实践和信心在ICU护士之间的心电图解读:一个横截面研究
Salome E Buluba1, Jinyi He2, Hong Li3
1School of Nursing, Fujian Medical University, Fujian, China; Department of Clinical Nursing, School of Nursing, Muhimbili University of Health and Allied Sciences, Dar es Salaam, Tanzania.
Intensive & critical care nursing
|September 18, 2024
概括
中国的重症监护病房 (ICU) 护士表现出不良的心电图 (ECG) 解释能力,只有2.2%的护士能够准确地解释所有条纹. 通过教育提高心电图知识对于改善患者护理的实践和信心至关重要.
科学领域:
- 护理实践 护理实践
- 心脏病学 心脏病学
- 医学教育 医学教育
背景情况:
- 电心电图 (ECG) 的解释是重症监护室 (ICU) 护士的关键技能.
- 评估ICU护士的ECG解释能力对于确保高质量的患者护理和结果至关重要.
- 关于中国福建省ICU护士对心电图解释的实践和信心水平的数据有限.
研究的目的:
- 为了确定在中国福建省的ICU护士中对ECG解释的实践和信心水平.
- 确定预测这些护士心电图解释实践的因素.
- 为改善护理实践中的ECG解释技能提供基于证据的建议.
主要方法:
- 在福建省21家医院的357名ICU护士中进行了一项定量,横截面的在线研究.
- 分别用于医院和参与者选择的目的性和方便性抽样.
- 数据采集使用经过验证的中国问卷,并使用二进制逻辑回归来确定心电图解释实践的预测因素.
主要成果:
- 平均ECG解释实践得分为10分之5.54,只有2.2%的护士正确解释了所有ECG条纹.
- 在ICU护士中,很少有 (25.5%) 护士表现出良好的ECG解释实践,他们的平均信心分数为2.02分之4.
- 良好的心电图解释实践的重要预测因素包括在急诊ICU工作 (与心脏ICU相比),先前的心电图培训,大学/学校作为心电图培训的来源,以及更高的心电图知识.
结论:
- 福建省的ICU护士表现出相对较差的ECG解释实践和信心.
- 提高心电图解读能力需要有针对性的教育计划来增强护士的基本心电图知识.
- 加强ICU护士的ECG解释能力对于准确的心律失常监测和改善患者的治疗结果至关重要.
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