
0 (0%)
5 (25%)
15 (75%)
Appropriate time limit with pt.
9 (45%)
11 (55%)
0 (0%)
Always pay attention to Pt. calling.
10 (50%)
10 (50%)
Procedures are always explained
1 (5%)
8 (40%)
11 (55%)

15. Observed Performances
Observed Practices/Performance of Nursing care plan/Report hand over
Variables
Observed Performances
Yes
Yes but not all No
Not applied
Nursing care plan template exist/used
(0%)
10 (50%)
5 (25%)
Bedside care activity specified in the NCP template
0 (0%)
7 (35%)
8 (40%)
Recordings appropriate/accurate
13 (65%)
2 ( 10%)
Report hand over conducted within appropriate timing
15 (75%)
Bedside Introduction conducted
0 (0%)
5 (5%)

16. PATIENT INTERVIEW Variables Patient Response Yes Yes but not all No
If patient know the nurses by names
(20%)
0 (0%)
16 (80%)
Satisfied with level of care given
3 (15%)
1 (5%)
16 (80%)
Satisfied with orientations and explanation of procedures
9 (45%)
11 ( 55%)

17. PATIENTS RESPONSE TO REASONS FOR NOT SATISFY WITH CARE GIVEN
PATIENT INTERVIEW
PATIENTS RESPONSE TO REASONS FOR NOT SATISFY WITH CARE GIVEN

18. NURSE RESPONSE TO PT’S CALL
PATIENT INTERVIEW
NURSE RESPONSE TO PT’S CALL

19. PATIENTS’ RESPONSE TO REMOVAL OF BEDPAN/URINALS

20. DISCUSSION
Overall, our study identified that the level of bedside care in these study sites needs improvement.
We discovered inconsistency in the use of nursing care plan template. No standard template exist.
There is a need to strengthen and maintain level of nursing process to encourage the provision of quality of care.
In conclusion , our finding suggests that a guideline and standard to guide the implementation of the nursing practice in bedside care is required.

21. WAY FORWARD
Further research studies to establish accurate information of bedside care is recommended for development of guidelines and standard of nursing practice in Solomon Islands