Department of Nursing Science, Faculty of Medicine, University of Malaya, Kuala Lumpur, Malaysia.
Department of Anesthesiology, Faculty of Medicine, University of Malaya, Kuala Lumpur, Malaysia.
Nurs Crit Care. 2021 Sep;26(5):363-371. doi: 10.1111/nicc.12600. Epub 2021 Feb 10.
Nurses play a key role in the proper management of endotracheal tube (ETT) cuff pressure, which is important for patients' safety, so it is vital to improve nurses' knowledge on safe cuff management practices.
This study aimed to evaluate the effectiveness of an educational intervention related to ETT cuff pressure management on improving and retaining critical care nurses' knowledge.
A single group pre-post interventional study was conducted involving 112 registered nurses (RNs) from a 24-bed adult general intensive care unit at a teaching hospital in Malaysia.
The educational intervention included a theoretical session on endotracheal cuff pressure management and demonstration plus hands-on practice with the conventional cuff pressure monitoring method. Nurses' knowledge was measured using a self-administered questionnaire pre- and post-intervention. Data were analysed using repeated measure analysis of variance and bivariate analysis.
In this study, 92% of the total number of RNs in the unit participated. A significant difference in mean knowledge score was noted between the pre- (mean = 8.13; SD = 1.53) and post-intervention phases (3 months [mean = 8.97; SD = 1.57) and 9 months post-intervention [mean = 10.34; SD = 1.08), P < .001), indicating significant knowledge acquisition and retention between the phases. Knowledge gained between the pre- and 9 months post-intervention phases significantly differed according to nurses' educational level.
This study supports existing evidence that ongoing educational interventions are essential to improve nurses' knowledge. However, further exploration is suggested to assess how well this knowledge is translated into clinical practice.
Regular educational programmes with current updates would enhance nurses' knowledge through proper practice and clinical decision-making skills; this, in turn, would help to standardize cuff management practices.
护士在正确管理气管内插管（ETT）套囊压力方面发挥着关键作用，这对患者的安全至关重要，因此提高护士对安全套囊管理实践的知识至关重要。
本研究旨在评估与 ETT 套囊压力管理相关的教育干预措施在提高和保留重症监护护士知识方面的效果。
在马来西亚一所教学医院的 24 张成人综合重症监护病房的 112 名注册护士（RN）中进行了一项单组前后干预研究。
教育干预措施包括关于气管内套囊压力管理的理论课程和常规套囊压力监测方法的演示加实践操作。在干预前后使用自我管理问卷测量护士的知识。使用重复测量方差分析和双变量分析对数据进行分析。
在这项研究中，该单位的总 RN 人数中有 92%参与了。干预前（平均=8.13；SD=1.53）和干预后 3 个月（平均=8.97；SD=1.57）以及干预后 9 个月（平均=10.34；SD=1.08）的平均知识得分之间存在显著差异，P<.001），表明各阶段之间知识的获取和保留均有显著差异。干预前和干预后 9 个月之间的知识获取根据护士的教育水平而显著不同。
本研究支持现有证据表明，持续的教育干预对于提高护士的知识至关重要。然而，建议进一步探讨如何将这些知识有效地转化为临床实践。
定期的、包含最新内容的教育计划将通过适当的实践和临床决策技能提高护士的知识；这反过来又有助于标准化套囊管理实践。
