Nursing Quality Monitoring In Pediatric Surgery Center In Al-Khansa Teaching Hospital

A descriptive analytical study was conducted through out the period between the first of November 2005 to the first of August 2006 in order to assess the practice of the nursing staff in the Pediatric Surgery Center in AL-Khansa' Teaching Hospital in Mosul. The sample of study included all the nursing staff working in the Pediatric Surgery Center (20 nurses). After directing an open-end question to (13) professionals medical staff and nurses working in the center to address the nursing activities carried out in center wards, the most common nursing activities were selected (Dressing, Intravenous infusion, placing intravenous cannula, checking axillary temperature, and intravenous drug administration). The reliability of the observational tool was determined through the application of test-retest technique and computation of Pearson Correlation Coefficient (r=0.93), the content validity of tool is determined through a panel of experts. The finding of study indicated that (95%) of nursing staff were males, and (10%)were graduates of Nursing College, while the remaining nurses graduated equally from Secondary School and Nursing Institute. The analysis of variance of study subject showed no-significant differences according to age, marital status, training session, level of education, and work in special department. When reviewing the mean of scores of the steps for all the procedures, it showed that the basic steps of each nursing procedure which may be shared among all procedures fluctuated among excellent, acceptable and weak measures with strong tendency to weakness. The study concluded that there are intense shortage in nursing staff, threatening of the feministic nursing staff, and continuous learning and training programs were not active and dependency on low nursing educational levels. The study recommended the necessity of staff to be highly qualified through activation of continuous learning and training, also the center should be provided by a sufficient number of nursing staff especially females, and the activation of nursing job description is necessary. Key word : (QUALITYMONITORING – PEDIATRICSURGERY) 1 Master in Nursing, Al-Khansa's Teaching Hospital, Nineveh Mosul Journal of Nursing DOI: 10.33899/mjn.2020.166259 455 Vol.8, No.2, 2020 Introduction Demand for quality in all areas seems to be a rallying point for today's society. In addition to the demand for quality, the public wants health care delivered at a lower cost with greater accessibility, accountability, efficiency and effectiveness. (Bliersbach, 1991). Approaches to the improvement of quality care have been evident in nursing since the days of Florence Nightingale, from 1912 to 1930 the interest in quality nursing education led to the development of nursing organization involved in accrediting nursing programs. After world war II the attention of the emerging nursing process was the chosen method and included evaluation of how the activities of nurses helped clients. (Maibusch, 1994). The primary purpose of a quality assurance program is to ensure that the results of an organized activity are consistent with the expectations. All personnel affected by a quality assurance program should be involved in its development and responsible for the quality of services, the key to that quality is the knowledge, skills, attitudes of the personnel who deliver the services (Stanhope and Lancaster, 1996). The long term goals of quality improvement are to achieve optimal patient outcomes in terms of patient satisfaction with care within a well functioning system while the more immediate purposes of any quality improvement activity are to improve the efficiency and the effectiveness of the service rendered, even these shorter goals present a challenge to nursing staff, (Hunt, 1992). Statement of the Study Nursing Quality Assurance in Pediatric Surgery Center in AL-Khansa' Teaching Hospital.