OBJECTIVE: To increase nurses\' knowledge using innovative education and to improve maternal outcomes by reducing postpartum readmission rates of women with preeclampsia.
METHODS: Quality improvement project implementing escape room-style education for nurses.
METHODS: A large tertiary hospital in southeastern Michigan with initial postpartum readmission rates of women with preeclampsia exceeding national averages.
METHODS: Registered nurses (n = 71) working on the hospital postpartum unit; 70 completed the project.
METHODS: Participants completed a knowledge survey on the care and management of women in the postpartum period with preeclampsia and then engaged in an escape room game scenario involving an increasingly acute case of a woman with preeclampsia. Debriefing occurred after the education, and then participants completed the same survey. Using data collected after the project, we compared postpartum readmission rates of women with preeclampsia to the median national average of 3.55%.
RESULTS: Nurse knowledge increased by 10.5% from the pre- to posttest period. For the 2-month project time period, the average readmission rate was 1.49%.
CONCLUSIONS: Offering innovative, interactive education to nurses, such as an escape room game, appeared to be an effective method to increase nurses\' knowledge and may have improved maternal outcomes, as demonstrated through a readmission rate lower than the median national average. Further projects using longer time periods are needed to understand the true impact of the education on readmission rates.

Nurses\' knowledge of heart failure (HF) is highly variable, ranging from expert to poor, potentially leading to inadequate self-care.
(1) document the knowledge variation of HF assessment and management among specialist and generalist nurses; (2) determine factors that may be associated with nurses\' knowledge; and (3) describe nurses\' views of knowledge deficits and ways to improve nurses\' knowledge to better meet the needs educational interventions.
Members of the American Association of Heart Failure Nurses and Registered Nurses were invited to participate in a cross-sectional survey. Independent samples t-test, chi-square, and linear regression were used for quantitative analysis. Text analysis was applied to analyze the themes of qualitative comments.
A total of 918 nurses completed the survey. Specialist nurses had higher scores than generalist nurses with statistically significant F-test for diet, fluid, signs/symptoms, medication, and exercise. Both specialist and generalist nurses were least knowledgeable about dry weight, asymptomatic hypotension, and transient dizziness. Being a specialist nurse was associated with higher level of knowledge scores. Years of experience and race were significant factors associated with knowledge scores in generalist nurses. Confidence level and race were significant predictors for specialist nurses. Three themes emerged regarding the cause of nurses\' insufficient knowledge and several approaches were provided.
Specialist nurses are not only knowledgeable, but their knowledge levels are less variable compared to generalist nurses. There is a need to identify additional factors that may potentially influence nurses\' knowledge, contributing to the effectiveness of interventions.

A survey was conducted on 353 registered nurses working in Emergency and Trauma departments of district and provincial hospitals in Vietnam. Contents of the survey included first aid and initial care for burn and mass burn injuries. Only 15.3% of participants correctly answered over 50% of the items. The average percentage of correct answers was 39.7%. For cases of mass burn injuries, 53.6% of nurses recognized oral fluid resuscitation to be an appropriate method. Pre-transportation intubation for suspected inhalation injury was indicated by 44.6% of participants. Meanwhile, only 5.4% of nurses gave the correct answer regarding burn triage. A significantly higher knowledge level was recorded among nurses who had attended training courses in the past (54.8 ± 10.5% vs. 38 ± 9.7% respectively; p < .001). Meanwhile, work experience and place did not influence knowledge level. To improve the burn emergency management of nurses, further and continuing education is highly recommended.
Une étude a été réalisée auprès de 353 IDE travaillant dans des services d’urgences d’hôpitaux vietnamiens. Le questionnaire portait sur le secourisme et les soins initiaux aux brûlés, se présentant isolément ou dans le cadre d’une catastrophe. Seuls 15,3% des participants avaient plus de 50% de bonnes réponses, la moyenne étant de 39,7%. Cependant, 53,6% des IDE attestent que la réhydratation orale est utilisable en cas d’afflux massif mais seuls 5,4% des réponses sur le triage étaient correctes. L’intubation prophylactique avant transport en cas d’inhalation de fumées était validée par 44,6% des répondants. Les réponses étaient meilleures chez les IDE ayant bénéficié par le passé d’une formation (54,8 +/- 10,5% VS 38 +/- 9,7% ; p<0,001) alors que ni l’expérience ni le lieu d’exercice n’influençaient les connaissances. Ainsi, des plans de formation sont nécessaires pour améliorer les connaissances des IDE sur la prise en charge des brûlés.

