Karikari Akua K, Gyedu Adam, Yankson Isaac, Amedzake Dorcas Doefe, Agyei-Baffour Peter, Edusei Anthony K, Donkor Peter, Mock Charles
Komfo Anokye Teaching Hospital, Kumasi, Ghana.
Department of Surgery, Kwame Nkrumah University of Science and Technology, Kumasi, Ghana.
Afr J Emerg Med. 2025 Sep;15(3):100876. doi: 10.1016/j.afjem.2025.04.004. Epub 2025 Jun 10.
Nurses' knowledge of emergency care is a vital component of emergency capabilities. We sought to evaluate the factors that influence the knowledge on trauma and emergency care of nurses in district hospitals in Ghana.
In this cross-sectional study, we administered a questionnaire on emergency care to 406 nurses working in 11 (out of 37) randomly-selected district hospitals in the Ashanti Region. This included 10 multiple-choice questions on trauma care and 10 on general medical/surgical emergency care to objectively assess knowledge on emergency care. Analysis involved descriptive statistics, inferential tests comparing tests scores with Student's -tests and ANOVA, and multivariable linear regression.
Mean overall test score for knowledge was 60.1 % correct (SD 13.7 %). Results were tightly clustered with an inter-quartile range of 50 % to 70 %. Factors influencing the test scores on multivariable linear regression included: (a) gender (male nurses scored an adjusted 3.8 % higher than female nurses, = 0.015; beta=3.8; 95 %CI 0.7-6.8); and (b) refresher training (nurses who had received refresher training on emergency care scored an adjusted 3.3 % higher than those who had not received such training, = 0.018; beta=3.3; CI 0.6-6.0). The higher overall scores for male nurses were due solely to higher scores on trauma-related questions. Male nurses scored an average of an adjusted 5.1 % higher on the trauma questions ( = 0.023; beta=5.1; CI 0.7-9.5) than female nurses, but their scores on general emergency care were not significantly different.
Test scores for knowledge on emergency care for nurses working in Ghanaian district hospitals were generally adequate. While gender did influence test scores, the main actionable factor associated with higher test scores was having received refresher training in emergency care. There is a need for greater availability of such continuing professional development for nurses.
护士的急救知识是应急能力的重要组成部分。我们试图评估影响加纳地区医院护士创伤及急救知识的因素。
在这项横断面研究中，我们对阿散蒂地区37家医院中随机选取的11家医院的406名护士进行了急救知识问卷调查。问卷包括10道关于创伤护理的多项选择题和10道关于普通内科/外科急救护理的题目，以客观评估急救知识。分析包括描述性统计、使用学生t检验和方差分析比较测试分数的推断性检验，以及多变量线性回归。
知识测试的总体平均得分正确率为60.1%（标准差13.7%）。结果集中分布，四分位间距为50%至70%。多变量线性回归中影响测试分数的因素包括：（a）性别（男护士的调整后得分比女护士高3.8%，P = 0.015；β = 3.8；95%置信区间0.7 - 6.8）；（b）进修培训（接受过急救护理进修培训的护士调整后得分比未接受此类培训的护士高3.3%，P = 0.018；β = 3.3；置信区间0.6 - 6.0）。男护士总体得分较高完全是因为在创伤相关问题上得分较高。男护士在创伤问题上的调整后平均得分比女护士高5.1%（P = 0.023；β = 5.1；置信区间0.7 - 9.5），但他们在普通急救护理方面的得分没有显著差异。
加纳地区医院护士的急救知识测试分数总体上较为可观。虽然性别确实影响测试分数，但与较高测试分数相关的主要可采取行动的因素是接受过急救护理进修培训。有必要为护士提供更多此类继续职业发展机会。
