PDF(Pubmed)
Abstract：
BACKGROUND: The emergency department (ED) plays a critical role in establishing artificial airways and implementing mechanical ventilation. Managing airbags in the ED presents a prime opportunity to mitigate the risk of ventilator-associated pneumonia. Nonetheless, existing research has largely overlooked the understanding, beliefs, and practical dimensions of airway airbag management among ED nurses, with a predominant focus on intensive care unit nurses.
OBJECTIVE: To investigate the current status of ED nurses\' knowledge, beliefs, and practical behaviors in airway airbag management and their influencing factors.
METHODS: A survey was conducted from July 10th to August 10th, 2023, using convenience sampling on 520 ED nurses from 15 tertiary hospitals and 5 sary hospitals in Shanghai. Pathway analysis was utilized to analyze the influencing factors.
RESULTS: The scores for ED nurses\' airway airbag management knowledge were 60.26 ± 23.00, belief was 88.65 ± 13.36, and behavior was 75.10 ± 19.84. The main influencing factors of airbag management knowledge included participation in specialized nurse or mechanical ventilation training, department, and work experience in the department. Influencing factors of airbag management belief comprised knowledge, department, and participation in specialized nurse or mechanical ventilation training. Primary influencing factors of airbag management behavior included knowledge, belief, department, participation in specialized nurse or mechanical ventilation training, and professional title. The belief in airbag management among ED nurses acted as a partial mediator between knowledge and behavior, with a total effect value of 0.513, and an indirect effect of 0.085, constituting 16.6% of the total effect.
CONCLUSIONS: ED nurses exhibit a positive attitude toward airbag management with relatively standardized practices, yet there remains room for improvement in their knowledge levels. Nursing managers should implement interventions tailored to the characteristics of ED nurses\' airbag management knowledge, beliefs, and practices to enhance their airbag management proficiency.
OBJECTIVE: To investigate the current status of ED nurses\' knowledge, beliefs, and practical behaviors in airway airbag management and their influencing factors.
METHODS: A survey was conducted from July 10th to August 10th, 2023, using convenience sampling on 520 ED nurses from 15 tertiary hospitals and 5 sary hospitals in Shanghai. Pathway analysis was utilized to analyze the influencing factors.
RESULTS: The scores for ED nurses\' airway airbag management knowledge were 60.26 ± 23.00, belief was 88.65 ± 13.36, and behavior was 75.10 ± 19.84. The main influencing factors of airbag management knowledge included participation in specialized nurse or mechanical ventilation training, department, and work experience in the department. Influencing factors of airbag management belief comprised knowledge, department, and participation in specialized nurse or mechanical ventilation training. Primary influencing factors of airbag management behavior included knowledge, belief, department, participation in specialized nurse or mechanical ventilation training, and professional title. The belief in airbag management among ED nurses acted as a partial mediator between knowledge and behavior, with a total effect value of 0.513, and an indirect effect of 0.085, constituting 16.6% of the total effect.
CONCLUSIONS: ED nurses exhibit a positive attitude toward airbag management with relatively standardized practices, yet there remains room for improvement in their knowledge levels. Nursing managers should implement interventions tailored to the characteristics of ED nurses\' airbag management knowledge, beliefs, and practices to enhance their airbag management proficiency.
摘要：
背景：急诊科（ED）在建立人工气道和实施机械通气中起着至关重要的作用。管理ED中的安全气囊是减轻呼吸机相关肺炎风险的主要机会。尽管如此，现有的研究在很大程度上忽视了人们的理解，信仰,和ED护士气道安全气囊管理的实用尺寸，主要关注重症监护病房护士。
目的：调查ED护士知识的现状，信仰,气道安全气囊管理实践行为及其影响因素。
方法：7月10日至8月10日进行了一项调查，2023年，对上海市15家三级医院和5家三级医院的520名急诊护士进行了便利抽样。采用路径分析对影响因素进行分析。
结果：ED护士气道气囊管理知识得分为60.26±23.00，信念为88.65±13.36，行为为75.10±19.84。气囊管理知识的主要影响因素包括参加专科护士或机械通风培训,部门,和部门工作经验。安全气囊管理信念的影响因素包括知识，部门,并参加专业护士或机械通气培训。安全气囊管理行为的主要影响因素包括知识、信念,部门,参加专业护士或机械通气培训，和职称。ED护士对安全气囊管理的信念是知识与行为之间的部分中介，总效应值为0.513，间接效应为0.085，占总效应的16.6%。
结论：ED护士对安全气囊管理表现出相对标准化的态度，然而，他们的知识水平仍有提高的空间。护理管理者应根据ED护士的特点实施干预措施，信仰,和实践，以提高他们的安全气囊管理熟练程度。
目的：调查ED护士知识的现状，信仰,气道安全气囊管理实践行为及其影响因素。
方法：7月10日至8月10日进行了一项调查，2023年，对上海市15家三级医院和5家三级医院的520名急诊护士进行了便利抽样。采用路径分析对影响因素进行分析。
结果：ED护士气道气囊管理知识得分为60.26±23.00，信念为88.65±13.36，行为为75.10±19.84。气囊管理知识的主要影响因素包括参加专科护士或机械通风培训,部门,和部门工作经验。安全气囊管理信念的影响因素包括知识，部门,并参加专业护士或机械通气培训。安全气囊管理行为的主要影响因素包括知识、信念,部门,参加专业护士或机械通气培训，和职称。ED护士对安全气囊管理的信念是知识与行为之间的部分中介，总效应值为0.513，间接效应为0.085，占总效应的16.6%。
结论：ED护士对安全气囊管理表现出相对标准化的态度，然而，他们的知识水平仍有提高的空间。护理管理者应根据ED护士的特点实施干预措施，信仰,和实践，以提高他们的安全气囊管理熟练程度。
