一个关于护士在危重症患者中安全使用神经肌肉阻滞剂及不良反应方面表现的教育模块的有效性。

Effectiveness of an educational module on nurses' performance regarding safe administration and adverse effects of neuromuscular blocking agents in critically ill patients.

作者信息

Ali Shimaa Attia, Elsayed Enas Ebrahiem, Senosy Ayman Muhammad Kamel

机构信息

Adult Health Nursing Department-Faculty of Nursing, Helwan University, Cairo, Egypt.

Lecturer of Medical - Surgical Nursing Department, Faculty of Nursing, Ain Shams University, Cairo, Egypt.

出版信息

BMC Nurs. 2025 Jul 22;24(1):963. doi: 10.1186/s12912-025-03600-0.

DOI:10.1186/s12912-025-03600-0

PMID:40696321

原文链接:https://pmc.ncbi.nlm.nih.gov/articles/PMC12281960/

Abstract

BACKGROUND

Inadequate nurse's knowledge and poor skills regarding neuromuscular blocking agents lead to harm administration and associated with adverse effects and negative outcomes. Addressing these deficiencies through targeted education and training programs is essential for enhancing patient safety and improving healthcare outcomes.

AIM

to assess effectiveness of an educational module on nurses' performance regarding safe administration and adverse effects of neuromuscular blocking agents in critically ill patients.

DESIGN

A quasi-experimental design was used.

SETTING

The study was conducted at intensive care units affiliated to Medical Ain-Shams university hospital.

SUBJECTS

A purposive sample of nurses (80) was working in previously mentioned setting.

DATA COLLECTION TOOLS

Nurses' knowledge questionnaire and nurses' practices observational checklist, and nurses reported adverse effect.

RESULTS

the present study revealed that, there were improvement of the studied nurses' satisfactory level of knowledge regarding administration of neuromuscular blocking agents, clinical practice guideline recommendation, the studied nurses' competent level of practice, and reported adverse effect from (11.6, 8.4, 6.3, 8.3, and 7.5%) at pre-implementation to (88.4, 91.6, 93.7, 91.7 and 97.5%) at post-implementation phase, respectively, with a highly statistically significant differences between pre/post at P < 0.001.

CONCLUSION

The implementing educational module had positive large effect size on nurses' performance (Knowledge and practice) regarding safe administration, recognize and manage the potential adverse effects of neuromuscular blocking agents in critically ill patients throughout pre/post phases of the study at η2 = 0. 729 and 0.833.

RECOMMENDATIONS

Study the effectiveness of simulation, virtual reality, and AI-based tools in improving NMBA-related nursing competencies.

CLINICAL TRIAL NUMBER

Not applicable.

摘要

背景

护士对神经肌肉阻滞剂的知识不足和技能欠佳会导致用药不当，并引发不良反应和不良后果。通过有针对性的教育和培训项目来解决这些不足，对于提高患者安全和改善医疗结果至关重要。

目的

评估一个教育模块对护士在危重症患者中安全使用神经肌肉阻滞剂及相关不良反应方面表现的有效性。

设计

采用准实验设计。

地点

该研究在开罗大学医学院附属医院的重症监护病房进行。

研究对象

在上述环境中工作的80名护士组成的目的抽样样本。

数据收集工具

护士知识问卷、护士实践观察清单以及护士报告的不良反应。

结果

本研究表明，研究护士在神经肌肉阻滞剂给药知识、临床实践指南建议、实践能力水平以及报告的不良反应方面的满意水平，从实施前的（11.6%、8.4%、6.3%、8.3%和7.5%）分别提高到实施后的（88.4%、91.6%、93.7%、91.7%和97.5%），实施前后差异具有高度统计学意义（P < 0.001）。