Liyew Bikis, Dejen Tilahun Ambaye, Kassew Tilahun
School of Nursing, Department of Emergency and Critical Care Nursing, College of Medicine and Health Sciences, University of Gondar, Gondar, Ethiopia.
School of Medicine, Department of Psychiatry, College of Medicine and Health Sciences, University of Gondar, Gondar, Ethiopia.
Crit Care Res Pract. 2020 Aug 10;2020:9145105. doi: 10.1155/2020/9145105. eCollection 2020.
Nurses working in the intensive care unit play an essential role in detecting patients at risk of deterioration through ongoing assessment and action in response to changing health status.
To assess knowledge, attitude, and associated factors towards physical assessment on critically ill patients among nurses working in the intensive care unit at Amhara regional state referral hospitals, Northwest Ethiopia, 2019. The research hypothesis: there is poor physical assessment knowledge, poor physical assessment attitude, and there are factors that are likely to affect nurses' knowledge and attitude towards physical assessment providing this care to critically ill patients at Amhara regional state referral hospitals, Northwest Ethiopia, 2019.
Institution-based cross-sectional study was conducted among 299 nurses from March to September 2019. A convenience sampling method was used. Data were entered by using Epi Info 7.2.2 and analyzed by using STATA 14. The result was computed by descriptive statistics and to explore predictors of knowledge, and attitude linear regression analysis models were fitted, and the adjusted unstandardized beta () coefficient at 95% CI was used. A -value <0.05 was considered significant. Result and conclusion: the knowledge mean scores were 9.93 ± 2.99 [95% CI (9.59, 10.31)]. The proportion of nurse's knowledge who score above the mean was 167 (55.9%) [95% CI (50.2, 61.5)] and below the mean 132 (44.1%) [95% CI (38.5, 49.8)]. Attitude means scores were 36.85 ± 6.21 [(36.16, 37.51)]. The proportions of nurse's attitudes who score above the mean were 158 (52.8%) [95% CI (47.5, 58.5)] and below the mean 141 (47.2) [95% CI (41.5, 52.5)]. Regarding predictor variables, being male [ = 0.84, 95% CI (0.16, 1.52)] and taken training [ = 1.85, 95% CI (1.14, 2.56)] were factors positively associated with knowledge, whereas has taken training [ = 4.13, 95% CI (2.82, 5.44)], total years of experience [ = 0.59, 95% CI (0.25, 0.93)], and knowledge [ = 0.92, 95% CI (0.0.72, 1.12)] were factors positively associated with attitude towards physical assessment.
Based on the result of this study, the knowledge and attitude towards physical assessment regarding critically ill patients among nurses working in intensive care units were good. Hence, training, educational support services, and awareness are recommended to encourage nurse's knowledge and attitude towards physical assessment.
重症监护病房的护士在通过持续评估和应对不断变化的健康状况采取行动来发现有病情恶化风险的患者方面发挥着重要作用。
评估2019年埃塞俄比亚西北部阿姆哈拉地区转诊医院重症监护病房护士对重症患者进行体格检查的知识、态度及相关因素。研究假设：2019年埃塞俄比亚西北部阿姆哈拉地区转诊医院的护士在对重症患者进行体格检查方面知识欠缺、态度不佳，且存在可能影响护士知识和态度的因素。
2019年3月至9月对299名护士进行了基于机构的横断面研究。采用便利抽样法。数据使用Epi Info 7.2.2录入，并使用STATA 14进行分析。结果通过描述性统计计算得出，为探索知识和态度的预测因素，拟合了线性回归分析模型，并使用95%置信区间的调整后非标准化β（β）系数。P值<0.05被认为具有统计学意义。结果与结论：知识平均得分9.93±2.99 [95%置信区间（9.59，10.31）]。得分高于平均分的护士比例为167名（55.9%）[95%置信区间（50.2，61.5）]，低于平均分的为132名（44.1%）[95%置信区间（38.5，49.8）]。态度平均得分36.85±6.21 [（36.16，37.51）]。得分高于平均分的护士态度比例为158名（52.8%）[95%置信区间（47.5，58.5）]，低于平均分的为141名（47.2%）[95%置信区间（41.5, 52.5）]。关于预测变量，男性[β = 0.84，95%置信区间（0.16，1.52）]和接受过培训[β = 1.85，95%置信区间（1.14，2.56）]是与知识呈正相关的因素，而接受过培训[β = 4.13，95%置信区间（2.82，5.44）]、总工作年限[β = 0.59，95%置信区间（0.25，0.93）]和知识[β = 0.92，95%置信区间（0.72，1.12）]是与体格检查态度呈正相关的因素。
基于本研究结果，重症监护病房护士对重症患者体格检查的知识和态度良好。因此，建议提供培训、教育支持服务和提高认识，以促进护士对体格检查的知识和态度。
