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E u r o S c i C o n E v e n t o n
Nursing Diagnosis &
Midwifery
Journal of Nursing and Health Studies
ISSN: 2574-2825
S e p t e m b e r 1 0 - 1 1 , 2 0 1 8
P r a g u e , C z e c h R e p u b l i c
Nursing Diagnosis & Midwifery 2018
Page 44
Raiza Jaafar Jumah
Security Forces Hospital, Saudi Arabia
Raiza Jaafar Jumah, J Nurs Health Stud 2018 Volume: 3
DOI: 10.21767/2574-2825-C4-010
Statement of the Problem:
As defined by the World Health Organization (2017), Morbid Obesity is considered to be a major risk
factor for a number of chronic diseases, which includes diabetes, cardiovascular diseases and cancer. Several factors were
evident to influence the development of obesity, among them: lifestyle, diet, ethnicity, socioeconomic background, and genetic
susceptibility. Furthermore, Morbid Obesity, once considered a problem only in developed and high income countries, overweight
and obesity are now dramatically on the rise in low- and middle-income countries, particularly in urban settings. Saudi Arabia, is
a Middle Eastern country that has gone through significant change in nutritional habits, norms, health, education and practices,
and ways of life for the past decades. Such changes are expected to have a huge impact on the magnitude of chronic diseases,
including obesity (Al-Nuaim, Al-Mazrou, Al-Rubeaan, &Khoja, 1996). In theWestern region of Saudi Arabia, Security Forces Hospital
Makkah (SFHM) is considered as one of the most important Ministry of Interior (MOI) health projects. The hospital commenced in
the last quarter of 2013 and is located in Makkah Al-Mukarrama, Al-Awali Region with 262 bed capacity. As per Male Unit Surgery
department’s January – October 2017 statistics, Morbid Obesity is consistently ranked to be the no. 1 most admitted cases in
the unit, only during the month of June 2017 ranked as the top 3. Furthermore, as per cross sectional and retrospective method
review of the 35 patient files, surgical nurses’ initial assessment, post-operative reassessment, and discharge health teaching,
there were inconsistencies of practice on health education, teaching methods, and documentation of care among these patients.
Among the 35 random and reviewed patient files, the total average in percentage of surgical unit’s health teaching focused
documentation is only 63.57%. Although there were documented health teachings, but the variations and non-compliance with
the complete nurses’ assessment, post-operative reassessment, and discharge health teaching documentations are evident.
Methodology & Theoretical Orientation: the initiation of the improvement project through the utilization of FOCUS-PDCA (Find,
Organize, Clarify, Understand, Select, Plan, Do, Check, Act) aims to specifically achieve the following concepts within twelve (12)
months duration:
1. Improve patient and family knowledge deficit on Morbid Obesity as a disease and perioperative compliance.
2. Reinforce nursing-tailored health education and teaching focused through integrated technology and audio-visual methods.
3. Standardized the nursing health teachings as per SFHM policy and evidence-based teaching initiated by nurses.
4. Conduct a more organized information dissemination to the patients and their families in perioperative compliance with the
disease intervention.
5. Reinforce compliance and awareness throughout the hospitalization period and be reflected in the documentation and
patient’s post-hospitalization interview.
6. Improve patient experience through the effective and efficient use of technology and audio-visual teaching.
Assessment of surgical nurses’ compliance
with health education on peri-operative
care and management among morbid obese
patients in the 35 files reviewed