Hakim Navid, Mummadi Sangha Mitra, Jolly Karan, Dawson Julian, Darr Adnan
General Practice Trainee, Princess Royal University Hospital, London.
Core Surgical Trainee, Department of Otolaryngology, University Hospitals North Midlands, Stoke-on-Trent.
Br J Nurs. 2018 Jan 11;27(1):41-46. doi: 10.12968/bjon.2018.27.1.41.
the incidence of epistaxis has increased secondary to increased life expectancy and morbidities. This study sought to assess the knowledge, practice and opinion relating to adequacy of training of advanced nurse practitioners (ANPs) and staff nurses (SNs) in the emergency department.
a national survey was distributed over an 8-week period; this included a 3-point scoring system based on the National Institute for Health and Care Excellence Clinical Knowledge Summaries guidance on epistaxis management to assess overall performance.
analysis included 109 ANPs and 101 SNs; 12% of ANPs achieved the maximum score, 40% scored 2, 25% scored 1, and 23% scored 0, while 14% of SNs achieved the maximum score, 24% scored 2, 29% scored 1, and 32% scored 0. Overall 88% of respondents advocated further training.
significant deficits in knowledge regarding epistaxis management were highlighted. Further training could help to empower patients in basic first aid measures, subsequently reducing admissions rates.
由于预期寿命和发病率的增加，鼻出血的发生率有所上升。本研究旨在评估急诊科高级执业护士（ANP）和注册护士（SN）在培训充足性方面的知识、实践和观点。
在8周内进行了一项全国性调查；这包括一个基于英国国家卫生与临床优化研究所（NICE）鼻出血管理临床知识总结指南的3分评分系统，以评估总体表现。
分析纳入了109名高级执业护士和101名注册护士；12%的高级执业护士获得了最高分，40%得2分，25%得1分，23%得0分，而14%的注册护士获得了最高分，24%得2分，29%得1分，32%得0分。总体而言，88%的受访者主张进一步培训。
鼻出血管理方面的知识存在显著不足。进一步培训有助于使患者掌握基本急救措施，从而降低住院率。
