Yazdannik Ahmadreza, Atashi Vajihe, Ghafari Somayeh
Department of Critical Care Nursing, School of Nursing and Midwifery, Nursing and Midwifery Care Research Center, Isfahan University of Medical Sciences, Isfahan, Iran.
Student Research Center, School of Nursing and Midwifery, Isfahan University of Medical Sciences, Isfahan, Iran.
Iran J Nurs Midwifery Res. 2018 May-Jun;23(3):178-182. doi: 10.4103/ijnmr.IJNMR_205_16.
Failure to provide proper respiratory care leads to incidence of certain complications such as ventilator-associated pneumonia. Nurses have a crucial role in providing this care. The aim of this study is to assess the performance of ICU (Intensive Care Unit) nurses in providing respiratory care.
The present descriptive cross-sectional study recruited 120 nurses working in selected hospitals affiliated to Isfahan University of Medical Sciences from March to August 2016. The questionnaire used included demographic and employment details and performance observation checklist (containing 39 items in four care domains) based on recommendations in clinical guidelines. The performance of each nurse during a working shift was observed. Data were analyzed by SPSS 18, using tables of frequency, mean, and standard deviation.
According to the results obtained, mean (SD) total performance score of nurses in providing respiratory care was 15.46 (2.16). The highest score was obtained in preventing contamination of respiratory equipment 5 (0), and the lowest score was in oral care 0.68 (0.73).
Considering that respiratory care is one of the main pillars of patient care in ICU and that nurses scored poorly in this area, it is imperative to pay greater attention to this area. It is essential to provide necessary training to nurses and adequate facilities for improving the quality of clinical care.
未能提供适当的呼吸护理会导致某些并发症的发生,如呼吸机相关性肺炎。护士在提供此类护理方面起着至关重要的作用。本研究的目的是评估重症监护病房(ICU)护士在提供呼吸护理方面的表现。
本描述性横断面研究于2016年3月至8月招募了120名在伊斯法罕医科大学附属选定医院工作的护士。所使用的问卷包括人口统计学和就业细节以及基于临床指南建议的绩效观察清单(包含四个护理领域的39个项目)。观察了每位护士在一个工作班次期间的表现。数据使用SPSS 18进行分析,采用频率表、均值和标准差。
根据所得结果,护士在提供呼吸护理方面的平均(标准差)总绩效得分为15.46(2.16)。在防止呼吸设备污染方面得分最高,为5(0),在口腔护理方面得分最低,为0.68(0.73)。
鉴于呼吸护理是ICU患者护理的主要支柱之一,且护士在该领域得分较低,因此必须更加关注这一领域。为护士提供必要的培训并提供足够的设施以提高临床护理质量至关重要。