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血液透析室护士对感染预防的团队合作认知及知识态度

Perceptions of Teamwork and Knowledge Attitudes of Hemodialysis Unit Nurses on Infection Prevention.

作者信息

Prevyzi Evangelia, Patrinos Stavros, Intas Georgios, Elefsiniotis Ioannis, Velonakis Emmanouil, Grapsa Eirini

机构信息

Public Institute of Vocational Training «Τzaneio», General Hospital of Piraeus «Tzaneio», Piraeus, Greece.

National and Kapodistrian University of Athens, Athens, Greece.

出版信息

Adv Exp Med Biol. 2023;1425:555-565. doi: 10.1007/978-3-031-31986-0_54.

Abstract

INTRODUCTION

The Nurses of Hemodialysis Units: it is necessary to face HAIs (hospital-acquired infections) as a "well-tuned" teamwork. The aim of this study was to investigate the perceptions of the teamwork as well as the knowledge attitudes of the nurses of hemodialysis units on infection prevention in Greece.

METHODOLOGY

A cross-sectional survey was conducted with a sample of 1018 HCWs (health care workers) of hemodialysis units in Greece. The questionnaires used were: Teamwork Perceptions Questionnaire (T-TPQ) TeamSTEPPS-Instructor Manual, and questionnaire APPENDIX A.

RESULTS

The majority of them were nurses (69.45%) and nurse assistants (23.87%). About teamwork perceptions per factor, we observed uniformity in their responses with very high rates of agreement. The attitudes of nurses of hemodialysis units on the prevention of infections were distinguished in particularly high rates of compliance with a high perception of the risk of transmission of infections with better compliance being that of women. Also, women seem to be more knowledgeable about diseases that mostly affect the pediatric population. It seemed that level of knowledge between the two sexes did not differ regarding HBV (63.16% vs. 66.71%, p = 0.430), HCV (63.91% vs. 66.71%, p = 0.553), HIV infection (78.95% vs. 81.76%, p = 0.471), and influenza (55.64% vs. 59.61%, p = 0.394).

CONCLUSIONS

This study highlighted for the first time the high level of perceptions of teamwork of the HCWs of the hemodialysis units in Greece. It is recommended to investigate the correct application of prevention measures and to detect the causes of deviation from good practices with subsequent investigations on hemodialysis units of Greece.

摘要

引言

血液透析单位的护士:有必要将医院获得性感染(HAIs)作为一个“协调良好”的团队合作来应对。本研究的目的是调查希腊血液透析单位护士对团队合作的认知以及对感染预防的知识态度。

方法

对希腊血液透析单位的1018名医护人员(HCWs)进行了横断面调查。使用的问卷有:团队合作认知问卷(T - TPQ)、团队策略与工具提升绩效系统(TeamSTEPPS) - 指导手册以及附录A问卷。

结果

他们中的大多数是护士(69.45%)和护士助理(23.87%)。关于每个因素的团队合作认知,我们观察到他们的回答具有一致性,同意率很高。血液透析单位护士对感染预防的态度表现为特别高的依从率,对感染传播风险有较高认知,女性的依从性更好。此外,女性似乎对主要影响儿童人群的疾病了解更多。关于乙肝病毒(HBV,63.16%对66.71%,p = 0.430)、丙型肝炎病毒(HCV,63.91%对66.71%,p = 0.553)、艾滋病毒感染(78.95%对81.76%,p = 0.471)和流感(55.64%对59.61%,p = 0.394),两性之间的知识水平似乎没有差异。

结论

本研究首次强调了希腊血液透析单位医护人员对团队合作的高度认知。建议对希腊血液透析单位预防措施的正确应用进行调查,并找出偏离良好做法的原因,随后进行相关调查。

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