赋能护理实践：通过太仓市对导尿术的知识、态度和实践提升患者护理水平

Empowering Nursing Practices: Enhancing Patient Care Through Knowledge, Attitude and Practice Towards Urinary Catheterisation in Taicang City.

作者信息

Zhang Lihong, Zhang Hong, Wang Yaxuan, Li Hui, Liu Ting, Qian Jingjing, Wang Chi

机构信息

Department of Stroke Center, Taicang First People's Hospital, Suzhou, China.

出版信息

Nurs Open. 2024 Dec;11(12):e70111. doi: 10.1002/nop2.70111.

DOI:10.1002/nop2.70111

PMID:39639465

原文链接:https://pmc.ncbi.nlm.nih.gov/articles/PMC11621037/

Abstract

AIM

To assess the knowledge, attitude and practice (KAP) towards unnecessary urinary catheterisation among nurses in Taicang City, China.

DESIGN

Cross-sectional study.

METHODS

This study included nurses from our hospital and was conducted between February 2023 and June 2023.

DATA SOURCES

A self-administered questionnaire was designed to collect their demographic characteristics and KAP.

RESULTS

A total of 233 valid questionnaires were collected. The mean KAP scores were 13.44 ± 1.62 (possible range: 0-17), 45.28 ± 3.87 (possible range: 10-50) and 43.85 ± 5.98 (possible range: 10-50), which indicated moderate knowledge, positive attitude and proactive practice, respectively. The Pearson's correlation analysis showed positive correlations between knowledge and attitude (r = 0.253, p < 0.001), knowledge and practice (r = 0.279, p < 0.001), as well as attitude and practice (r = 0.441, p < 0.001). Partial correlation analysis adjusted for age, gender, department, working experience and experience in treating patients with catheter-associated urinary tract infections also showed positive correlations among KAP. A structural equation modelling showed that both knowledge (β = 0.501, p = 0.047) and attitude (β = 0.691, p < 0.001) had direct effect on practice.

CONCLUSION

This study found moderate knowledge, positive attitude and proactive practice among the participants. Both knowledge and attitude might affect their practice.

IMPACT

We wanted to know the knowledge, attitude and behaviour of nurses in Taicang City towards unnecessary catheterisation. Moderate knowledge, positive attitude and proactive practice were found among the participants. The findings would provide evidence for policymakers to develop targeted educational intervention to improve nurses' practice and might improve the outcomes of patients.

REPORTING METHOD

This study was reported to be adhered to the STROBE guideline.

PATIENT OR PUBLIC CONTRIBUTION

No patient or public contribution.

IMPLICATIONS FOR THE PROFESSION AND/OR PATIENT CARE: Targeted educational intervention was needed to improve nurses' practice.

摘要

目的

评估中国太仓市护士对不必要导尿的知识、态度和实践（KAP）情况。

设计

横断面研究。

方法

本研究纳入了我院护士，研究于2023年2月至2023年6月进行。

数据来源

设计了一份自填式问卷，以收集护士的人口统计学特征及KAP情况。

结果

共收集到233份有效问卷。知识、态度和实践的平均得分分别为13.44±1.62（可能范围：0 - 17）、45.28±3.87（可能范围：10 - 50）和43.85±5.98（可能范围：10 - 50），分别表明知识水平中等、态度积极和实践主动。Pearson相关分析显示，知识与态度之间呈正相关（r = 0.253，p < 0.001），知识与实践之间呈正相关（r = 0.279，p < 0.001），态度与实践之间也呈正相关（r = 0.441，p < 0.001）。在对年龄、性别、科室、工作经验以及治疗导尿管相关尿路感染患者的经验进行校正的偏相关分析中，KAP之间也呈正相关。结构方程模型显示，知识（β = 0.501，p = 0.047）和态度（β = 0.691，p < 0.001）均对实践有直接影响。