南非开普敦地区医院基本生命支持护士的能力
George R Mahembe1, Robert Mash
1Division of Family Medicine and Primary Care, Faculty of Medicine and Health Sciences, Stellenbosch University, Cape Town. g.r.mahembe@gmail.com.
概括
地区医院的护士表现出积极的态度,但缺乏必要的基本生命支持 (BLS) 知识和技能. 更高的资格和BLS培训提高了能力,突出了加强培训计划的需要.
科学领域:
- 紧急医疗 紧急医疗
- 护理教育 护理教育
- 公共卫生 公共卫生
背景情况:
- 心脏骤停 (CA) 是全球死亡的一个重要原因.
- 基本生命支持 (BLS) 对于改善CA后的生存率至关重要.
- 护士在CA反应中的作用需要强大的BLS能力,但这在地区医院中还没有得到充分的研究.
研究的目的:
- 评估在地区医院的护士对BLS的知识,技能和态度.
- 确定影响南非开普敦护士BLS能力的因素.
主要方法:
- 进行了一项多中心的观察性横截面研究.
- 使用了经过调整和验证的自我管理问卷.
- 分层配额采样包括243名护士;数据使用SPSS进行分析.
主要成果:
- 只有3.0%的护士在知识测试中取得了>80%,在技能测试中达到>15.9%.
- 专业护士,拥有学士学位的护士,以及先前接受过BLS培训的护士得分更高 (p<0.001).
- 低的BLS认证率 (50.8%),有效期很长 (52.5%);经验/绩效频率与能力没有相关性.
结论:
- 地区医院的护士具有积极的态度,但表现出不够的BLS知识和技能.
- 更高的资格和先前的BLS培训与更好的能力有关.
- 建议包括改善CA注册表,提高质量,分散培训和护士人员.
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