教育计划对儿科护士意识水平量表的知识、实践和自信心的影响。

Effect of an educational program on pediatric nurses' knowledge, practice, and self-confidence about level of consciousness scales.

机构信息

Department of Nursing, College of Health Sciences, University of Fujairah, UAE; Pediatric Nursing Department, Faculty of Nursing, Beni-Suef University, Egypt.

Nursing Director, Makkah Medical Center Hospital, Saudi Arabia.

出版信息

J Pediatr Nurs. 2023 Nov-Dec;73:e570-e578. doi: 10.1016/j.pedn.2023.10.035. Epub 2023 Nov 4.

DOI:10.1016/j.pedn.2023.10.035

PMID:37926670

Abstract

BACKGROUND

Nurses of pediatric acute critical care units routinely assess the Level of Consciousness (LOC). The precise, exact, and restriction-free evaluation tool aids pediatric nurses in LOC assessment and clinical decision-making. This study aimed to examine the effect of an educational program on pediatric nurses' knowledge, practice, and self-confidence about level of consciousness scales.

METHODS

This pretest-post, single-group, quasi-experimental, double-site study included 49 pediatric nurses. The Glasgow Coma Scale (GCS)/Pediatric Glasgow Coma Scale (PGCS) and Pediatric Full Outline of UnResponsiveness Score Scale (PFSS) knowledge questionnaire and pediatric nurse practice checklist were developed and adopted. Self-reflection confidence statements were rated 1-5 (not confident-confident).

RESULTS

The results of the study indicate that there were significant increases in knowledge, practice, and self-confidence after the intervention. The paired samples tests revealed that knowledge scores significantly increased from the pretest to the posttest for both GCS/PGCS (pretest mean:7.91, posttest mean:9.95) and PFSS (pretest mean:2.1, posttest mean:6.79). Practice scores also showed significant improvement for both GCS/PGCS (pretest mean: 4.12, post-test mean: 6.22) and PFSS (pretest mean: 2.46, post-test mean: 5.79). Furthermore, self-confidence significantly improved for GCS/PGCS (pretest mean:16.08, posttest mean:18.79) and PFSS (pretest mean:10.32, posttest mean:17.81). The statistical analyses supported the significance of these improvements (p < 0.001 for all except self-confidence in GCS/PGCS with p < 0.005).

CONCLUSION

The educational program improved pediatric nurses' GCS/PGCS and PFSS knowledge, practice, and self-confidence.

IMPLICATIONS TO PRACTICE

Effective teaching of pediatric nurses is required to address gaps in care practices and improve the use of the Consciousness Level Assessment Scales.

摘要

背景

儿科急性重症监护病房的护士经常评估意识水平（LOC）。精确、准确、无限制的评估工具有助于儿科护士进行 LOC 评估和临床决策。本研究旨在检查教育计划对儿科护士对意识水平量表的知识、实践和自信的影响。

方法

本研究采用前后测试、单组、准实验、双站点设计，包括 49 名儿科护士。制定并采用了格拉斯哥昏迷量表（GCS）/儿科格拉斯哥昏迷量表（PGCS）和儿科全面反应能力量表（PFSS）知识问卷和儿科护士实践检查表。自我反思信心陈述的评分范围为 1-5（不自信-自信）。

结果

研究结果表明，干预后知识、实践和自我信心均显着提高。配对样本检验显示，GCS/PGCS（前测均值：7.91，后测均值：9.95）和 PFSS（前测均值：2.1，后测均值：6.79）的知识得分从前测到后测均显着增加。GCS/PGCS（前测均值：4.12，后测均值：6.22）和 PFSS（前测均值：2.46，后测均值：5.79）的实践分数也有显着提高。此外，GCS/PGCS（前测均值：16.08，后测均值：18.79）和 PFSS（前测均值：10.32，后测均值：17.81）的自我信心显着提高。统计分析支持这些改进的意义（除了 GCS/PGCS 中的自我信心外，所有结果均为 p<0.001，而 p<0.005）。