Knowledge acquisition and retention among nurses after an educational intervention on endotracheal cuff pressure

Abstract

Background Nurses play a key role in the proper management of endotracheal tube (ETT) cuff pressure, which is important for patients' safety, so it is vital to improve nurses' knowledge on safe cuff management practices. Aims and objectives This study aimed to evaluate the effectiveness of an educational intervention related to ETT cuff pressure management on improving and retaining critical care nurses' knowledge. Design A single group pre‐post interventional study was conducted involving 112 registered nurses (RNs) from a 24‐bed adult general intensive care unit at a teaching hospital in Malaysia. Methods The educational intervention included a theoretical session on endotracheal cuff pressure management and demonstration plus hands‐on practice with the conventional cuff pressure monitoring method. Nurses' knowledge was measured using a self‐administered questionnaire pre‐ and post‐intervention. Data were analysed using repeated measure analysis of variance and bivariate analysis. Results In this study, 92% of the total number of RNs in the unit participated. A significant difference in mean knowledge score was noted between the pre‐ (mean = 8.13; SD = 1.53) and post‐intervention phases (3 months [mean = 8.97; SD = 1.57) and 9 months post‐intervention [mean = 10.34; SD = 1.08), P < .001), indicating significant knowledge acquisition and retention between the phases. Knowledge gained between the pre‐ and 9 months post‐intervention phases significantly differed according to nurses' educational level. Conclusions This study supports existing evidence that ongoing educational interventions are essential to improve nurses' knowledge. However, further exploration is suggested to assess how well this knowledge is translated into clinical practice. Relevance to clinical practice Regular educational programmes with current updates would enhance nurses' knowledge through proper practice and clinical decision‐making skills; this, in turn, would help to standardize cuff management practices.

Current state and influencing factors in airbag management among emergency department nurses: A multicenter study

“…This inadequacy might be linked to limited opportunities for ED nurses to partake in relevant training. Hence, structured theoretical courses and practical guidance could assist in enhancing nurses' knowledge of airbag management[ 18 , 19 ]. Furthermore, studies by Higgs et al [ 20 ] demonstrated that adherence to evidence-based guidelines in airbag management can significantly mitigate complications.…”

What is in this issue

“…Murugiah et al 14 conducted a pre‐ and post‐intervention study to assess the acquisition and retention of knowledge about endotracheal (ETT) cuff pressure among registered nurses in an adult general intensive care unit in Kuala Lumpur. This is an important topic because, although ETT cuff pressure management is a key critical care nursing role, and poor cuff management is associated with life‐threatening complications, 15,16 previous research suggests inadequate knowledge and poor or inconsistent practice 17‐19 .…”