Royal College of Surgeons in Ireland, Dublin, Ireland; Paediatric Intensive Care Unit, Our Lady's Children's Hospital, Dublin, Ireland.
J Clin Nurs. 2013 Oct;22(19-20):2912-22. doi: 10.1111/jocn.12299. Epub 2013 Jul 5.
To explore contact with and knowledge regarding chest drain management among nurses.
Chest drains are commonly used in both adult and paediatric settings, for example, for cardiothoracic patients or postspinal surgery, where they are inserted intra-operatively to drain excess fluid. Despite a large number of children requiring chest drain insertion annually, current literature suggests that many nurses have reduced contact with chest drains and a knowledge deficit regarding their management. Furthermore, the literature is limited in relation to chest drain management in the paediatric patient. Mismanagement of chest drains can have devastating consequences for patients.
A standardised descriptive survey approach was employed.
The sample consisted of 121 critical care and ward nurses from a large urban paediatric hospital, who cared for chest drains on a regular basis. Data were collected using a 37-item questionnaire, adapted from a study in the adult setting. Statistical analysis was performed using spss V15.
The findings demonstrate that increased exposure to caring for children with chest drains is synonymous with a greater perception of knowledge levels in this area of practice. While critical care nurses looked after children with chest drains more frequently than ward nurses, there was no difference in the knowledge assessment section of the questionnaire. This research identified where knowledge deficits exist.
This study identified the key areas where overall uncertainties existed leading to a decreased knowledge perception. Nurses are engaging with methods of knowledge acquisition; however, those who have less contact with chest drains require regular updates.
Addressing misconceptions about chest drain management is imperative. Providing up to date guidelines in clinical areas will improve chest drain management. Strategic educational initiatives are in place to ensure identified knowledge deficits are addressed and a complete revision of chest drain guidelines has been undertaken.
探讨护士对胸腔引流管管理的接触和知识。
胸腔引流管在成人和儿科环境中都经常使用，例如，用于心胸患者或脊柱后手术后，在手术中插入以排出多余的液体。尽管每年都有大量儿童需要插入胸腔引流管，但目前的文献表明，许多护士接触胸腔引流管的机会减少，并且对其管理的知识不足。此外，关于儿科患者胸腔引流管管理的文献有限。胸腔引流管管理不当会给患者带来灾难性的后果。
采用标准化描述性调查方法。
样本包括来自一家大型城市儿科医院的 121 名重症监护和病房护士，他们定期护理胸腔引流管。数据收集使用了一份 37 项的问卷，改编自成人环境中的一项研究。使用 spss V15 进行统计分析。
研究结果表明，接触护理胸腔引流管的儿童的机会增加与对该实践领域知识水平的更高认识是一致的。虽然重症监护护士比病房护士更频繁地照顾有胸腔引流管的儿童，但在问卷的知识评估部分没有差异。本研究确定了知识缺陷存在的地方。
这项研究确定了总体存在不确定性的关键领域，导致知识感知下降。护士正在参与知识获取的方法；然而，那些与胸腔引流管接触较少的人需要定期更新。
纠正对胸腔引流管管理的误解至关重要。在临床领域提供最新的指南将改善胸腔引流管管理。已经采取了战略教育举措，以确保解决已确定的知识缺陷，并对胸腔引流管指南进行了全面修订。
