Background: Coronavirus disease 2019(COVID-19) has been spreading globally, with severe impacts on health and economies. Nursing is an essential component of medical care, and nurses’ knowledge, attitude, and practice (KAP) about the prevention and control of the disease directly affects patient’s outcomes ,but there is little know about the nurses’ KAP during the COVID-19 epidemic.Methods: An anonymous survey was conducted using customized questionnaires designed by Sojump platform. 1323 nurses in Wuhan were the survey object for the KAP survey. The survey included 48 questions regarding the basic information of nurses and knowledge, attitude, and prevention measures for COVID-19. Results: A total of 1323 nurses in Wuhan were included in the survey, of whom women (95.7%) under 40 years old (94.6%) accounted for the majority. Nurses have a comprehensive knowledge of problems such as the COVID-19 susceptible population, isolation ward layout process, environmental cleaning and disinfection, hand hygiene measures, infectious disease case reporting processes, standard prevention measures, and personal protection level, with more than 60% accuracy. However, they have a general lack of knowledge about the route of transmission of COVID-19, the use of protective equipment, patient management, medical waste disposal, and occupational exposure emergency response, with less than 45% accuracy. There was a gap between the attitude and the practice of nurses (p <0.05). Moreover, the knowledge level of nurses has an impact on their attitude (OR 1.52, 95% CI 1.10-2.08, p = 0.008), and title (OR 1.48, 95% CI 1.01-2.15, p = 0.042), place of work (OR 1.59, 95% CI 1.36-1.85, p <0.001), and attitude (OR 1.93, 95% CI 1.52-2.46, p <0.001) had an impact on their practice.Conclusion: The nurses in Wuhan during the epidemic have insufficient knowledge about COVID-19 infection prevention and control, and there are gaps in attitude and practice, which further affect their attitude and practice. It is therefore necessary to strengthen relevant knowledge training on COVID-19 among nurses.
Aims: Whether PICC in newborns can improve its success rate and reduce the complications by using the formula method to calculate the depth of catheterisation.Methods: A total of 130 newborns were prospectively studied from December 2018 to December 2019. All newborns were randomly divided into two groups that use formula method and common method respectively. The PICC catheter length of the two groups was observed. The unplanned extubation rate, one-time puncture success rate, catheter indwelling time, complications, duration of hospital stays and pain scores were recorded during the whole research process and compared between these two groups. Results:The formula method significantly improved the puncture success rate and reduced the secondary adjustment rate. The length of the catheter adjustment was significantly lower than the control group. The retention time also increased significantly. The incidence of PICC-related complications, including phlebitis, thrombosis, catheter-related infection and catheter displacement, was significantly reduced by using the formula method. Conclusions:The formula method in neonatal PICC catheter had great outcomes in terms of improving the success rate of one-time puncture and prolonging the indwelling time of catheter. What's knownPeripherally inserted central catheter (PICC) is an effective and safe infusion route for newborns, especially premature infants or those with very low birth weight What's newThis study showed that the formula method could significantly reduce the probability of secondary adjustment of indwelling catheter, reduce the pain score and the occurrence of related side effects.
Background Appropriate and timely treatment of status epilepticus (SE) reduces morbidity and mortality. Therefore, skill-based identification and management are critical for emergency physicians. Purpose To assess whether the ability of training physicians, residents, nurses, and others to respond to SE as a team could be improved by using curriculum learning [Strategies and Tools to Enhance Performance and Patient Safety of Team (TeamSTEPPS) course training] combined with in-situ simulations of emergency department (ED) staff. Approach A pre-training-post-training design was used on SE skills and teamwork skills. Emergency training, residents, and N1 and N2 nurses completed the SE skill and teamwork assessments (pre-training) through in-situ simulation. Next, the participating physicians and nurses attended the SE course [Strategies and Tools to Enhance Performance and Patient Safety of Team (TeamSTEPPS) course training], followed by conscious skill practice, including in-situ simulation drills every 20 days (eight times total) and deliberate practice in the simulator. The participants completed the SE skill and teamwork assessments (post-training) again in an in-situ simulation. Pre-training-post-training simulated SE skills and teamwork performance were assessed. The simulation training evaluation showed that the training process was reasonable, and the training medical staff had different degrees of benefit in increasing subject interest, improving operational skills, theoretical knowledge, and work self-confidence. Findings Sixty doctors and nurses participated in the intervention. When comparing the SE skills of 10 regular training physicians pre-training and post-training, their performance improved from 40% (interquartile range (IQR): 0–1) before training to 100% (IQR: 80.00–100) after training (p < 0.001). The teamwork ability of the 10 teams improved from 2.43 ± 0.09 before training to 3.16 ± 0.08 after training (p < 0.001). Conclusion SE curriculum learning combined with in-situ simulation training provides the learners with SE identification and management knowledge in children and teamwork skills.
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