Xie Jianfei, Sun Qian, Tang Siyuan, Ding Siqing, Zhong Zhuqing, Zeng Sainan, Duan Yinglong, Zhang Xiangyan, Cheng Andy Sk
Third Xiangya Hospital, Central South University, Changsha, Hunan, China.
Xiang Ya Nursing School, Central South University, Changsha, Hunan, China.
Int J Nurs Sci. 2019 Dec 16;7(1):66-73. doi: 10.1016/j.ijnss.2019.12.004. eCollection 2020 Jan 10.
To explore the knowledge, attitude and practice of Chinese nurses regarding nursing interruptions and related factors.
A total of 6,400 nurses from 31 hospitals in China were investigated by using the Knowledge, Attitude and Practice (KAP) Questionnaire of Nursing Interruptions. The questionnaire consists of three dimensions, knowledge, attitude and practice, containing 10, 9 and 7 items, with full score of 50, 45 and 28, respectively.
The mean overall KAP score regarding nursing interruptions of Chinese nurses was 74.05 ± 16.65 (range: 26-123), with scores for the knowledge, attitude, and practice component being 21.74 ± 9.80, 34.83 ± 6.98, and 17.49 ± 4.97, respectively. Among the nurses, 70.8% of them experienced an average level of KAP toward nursing interruptions while 15.5% were at a poor level. The knowledge, attitude, and practice of nursing interruptions were better in chief nurses, managers, nurses with a master degree or above, nurses ever received training, and nurses with a strong agreement to leadership compared to nurses in other groups ( < 0.05). In addition, employment type, professional title, position, standardized training and leaders' attention were predictors of KAP in nurses.
Chinese nurses have a moderate level of KAP regarding nursing interruptions. Leaders' attention, standardized training, position, professional title and employment type could predict nurses' KAP state of nursing interruptions. Thus, a targeted training program should be implemented for clinical nurses by nursing leaders, with a particular focus on feasibility and professionalism.
探讨中国护士对护理工作中断的认知、态度和行为及其相关因素。
采用护理工作中断知识、态度和行为(KAP)问卷,对中国31所医院的6400名护士进行调查。该问卷由知识、态度和行为三个维度组成,分别包含10项、9项和7项,满分分别为50分、45分和28分。
中国护士护理工作中断的KAP总均分是74.05±16.65(范围:26 - 123),其中知识、态度和行为维度得分分别为21.74±9.80、34.83±6.98和17.49±4.97。护士中,70.8%对护理工作中断的KAP处于中等水平,15.5%处于较差水平。护士长、管理者、硕士及以上学历护士、接受过培训的护士以及对领导认可度高的护士,在护理工作中断的知识、态度和行为方面优于其他组护士(P<0.05)。此外,就业类型、职称、职位、规范化培训和领导关注度是护士KAP的预测因素。
中国护士对护理工作中断的KAP处于中等水平。领导关注度、规范化培训、职位、职称和就业类型可预测护士护理工作中断的KAP状态。因此,护理管理者应针对临床护士实施有针对性的培训项目,尤其要注重可行性和专业性。