Smith S, Hatchett R
Intensive Crit Care Nurs. 1992 Jun;8(2):76-81. doi: 10.1016/0964-3397(92)90035-i.
50 qualified nurses were surveyed regarding their perception of their competence in resuscitation and cardiology-related skills. This included the ability to place a patient on a cardiac monitor, the identification of 7 basic arrhythmias and the ability to offer correctly to the anaesthetist the equipment for airway intubation and central venous cannulation during the cardiac arrest situation. Generally, there was not a satisfactory level of knowledge, with only 10 nurses (20%) feeling competent in identifying all 7 basic arrhythmias. 33 nurses (66%) believed that they were competent in handling the anaesthetist the correct equipment for intubation, but only 22 nurses (44%) stated competence in offering the correct equipment for central venous cannulation. A review of the literature reveals that there is a considerable disparity between perceived competence and the actual ability to carry out the resuscitation skills. This survey once again reinforces the urgent need for regular assessment and updating of resuscitation skills, knowledge and practice amongst nurses, particularly those working in the ward areas.
对50名合格护士进行了调查,了解她们对自己复苏和心脏相关技能能力的认知。这包括将患者连接到心脏监护仪的能力、识别7种基本心律失常的能力,以及在心脏骤停情况下向麻醉师正确提供气道插管和中心静脉置管设备的能力。总体而言,知识水平并不令人满意,只有10名护士(20%)认为自己能够识别所有7种基本心律失常。33名护士(66%)认为自己有能力为麻醉师提供正确的插管设备,但只有22名护士(44%)表示有能力提供正确的中心静脉置管设备。文献综述表明,认知能力与实际执行复苏技能的能力之间存在相当大的差距。这项调查再次强调了对护士,尤其是病房护士进行复苏技能、知识和实践的定期评估和更新的迫切需求。