沙特阿拉伯护士在早期启动心肺复苏和自动体外除颤方面的知识与自我效能之间的关系。

The relationship between knowledge and self-efficacy of nurses regarding early initiation of cardiopulmonary resuscitation and automated defibrillation in Saudi Arabia.

作者信息

Alaryani Zainah D, Alhofaian Aisha, Elhady Mona

机构信息

Medical-Surgical Nursing, Faculty of Nursing, King Abdulaziz University, Saudi Arabia.

Emergency and Critical Care Nursing, Faculty of Nursing, King Abdulaziz University, Saudi Arabia.

出版信息

Belitung Nurs J. 2021 Oct 28;7(5):387-394. doi: 10.33546/bnj.1670. eCollection 2021.

DOI:10.33546/bnj.1670

PMID:37496508

原文链接:https://pmc.ncbi.nlm.nih.gov/articles/PMC10367978/

Abstract

BACKGROUND

Cardiopulmonary resuscitation (CPR) and early defibrillation are the most common procedures performed by nurses as the first responders to cardiac arrest patients in the hospital setting. Therefore, nurses are demanded to have high skills for effective performance. Self-efficacy and knowledge are considered significant factors affecting early initiation of CPR and automated defibrillation. However, previous studies mostly focused on nursing students instead of frontline nurses.

OBJECTIVE

This research aimed to assess the relationship between nurses' knowledge and self-efficacy regarding the early initiation of CPR and automated defibrillation of cardiac arrest patients.

METHODS

The study employed a cross-sectional, descriptive, correlational survey. Using convenience sampling, two hundred eighty-seven nurses working in critical areas and inpatient and outpatient departments, King Abdulaziz University Hospital (KAUH), Saudi Arabia, were selected. Resuscitation Knowledge and Self-Efficacy Scales were used for data collection (using Google Form) from November 2020 to January 2021. Descriptive statistics and Pearson correlation were used for data analysis.

RESULTS

Overall, 61.3% of participants had moderate knowledge (13.659 ± 2.175), and 63.8% had high self-efficacy (44.627 ± 58.397). The highest domain of self-efficacy was responding and rescuing, while the lowest domain was debriefing and recording. There was a significant positive relationship between knowledge and self-efficacy ( <0.001; = 0.207).

CONCLUSION

The positive relationship explained a high level of self-efficacy if there was a high level of knowledge. Thus, it is recommended that nursing programs apply CPR and automated defibrillation curricula during nurses' internships, clear policies and procedures about CPR and automated defibrillation, continual updates about CPR and automated defibrillation, and knowledge and continuance training (on-job-training) about CPR and automated defibrillation, which can enhance and improve knowledge and self-efficacy among health care workers, especially for nurses.

摘要

背景

心肺复苏（CPR）和早期除颤是医院环境中护士作为心脏骤停患者第一反应者所执行的最常见操作。因此，要求护士具备高超技能以有效实施这些操作。自我效能感和知识被认为是影响早期实施心肺复苏和自动除颤的重要因素。然而，以往研究大多聚焦于护生而非一线护士。

目的

本研究旨在评估护士关于心脏骤停患者早期实施心肺复苏和自动除颤的知识与自我效能感之间的关系。

方法

本研究采用横断面、描述性、相关性调查。采用便利抽样法，选取了沙特阿拉伯阿卜杜勒阿齐兹国王大学医院（KAUH）重症监护区及住院部和门诊部工作的287名护士。2020年11月至2021年1月期间，使用复苏知识和自我效能感量表（通过谷歌表单）收集数据。采用描述性统计和Pearson相关性分析进行数据分析。

结果

总体而言，61.3%的参与者知识水平中等（13.659±2.175），63.8%的参与者自我效能感较高（44.627±58.397）。自我效能感最高的领域是反应与救援，而最低的领域是汇报与记录。知识与自我效能感之间存在显著正相关（<0.001；=0.207）。

结论

这种正相关关系表明，如果知识水平高，则自我效能感水平也高。因此，建议护理项目在护士实习期间应用心肺复苏和自动除颤课程，明确关于心肺复苏和自动除颤的政策与程序，持续更新心肺复苏和自动除颤相关内容，以及开展关于心肺复苏和自动除颤的知识及持续培训（在职培训），这可以增强和提高医护人员尤其是护士的知识水平和自我效能感。