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Assessment of Postoperative Nurses' Interventions for the Patients with Laparoscopic Cholecystectomy at Baghdad Teaching Hospitals
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Objective: The study aimed to assess the postoperative nurses' intervention for the patients with laparoscopic
cholecystectomy and to determine the relationship between Nurses' interventions and their demographic
characteristics.
Methodology: Quantitative design (a descriptive study) was started from 20th November 2012 up to 1st
September 2013. Non-probability (purposive sample) of (50) nurses, who were working in surgical wards, were
selected from Baghdad teaching hospitals (Baghdad Teaching Hospital, Digestives System and Liver Teaching
Hospital, AL-Kindy Teaching Hospital, and AL-Kadhimiyia Teaching Hospita). The data were collected through
the use of a constructed questionnaire, which consisted of two parts; the first part includes the page of
demographic data which contains (10) items and the second part which includes (5) domains in (46) subdomain
of postoperative nurses' interventions for the patients with laparoscopic cholecystectomy, through
direct observant approach by the mean of the designed interventions checklist, Reliability of the questionnaire
was determined through a pilot study and the validity through a panel of (12) experts. Descriptive statistical
analysis procedures (frequency, percentage, mean of score, Standard Deviation and Relative Sufficiency), and
inferential statistical analysis procedures (Reliability Coefficient, contingency coefficient and chi- square test)
were used for the data analysis under application of the statistical package of social science (SPSS) ver. (10.0).
Results: The findings of the study indicated that there is a weak assessment of postoperative nurses'
interventions for the patients with laparoscopic cholecystectomy at Baghdad teaching hospitals, and the
findings indicated that the most of study items responding of questionnaire were (84.78%) significant
differences. There was no significant relationship between nurses' gender, age, years of experience and their
assessment, while there was significant relationship between the level of education, sharing in training sessions
which established (by the hospital, by other hospitals, or by other institutions), duration of the training session,
Number of training sessions and assessment of postoperative nurses' interventions

Recommendations: The study recommended that special training session, concerning all nurses' surgical wards
for postoperative nursing interventions (Laparoscopic Cholecystectomy Patient) at inside or outside Iraq, and
booklets should be designated and presented to all nurses' surgical wards, in addition to increasing the number
of professional nurses' graduate from the colleges of nursing to the enrolled in surgical wards.

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Publication Date
Sat Jan 01 2011
Journal Name
Journal Of Al-nahrain University
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When Patients Say No: Rethinking Refusal in Bedside Medical Education
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ABSTRACT<sec> <title>Background

Bedside clinical teaching is a fundamental part of the medical education that offers invaluable opportunities for the students to build and improve their clinical and communication skills. However, there is a growing concern about the increasing refusal of patients to participate in clinical sessions, especially in certain settings where there are sensitive cultural traditions and decreased trust in institutions.

Aim

This paper discusses patient refusal duri

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