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担任护士的母亲对耐多药的认知、态度和行为:新生儿重症监护病房教育项目的影响

Knowledge, Attitude, and Practices of Mothers Working as Nurses Toward Multidrug-Resistant: Impact of an Educational Program in Neonatal Intensive Care Unit.

作者信息

Abuhammad Sawsan, Alwedyan Dalya, Hamaideh Shaher, Al-Jabri Mohammed

机构信息

Department of Maternal and Child Health, Faculty of Nursing, Jordan University of Science and Technology, Irbid, Jordan.

Department of Community and Mental Health Nursing, Faculty of Nursing, The Hashemite University, Zarqa, Jordan.

出版信息

Infect Drug Resist. 2024 May 16;17:1937-1950. doi: 10.2147/IDR.S461188. eCollection 2024.

Abstract

OBJECTIVE

This study seeks to assess the influence of an educational program on enhancing the knowledge, attitudes, and practices of NICU nurses regarding MDROs.

METHODOLOGY

Quasi-experimental design that investigated the efficacy of an educational intervention in shaping the knowledge, attitudes, and practices of mothers working as nurses in NICU toward MDROs was used. A total of 168 nurses participated, divided into 84 intervention groups and 84 non-educational groups.

RESULTS

The analysis of overall knowledge scores before and after the educational interventions revealed a significant improvement in post-education knowledge scores (Mean = 16.94) compared to pre-education scores (Mean = 12.9929; t(83) = 40.119, p < 0.001). Attitude scores exhibited a notable improvement post-education, with mean scores increasing from 46.64 in the pretest to 58.45 in the posttest. The total attitude shift was statistically significant (t(83) = 104.23, p < 0.001 0). Regarding overall practice, the data suggests a positive impact of education on neonatal nurses' practices related to antibiotic usage (t(3) = 149.31, p < 0.001). A significant positive correlation was found between post-knowledge and post-attitude (r = 0.251, p = 0.021).

CONCLUSION

Based on the study findings, the MDROs educational program demonstrated its effectiveness in improving nurses' knowledge and attitudes toward MDROs, serving as a valuable educational resource for nurses. Given the increasing demand for nurses with MDROs knowledge, attitude, and practice in NICU, and considering the documented positive impact on protecting neonates from fatal infections, enhancing nurses' knowledge, attitudes, and practices toward MDROs has become imperative.

摘要

目的

本研究旨在评估一项教育计划对提高新生儿重症监护病房(NICU)护士关于多重耐药菌(MDROs)的知识、态度和实践的影响。

方法

采用准实验设计,调查一项教育干预措施对NICU护士母亲关于MDROs的知识、态度和实践形成的效果。共有168名护士参与,分为84个干预组和84个非教育组。

结果

教育干预前后总体知识得分分析显示,教育后知识得分(均值 = 16.94)较教育前得分(均值 = 12.9929;t(83) = 40.119,p < 0.001)有显著提高。态度得分在教育后有显著改善,平均得分从预测试的46.64提高到后测试的58.45。总体态度转变具有统计学意义(t(83) = 104.23,p < 0.0010)。关于总体实践,数据表明教育对新生儿护士与抗生素使用相关的实践有积极影响(t(3) = 149.31,p < 0.001)。后知识与后态度之间存在显著正相关(r = 0.251,p = 0.021)。

结论

基于研究结果,MDROs教育计划在提高护士对MDROs的知识和态度方面显示出有效性,是护士的宝贵教育资源。鉴于对具备MDROs知识、态度和实践能力的NICU护士的需求不断增加,且考虑到对保护新生儿免受致命感染的已记录积极影响,提高护士对MDROs的知识、态度和实践已变得势在必行。

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