Guilhermino Michelle Copede, Inder Kerry J, Sundin Deborah, Kuzmiuk Leila
School of Nursing & Midwifery, Faculty of Health and Medicine, University of Newcastle, NSW, Australia.
School of Medicine and Public Health, Faculty of Health and Medicine, University of Newcastle, Callaghan, NSW, Australia.
Aust Crit Care. 2014 Aug;27(3):126-32. doi: 10.1016/j.aucc.2013.10.064. Epub 2013 Dec 2.
Continuing education for intensive care unit nurses on invasive mechanical ventilation is fundamental to the acquisition and maintenance of knowledge and skills to optimise patient outcomes.
We aimed to determine how intensive care unit nurses perceived current education provided on mechanical ventilation, including a self-directed learning package and a competency programme; identify other important topics and forms of education; and determine factors associated with the completion of educational programmes on invasive mechanical ventilation.
A cross-sectional, 30-item, self-administered and semi-structured survey on invasive mechanical ventilation education was distributed to 160 intensive care nurses. Analysis included descriptive statistics and logistic regression was used to determine factors associated with current education completion, reported as adjusted odds ratios (AOR) and 95% confidence intervals (CIs).
Eighty three intensive care unit nurses responded and the majority (63%) reported not receiving education about mechanical ventilation prior to working in intensive care. Using a Likert rating scale the self-directed learning package and competency programme were perceived as valuable and beneficial. Hands-on-practice was perceived as the most important form of education and ventilator settings as the most important topic. Multivariate analysis determined that older age was independently associated with not completing the self-directed learning package (AOR 0.20, 95% CI 0.04, 0.93). For the competency programme, 4-6 years intensive care experience was independently associated with completion (AOR 17, 95% CI 1.7, 165) and part-time employment was associated with non-completion (AOR 0.23, 95% CI 0.08, 0.68).
Registered nurses are commencing their ICU experience with limited knowledge of invasive MV therefore the education provided within the ICU workplace becomes fundamental to safe and effective practice. The perception of continuing education by ICU nurses from this research is positive regardless of level of ICU experience and may influence the type of continuing education on invasive MV provided to ICU nurses in the future, not only in the ICU involved in this study, but other units throughout Australia.
为重症监护病房护士提供有关有创机械通气的继续教育，对于获取和维持优化患者治疗效果所需的知识与技能至关重要。
我们旨在确定重症监护病房护士如何看待当前提供的有关机械通气的教育，包括一个自主学习包和一个能力培训项目；识别其他重要主题和教育形式；并确定与完成有创机械通气教育项目相关的因素。
一项关于有创机械通气教育的横断面、包含30个项目的自填式半结构化调查，被分发给160名重症监护护士。分析包括描述性统计，并使用逻辑回归来确定与当前教育完成情况相关的因素，以调整后的优势比（AOR）和95%置信区间（CI）报告。
83名重症监护病房护士做出回应，大多数（63%）报告在进入重症监护病房工作之前未接受过有关机械通气的教育。使用李克特量表，自主学习包和能力培训项目被认为是有价值且有益的。实践操作被视为最重要的教育形式，通气设置被视为最重要的主题。多变量分析确定，年龄较大与未完成自主学习包独立相关（AOR 0.20，95% CI 0.04, 0.93）。对于能力培训项目，4至6年的重症监护经验与完成情况独立相关（AOR 17，95% CI 1.7, 165），兼职工作与未完成情况相关（AOR 0.23，95% CI 0.08, 0.68）。
注册护士开始其重症监护病房工作时，对有创机械通气的知识有限，因此重症监护病房工作场所提供的教育对于安全有效的实践至关重要。无论重症监护经验水平如何，本研究中重症监护病房护士对继续教育的看法都是积极的，这可能会影响未来向重症监护病房护士提供的有关有创机械通气的继续教育类型，不仅在参与本研究的重症监护病房，而且在澳大利亚的其他病房。
