J Obstet Gynecol Neonatal Nurs. 2022 Nov;51(6):566-576. doi: 10.1016/j.jogn.2022.08.004. Epub 2022 Sep 8.
To assess the self-reported knowledge, education, and practices related to hip-healthy swaddling of newborns among nurses, how they teach this technique to parents, and the relationships among these factors.
Descriptive cross-sectional exploratory survey.
Academic women and children's hospital with an average of 4,500 annual births.
One hundred four registered maternity nurses who work primarily in the maternity unit.
At three staff meetings, we surveyed maternity nurses to determine their knowledge, education, and practices related to hip-healthy swaddling and how they teach this technique to parents. We analyzed results using descriptive statistics and chi-square and Fisher's exact tests.
Of the 156 nurses in the maternity unit, 104 attended three staff meetings and completed the survey. Among the participants, 18.9% (18/95; 9 participants did not respond) were unable to identify the correct hip swaddling position. Overall, 64.2% (61/95; 9 participants did not respond) reported that they received education on general swaddling technique, yet 14.8% (9/61) of these participants were unable to identify the correct hip-healthy swaddling position. Among the participants, 99.0% (103/104) reported that nurses teach parents how to swaddle infants rather than other health care providers; 12.5% (13/104) of participants responded that medical doctors provide training as well. Overall, 67.0% (69/103; 1 participant did not respond) reported that they taught parents in >75% of parent interactions.
Our results illustrate a gap in knowledge about hip-healthy swaddling among the maternity nurses who participated in this survey and a need for further education.
评估护士对新生儿髋关节健康襁褓的知识、教育和实践，他们向父母传授这一技术的方式，以及这些因素之间的关系。
描述性的、横截面的探索性调查。
一家平均每年有 4500 名新生儿出生的学术性妇女和儿童医院。
104 名主要在产科病房工作的注册产科护士。
在三次员工会议上，我们对产科护士进行了调查，以确定他们与髋关节健康襁褓相关的知识、教育和实践，以及他们向父母传授这一技术的方式。我们使用描述性统计、卡方和 Fisher 精确检验分析结果。
在产科病房的 156 名护士中，有 104 名护士参加了三次员工会议并完成了调查。在参与者中，18.9%（95 名中的 18 名；9 名参与者未作答）无法正确识别髋关节包裹的正确位置。总的来说，64.2%（95 名中的 61 名；9 名参与者未作答）报告他们接受过一般包裹技术的教育，但其中 14.8%（61 名中的 9 名）无法正确识别髋关节健康包裹的正确位置。在参与者中，99.0%（104 名中的 103 名）报告护士教父母如何包裹婴儿，而不是其他医疗保健提供者；12.5%（103 名中的 13 名）的参与者回答医生也提供培训。总的来说，67.0%（103 名中的 69 名；1 名参与者未作答）报告他们在超过 75%的父母互动中向父母教授。
我们的结果表明，参与这项调查的产科护士对髋关节健康襁褓的知识存在差距，需要进一步教育。
