Wang Zezhou, Liu Yan, Fang Kui, Hao Xixi, Xue Zhihan, Dong Xue, Wang Haijun
The First Affiliated Hospital of China Medical University, Shenyang, China.
Front Med (Lausanne). 2024 Dec 3;11:1403173. doi: 10.3389/fmed.2024.1403173. eCollection 2024.
This study aims to assess the proficiency of nurses in the neurology department in managing patients with indwelling gastrointestinal canal.
Many critically ill patients in neurology departments require the placement of nasoenteric tubes to provide enteral nutrition. However, in clinical practice, there exists considerable variability in nurses' competencies regarding the management of patients with nasoenteric tubes. A thorough understanding of the challenges nurses face throughout the entire process of nasoenteric tube care and the development of targeted improvement measures are crucial for delivering enhanced patient care and facilitating patient recovery.
A qualitative interview study.
From August to October 2023, 11 neurological nurses were recruited offline in three hospitals for semi-structured and in-depth interviews. The data analysis uses the KJ method to summarize and classify the themes from the semi-structured interview results, and then organize the themes into a coherent visual and logical path. The COREQ list is used.
The researchers conducted semi-structured interviews with 11 neurology nurses from three hospitals using a purposive sampling method, of which 64% of the participants were female and 36% were male; the average age was 38.27 ± 7.85 years; 27% from the Department of Neurology, 73% from the Department of Neurosurgery; junior professional titles accounted for 18%, intermediate professional titles accounted for 64%, senior professional titles accounted for 18%; 27% of the subjects were head nurses and 73% were nurses. The study identified 5 themes: (1) Preparation and evaluation before intubation; (2) Enhancement of intubation success rates; (3) Prevention of complications; (4) Management of complications and emergencies; (5) The acquisition of relevant knowledge and experience. In clinical practice, the bedside blind insertion technique is random and has not yet formed a unified standard, and the specific operation details and techniques need to be further improved.
Disparities exist in the nursing capabilities of neurology nurses due to variations in their knowledge and experience regarding gastrointestinal canal management.
本研究旨在评估神经内科护士管理留置胃肠管患者的能力。
神经内科的许多重症患者需要放置鼻肠管以提供肠内营养。然而，在临床实践中，护士在鼻肠管患者管理方面的能力存在很大差异。全面了解护士在鼻肠管护理全过程中面临的挑战，并制定针对性的改进措施，对于提供更好的患者护理和促进患者康复至关重要。
定性访谈研究。
2023年8月至10月，在三家医院线下招募了11名神经科护士进行半结构化深入访谈。数据分析采用KJ法对半结构化访谈结果进行主题归纳分类，然后将主题组织成连贯的可视化和逻辑路径。使用COREQ清单。
研究人员采用目的抽样法对三家医院的11名神经科护士进行了半结构化访谈，其中64%的参与者为女性，36%为男性；平均年龄为38.27±7.85岁；27%来自神经内科，73%来自神经外科；初级职称占18%，中级职称占64%，高级职称占18%；27%的受试者为护士长，73%为护士。该研究确定了5个主题：（1）插管前的准备和评估；（2）提高插管成功率；（3）预防并发症；（4）并发症和紧急情况的处理；（5）相关知识和经验的获取。在临床实践中，床边盲插技术具有随机性，尚未形成统一标准，具体操作细节和技术有待进一步改进。
由于神经内科护士在胃肠管管理方面的知识和经验存在差异，其护理能力也存在差异。
