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三级综合医院护理人员压力性损伤知识水平的潜在剖面分析。

Latent Profile Analysis of Pressure Injury Knowledge Levels Among Nursing Staff in Tertiary General Hospitals.

机构信息

Department of Nursing, PengZhou People's Hospital, Chengdu, Sichuan, China.

Department of Gynecology, Ruikang Hospital Affiliated to Guangxi University of Chinese Medicine, Nanning, Guangxi, China.

出版信息

Br J Hosp Med (Lond). 2024 Sep 30;85(9):1-16. doi: 10.12968/hmed.2024.0226. Epub 2024 Sep 9.

Abstract

The prevalence of pressure injuries (PIs) is a widely used clinical indicator of patient safety and quality of care. Nurses' understanding of pressure injury (PI) can significantly impact the treatment outcomes for patients. This study, based on latent profile analysis (LPA), reveals the characteristics associated with PI knowledge levels among clinical nurses in district and county tertiary medical institutions. We aim to help nursing managers formulate training plans accurately so that clinical nurses can provide high-level skin care services for patients. In June 2023, 1482 nurse staff from 4 tertiary general hospitals at the district and county level in Chengdu were chosen as research subjects using the convenience sampling method. Responses to the general information questionnaire, the Chinese Version of Pressure Ulcer Knowledge Assessment Tool (C-PUKAT), and the Chinese Version of Attitude towards Pressure ulcer Prevention (C-APuP) were used to compare the population's characteristics based on LPA. Three latent profiles of nurses' PI knowledge were identified: weak foundation type (46.3%), strengthening foundation type (42.7%), and special improvement type (11.0%). Subjects' departments, administrative positions, highest degrees and PI prevention attitude scores, as well as whether they have participated in the training, all differed significantly between latent profile groups ( < 0.05). The PI knowledge level of nursing staff at the district and county tertiary general hospitals requires urgent improvement. Nursing managers should prioritize the management level and quality of PI training among clinical nursing staff. Precise training programs can be developed based on different categories of nursing staff to enhance their PI knowledge, thereby effectively improving the quality of healthcare for inpatients.

摘要

压疮(PI)的患病率是衡量患者安全和护理质量的常用临床指标。护士对压疮(PI)的理解可能会对患者的治疗结果产生重大影响。本研究基于潜在剖面分析(LPA),揭示了县级三级医疗机构临床护士 PI 知识水平相关特征。我们旨在帮助护理管理人员准确制定培训计划,以便临床护士为患者提供高水平的皮肤护理服务。

2023 年 6 月,采用便利抽样法,选取成都市 4 所县级三级综合医院的 1482 名护士作为研究对象。采用一般资料问卷、中文版压疮知识评估工具(C-PUKAT)和中文版压疮预防态度量表(C-APuP)对研究对象进行问卷调查,根据 LPA 对人群特征进行比较。

确定了护士 PI 知识的三种潜在特征类型:基础薄弱型(46.3%)、基础强化型(42.7%)和特殊提升型(11.0%)。各潜在特征组间护士的科室、行政职务、最高学历、PI 预防态度得分及是否参加过培训等差异均有统计学意义( < 0.05)。

县级三级综合医院护理人员的 PI 知识水平亟待提高。护理管理人员应优先考虑临床护理人员的管理水平和 PI 培训质量。可以根据不同类别的护理人员制定精确的培训计划,以提高他们的 PI 知识,从而有效提高住院患者的医疗保健质量。

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