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重症监护病房呼吸机相关性肺炎预防:障碍与依从性。

Prevention of ventilator-associated pneumonia in intensive care units: Barriers and compliance.

机构信息

School of Nursing, Al al-Bayt University, Mafraq, Jordan.

College of Nursing, , Sultan Qaboos University, AlKhoud, Oman.

出版信息

Int J Nurs Pract. 2020 Oct;26(5):e12838. doi: 10.1111/ijn.12838. Epub 2020 Apr 15.

Abstract

AIM

The purpose of this study was to evaluate the compliance of Jordanian nurses with ventilator-associated pneumonia prevention guidelines and the barriers to compliance.

METHOD

A descriptive, cross-sectional design was used. A convenience sample of 294 nurses from nine hospitals in Jordan completed a self-reported questionnaire.

RESULTS

According to the study compliance categories, 45.6% of the participants reported 'insufficient compliance,' 24.8% 'weak compliance' and 29.6% 'sufficient compliance.' Nurses with more experience and previous education on ventilator-associated pneumonia reported higher compliance scores than their counterparts with less experience and no previous education. Nurses reported several barriers that limited their own compliance, such as lack of education, lack of policies and protocols, lack of resources and the shortage of staff.

CONCLUSION

The compliance of nursing staff with the prevention guidelines was poor. Applying tailored educational programs may help improve their level of compliance. These programs must target new graduate nurses and be conducted in those hospitals with limited resources.

摘要

目的

本研究旨在评估约旦护士遵守呼吸机相关性肺炎预防指南的情况以及遵守指南的障碍。

方法

采用描述性、横断面设计。来自约旦 9 家医院的 294 名护士完成了一份自我报告问卷。

结果

根据研究的依从类别,45.6%的参与者报告“依从性不足”,24.8%“依从性弱”,29.6%“依从性充分”。经验丰富和接受过呼吸机相关性肺炎教育的护士比经验较少和没有接受过相关教育的护士报告的依从性评分更高。护士报告了一些限制其自身依从性的障碍,例如缺乏教育、缺乏政策和规程、缺乏资源以及人员短缺。

结论

护理人员遵守预防指南的情况不佳。实施有针对性的教育计划可能有助于提高他们的依从性水平。这些计划必须针对新毕业的护士,并在资源有限的医院进行。

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