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通过评估针对性教育对护士预防跌倒知识、态度和实践的影响来提高儿科患者安全

Enhancing Pediatric Patient Safety by Evaluating the Effect of Targeted Education on Nurses' Knowledge, Attitudes, and Practices of Fall Prevention.

作者信息

Shafqat Naseema, Rawat Tanya, Singh Vishakha, Verma Ranjana, Rani Manisha, Tailor Sunil K

机构信息

Obstetrics and Gynecology, All India Institute of Medical Sciences, Bhopal, Bhopal, IND.

Pediatrics, All India Institute of Medical Sciences, Bhopal, Bhopal, IND.

出版信息

Cureus. 2025 Apr 24;17(4):e82946. doi: 10.7759/cureus.82946. eCollection 2025 Apr.

Abstract

Background Patient safety in pediatric care is a critical concern, as hospital environments pose unique risks for children, particularly falls. Despite advancements in healthcare, falls remain a common safety issue, emphasizing the need for effective preventive measures. Nurses play a vital role in reducing fall risks, but gaps in their knowledge, attitudes, and practices (KAP) can hinder the success of these efforts. This study evaluates the impact of targeted education on enhancing nursing officers' KAP of fall prevention. Materials and methods A quasi-experimental pre-test and post-test design was conducted in the pediatric units of a tertiary care hospital in Bhopal. Nursing officers with at least one year of pediatric experience participated. KAP was assessed before a structured educational intervention, which included a workshop and educational materials. One week post-intervention, data were collected to measure changes. Statistical analysis was performed using SPSS Statistics version 26 (IBM Corp. Released 2019. IBM SPSS Statistics for Windows, Version 26.0. Armonk, NY: IBM Corp.), with paired t-tests assessing improvements in KAP and chi-square tests examining associations with demographic variables. Results A total of 64 nurses participated, with the majority being between 26 and 30 years old and holding a Bachelor of Science in Nursing degree. Pre-intervention knowledge levels indicated that most participants had average knowledge, which significantly improved post-intervention (mean score: 16.2 ± 4.20 to 24.0 ± 3.37, p<0.001). Attitudes toward fall prevention became more positive (mean score: 69.7 ± 6.07 to 73.5 ± 4.82, p<0.001), and preventive practices improved significantly (mean score: 10.7 ± 2.15 to 12.8 ± 1.50, p<0.001). Knowledge was significantly associated with age (p=0.029) and marital status (p=0.021), while attitudes and practices were linked to the department and the age group of the children in care. Conclusions Targeted educational interventions significantly improved nurses' KAP of pediatric fall prevention. Although the intervention led to immediate improvements, further research is needed to assess long-term retention and sustainability. Continuous professional development, institutional policies, and interdisciplinary collaboration are essential to maintaining high standards of pediatric patient safety.

摘要

背景

儿科护理中的患者安全是一个至关重要的问题,因为医院环境给儿童带来了独特的风险,尤其是跌倒风险。尽管医疗保健有所进步,但跌倒仍然是一个常见的安全问题,这凸显了采取有效预防措施的必要性。护士在降低跌倒风险方面发挥着至关重要的作用,但他们在知识、态度和实践(KAP)方面的差距可能会阻碍这些努力的成功。本研究评估了针对性教育对提高护理人员预防跌倒的KAP的影响。

材料和方法

在博帕尔一家三级护理医院的儿科病房进行了一项准实验性的前测和后测设计。至少有一年儿科经验的护理人员参与其中。在包括研讨会和教育材料在内的结构化教育干预之前评估KAP。干预一周后,收集数据以衡量变化。使用SPSS Statistics 26版(IBM公司。2019年发布。适用于Windows的IBM SPSS Statistics,版本26.0。纽约州阿蒙克:IBM公司)进行统计分析,采用配对t检验评估KAP的改善情况,并采用卡方检验检查与人口统计学变量的关联。

结果

共有64名护士参与,大多数年龄在26至30岁之间,拥有护理学学士学位。干预前的知识水平表明,大多数参与者知识水平一般,干预后有显著提高(平均得分:16.2±4.20至24.0±3.37,p<0.001)。对预防跌倒的态度变得更加积极(平均得分:69.7±6.07至73.5±4.82,p<0.001),预防措施也有显著改善(平均得分:10.7±2.15至12.8±1.50,p<0.001)。知识与年龄(p=0.029)和婚姻状况(p=0.021)显著相关,而态度和实践与所在科室以及所护理儿童的年龄组有关。

结论

针对性的教育干预显著提高了护士预防儿科跌倒的KAP。尽管干预带来了即时改善,但需要进一步研究来评估长期留存率和可持续性。持续的专业发展以及机构政策和跨学科合作对于维持儿科患者安全的高标准至关重要。

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