三级护理教学医院护士在院前急救护理方面的知识、实践及相关因素
Knowledge, Practice, and Associated Factors of Nurses in Pre-Hospital Emergency Care at a Tertiary Care Teaching Hospital.
作者信息
Abate Hailemichael, Mekonnen Chilot
机构信息
Department of Medical Nursing, College of Health Science, Gondar, Ethiopia.
出版信息
Open Access Emerg Med. 2020 Dec 31;12:459-469. doi: 10.2147/OAEM.S290074. eCollection 2020.
BACKGROUND
Pre-hospital emergency care is a medical care given to patients before arrival in the hospital after activation of the emergency team. Poor knowledge and practice about pre-hospital emergency care hurt the health outcomes of the patients.
OBJECTIVE
This study aimed to assess knowledge and practice nurses at the University of Gondar Compressive Specialized Hospital, Northwest Ethiopia.
METHODS
An institutional-based cross-sectional study was conducted from March 20 to April 10, 2020. A stratified sampling technique was used to select the study participants. Data were collected using a pretested structured self-administered questionnaire. Data were analyzed using SPSS version 20. To explain study variables, frequency tables and percentages were used. Logistic regression analysis was used to see the association between independent and dependent variables.
RESULTS
Out of the total 378 respondents, less than half (42.9%) had good knowledge; similarly, 49.5% of them had good practice about pre-hospital emergency care. Male sex and attend formal training were significant associations with both knowledge and practice of pre-hospital emergency nursing care. Male participants (adjusted odds ratio (AOR) = 6.57, 95% confidence interval (CI) (3.79-11.36)) and having training (AOR=1.74, 95% CI (1.83-3.66)) were significantly associated with knowledge of pre-hospital emergency care, whereas male sex (AOR=1.73, 95% CI (1.09-2.73)) and having training (AOR=6.16, 95% CI (2.69-14.10)) were significantly associated with the practice of pre-hospital emergency care.
CONCLUSION
Knowledge and practice of nurses regarding pre-hospital emergency care was found to be inadequate as compared to previous studies. Male sex and attend formal training showed a positive and significant association with both knowledge and practice of pre-hospital emergency nursing care. The responsible body ought to allow professional development and attending formal training for nurses.
背景
院前急救护理是在急救团队启动后，患者到达医院之前所提供的医疗护理。对院前急救护理的知识掌握不足和实践操作不当会损害患者的健康结局。
目的
本研究旨在评估埃塞俄比亚西北部贡德尔大学综合专科医院护士的知识和实践情况。
方法
于2020年3月20日至4月10日进行了一项基于机构的横断面研究。采用分层抽样技术选择研究参与者。使用预先测试的结构化自填问卷收集数据。使用SPSS 20版进行数据分析。为解释研究变量，使用了频率表和百分比。采用逻辑回归分析来观察自变量和因变量之间的关联。
结果
在总共378名受访者中，不到一半（42.9%）的人知识掌握良好；同样，其中49.5%的人在院前急救护理方面实践操作良好。男性和参加过正规培训与院前急救护理的知识和实践均存在显著关联。男性参与者（调整后的优势比（AOR）=6.57，95%置信区间（CI）（3.79 - 11.36））和接受过培训（AOR = 1.74，95% CI（1.83 - 3.66））与院前急救护理知识显著相关，而男性（AOR = 1.73，95% CI（1.09 - 2.73））和接受过培训（AOR = 6.16，95% CI（2.69 - 14.10））与院前急救护理实践显著相关。
结论
与先前的研究相比，发现护士在院前急救护理方面的知识和实践不足。男性和参加正规培训与院前急救护理的知识和实践均呈现出积极且显著的关联。责任机构应允许护士进行专业发展并参加正规培训。
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