BACKGROUND: The detection of arterial hypertension requires training and knowledge by the responsible health professional. The current guidelines recommend doctors and nurses to work together for the screening of hypertension.
OBJECTIVE: To assess the level of knowledge among primary healthcare nurses\' in the screening of arterial hypertension.
METHODS: Descriptive, observational and transversal study. A random representative sample of 165 nurses working with adult patients in community-based primary healthcare centres were asked to complete an evaluation test of theoretical knowledge about hypertension. Higher scores indicated a greater knowledge about the detection of hypertension.
RESULTS: 32.1% of the participants obtained a score equal to or more than 72.7 which corresponded to the 75th percentile of correct answers. Nurses with lower scores were older, permanent employees with technical training studies. A higher age and technical training studies contributed independently to a lower score. In the multiple linear regression model, age and type of studies contributed independently to questionnaire\'s score variance.
CONCLUSIONS: Currently, primary care nurses in the studied region do not have sufficient theoretical knowledge to detect hypertension. The results show the need to establish strategies to achieve the necessary knowledge for the implementation of a correct hypertension screening. For professional nurses, continuing education is essential to safe and effective nursing care.

OBJECTIVE: To explore nurses\' practice patterns, knowledge, and barriers related to chemotherapy-induced peripheral neuropathy (CIPN).
METHODS: Descriptive, cross-sectional.
METHODS: The United States.
METHODS: 408 oncology nurses.
METHODS: A team of eight experts met and developed the CIPN nurse knowledge and preferences survey, which was electronically sent to randomly selected nurses.
METHODS: The survey assessed nurses\' knowledge and practice patterns regarding assessment strategies and barriers, evidence-based interventions, preferences for education, and perceived gaps in scientific knowledge.
RESULTS: Nurses in the survey lacked knowledge regarding neurotoxicity of specific agents and evidence-based treatments. CIPN-focused physical examinations and standardized measurement tools were infrequently used during assessment. The most frequently reported barriers to CIPN assessment included lack of access to measurement tools, lack of specialized skills needed for assessment, lack of confidence, and lack of time. Recommendations for future research included CIPN prevention research, exploration of CIPN-related effects on quality of life, and alternative treatments of CIPN. The majority of participants preferred online educational opportunities.
CONCLUSIONS: Nurses do not consistently integrate evaluation and management of CIPN in their practices.
CONCLUSIONS: Educational offerings should incorporate web-based CIPN assessment and management content.

Often parents leave the hospital without the education needed to care for their child\'s gastrostomy device. Lack of nurse knowledge and the use of various types of devices contribute to their confusion and inability to adequately educate parents. An enhanced methodology and process to standardize gastrostomy education were designed and implemented. Data results confirmed an improvement in the knowledge and competency of both staff nurses and parents. Empowering staff nurses with knowledge and the necessary resources and tools to confidently educate parents, along with a standardized process, has improved overall outcomes.

BACKGROUND: For over a century, the discontinuation of oral food intake preoperatively after midnight has been routinely applied. Although routine fasting during the night before elective surgery has been abandoned by many modern centers, preoperative fasting after midnight continues as a routine practice.
OBJECTIVE: The purpose of this study was to determine trends in health personnel\'s application of new guidelines for preoperative fasting.
METHODS: The research sample of this descriptive study consisted of 73 nurses and physicians who were working in the surgical clinics during the time when the study was conducted and who agreed to participate in the study. The data of the study were collected using a questionnaire designed by the researchers.
RESULTS: Of the health personnel included in the study group, 43.8% routinely kept adult patients fasting after midnight, 34.2% discontinued solid food intake 8 hours preoperatively, 5.5% discontinued solid food intake 6 hours preoperatively, and 34.2% discontinued the intake of clear and particulate liquids 4 to 8 hours preoperatively. Compliance of the American Society of Anesthesiologists\' \"2-4-6-8 rule\" by health staff was very low.
CONCLUSIONS: This study was carried out in a hospital and based on the statements of health staff. Therefore, the findings of the study are suggestive in nature and cannot be generalized. We recommend that the study should be conducted with larger sample groups and that actual preoperative fasting periods of the patients should be determined.