临床护士对危重症患者院内转运的知识、态度和实践状况：一项横断面研究。
Status of knowledge, attitude and practice of clinical nurses towards the intrahospital transport of critically ill patients: A cross-sectional study.
机构信息
Department of Nursing, the Fourth Affiliated Hospital, Zhejiang University School of Medicine, Yiwu, China.
出版信息
Nurs Open. 2024 Jun;11(6):e2172. doi: 10.1002/nop2.2172.
AIMS
To explore the knowledge, attitudes and practice status of the intrahospital transport (IHT) of critically ill patients among clinical nurses and their influencing factors.
DESIGN
Cross-sectional study.
METHODS
A questionnaire determined the nurses' knowledge, attitudes and practice scores. The questionnaire was used for data collection in a tertiary hospital from 10 January to 17 January 2023. Multivariate regression analysis was also used to evaluate the related factors of IHT of critically ill patients in different dimensions.
RESULTS
Out of 670 distributed questionnaires, 612 nurses returned the completed questionnaire. The scores of KAP were (9.72 ± 1.61), (42.91 ± 4.58) and (82.84 ± 1.61), respectively. Pearson's correlation analysis showed that knowledge, attitude and behaviour scores were positively correlated. Variables that were associated with the scores of transfer knowledge were the scores of transfer practice, different departments and the scores of transfer attitude. The score of practice, number of IHT and received hospital-level training had statistical significance on the nurses' attitude scores. Furthermore, the score of the attitude and transport knowledge had statistical significance on the nurses' practice.
CONCLUSION
The findings indicate a clear need for clinical nurses' knowledge of IHT of critically ill patients, especially in the emergency department (ED) and ICU. In addition, nurses need to be more active in transporting critically ill patients. Managers should enhance nurses' confidence in the IHT of critically ill patients and promote clinical nurses to establish a correct and positive attitude.
IMPACT
The findings of this study benefit nursing managers in understanding the current situation of IHT of critically ill patients. Managers should apply new training methods to nursing education and develop a multi-level training program that is systematic, comprehensive and demand-oriented.
PATIENT OR PUBLIC CONTRIBUTION
The participants of this study were nurses and this contribution has been explained in the Data collection section. There was no patient contribution in this study.
目的
探讨临床护士对危重症患者院内转运（IHT）的知识、态度和实践现状及其影响因素。
设计
横断面研究。
方法
采用问卷调查法确定护士的知识、态度和实践评分。该问卷于 2023 年 1 月 10 日至 17 日在一家三级医院收集数据。还采用多变量回归分析评估不同维度危重症患者 IHT 的相关因素。
结果
在发放的 670 份问卷中，有 612 名护士返回了完整的问卷。KAP 的分数分别为（9.72±1.61）、（42.91±4.58）和（82.84±1.61）。Pearson 相关分析表明，知识、态度和行为评分呈正相关。与转运知识评分相关的变量是转运实践评分、不同科室和转运态度评分。实践评分、IHT 次数和接受医院级培训对护士态度评分有统计学意义。此外，态度和转运知识评分对护士的实践有统计学意义。
结论
研究结果表明，临床护士对危重症患者 IHT 的知识有明确的需求，特别是在急诊科（ED）和 ICU。此外，护士需要更积极地转运危重症患者。管理者应增强护士对危重症患者 IHT 的信心，促进临床护士树立正确积极的态度。
影响
本研究的结果有利于护理管理者了解危重症患者 IHT 的现状。管理者应将新的培训方法应用于护理教育，并制定系统、全面、需求导向的多层次培训计划。
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