Knowledge of intensive care nurses in selected care areas commonly guided by protocols

Perrie, Helen; Schmollgruber, Shelley; Bruce, Judith; Becker, Piet J.

doi:10.7196/sajcc.158

Cited by 10 publications

(11 citation statements)

References 18 publications

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“…In this study, education level had a significant influence on knowledge level at all stages and on the amount of knowledge gained between pre‐ and 9 months post‐intervention. Findings of a previous study conducted in Johannesburg involved nurses from 13 ICUs, whereby ICU‐trained nurses were noted to have a significantly higher level of knowledge on pain management, glycaemic control, and weaning from mechanical ventilation compared with those who were not formally trained, which supports our findings 37 and emphasizes the benefits of advanced education for nurses working in critical care. In line with the findings, and given that only 20% of the nurses in the current study had advanced education in critical care nursing and that a majority of the nurses were young and inexperienced, in addition to advanced education, regular ongoing education is necessary to build and improve competency, especially in all aspects of essential ICU care 37 .…”

Section: Discussionsupporting

confidence: 89%

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

Murugiah

Jamaluddin

Yahya

et al. 2021

Nursing in Critical Care

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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.

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Section: Discussionsupporting

confidence: 89%

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

Murugiah

Jamaluddin

Yahya

et al. 2021

Nursing in Critical Care

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“…The finding of this study has indicated that socio-demographic characteristics of the nurses did not predict the overall NCCCS score. This agrees with the earlier report of Perrie et al (Perrie et al, 2014), who showed that both the level of knowledge and work experience in the ICU did not predict nurses' knowledge of the criteria for weaning mechanically ventilated patients. Overall, our findings affirm that the NCCCS may be useful in facilitating the development of educational programs related to nurses' care coordination competency in managing mechanically ventilated patients (Takiguchi et al, 2017a;2017b).…”

Section: Summary Of Key Findingssupporting

confidence: 92%

“…Also, a scoping review has shown that the implementation of weaning protocols in ICUs was influenced significantly by nurses' knowledge and competence (Rose, Dainty, Jordan, & Blackwood, 2014). An analytical cross-sectional survey conducted in 2014 among ICU nurses in five hospitals in Johannesburg revealed nurses' lack of knowledge of the criteria for weaning mechanically ventilated patients and that there was no significant relationship between nurses' knowledge and their ICU work experience (Perrie, Schmollgruber, Bruce, & Becker, 2014). Furthermore, a recent study in Nepal found that 54.4% of ICU nurses had inadequate knowledge of weaning criteria for MV patients (Pradhan & Shrestha, 2017).…”

Section: Introductionmentioning

confidence: 99%

“…Therefore, due to the combined problems of ineffective collaboration, coordination, and poor knowledge and competence of nurses (Balas et al, 2016;Couchman et al, 2007;Lavelle & Dowling, 2011;Perrie et al, 2014;Pradhan & Shrestha, 2017), there is a gap between the expected care and the actual care provided to patients requiring MV in critical care settings. Nurses' care coordination has been identified as an effective and efficient strategy for narrowing this gap in this multifaceted setting (Lamb, Schmitt, & Sharp, 2014;Schraeder & Shelton, 2014).…”

Section: Introductionmentioning

confidence: 99%

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Critical care nurses' perception of care coordination competency for management of mechanically ventilated patients

Alsharari

Aroury

Dhiabat

et al. 2020

Journal of Clinical Nursing

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Aims and Objectives To evaluate nurses’ care coordination competency for mechanically ventilated patients in intensive care units (ICUs) of Saudi Arabia (SA). Background ICUs are increasingly using multidisciplinary approach to provide critical care. Functionality gaps remain within these teams preventing optimum performance, including a lack of adequate care coordination in the management of mechanically ventilated (MV) patients. Design A cross‐sectional survey of ICU nurses working across 20 hospitals in SA. Methods The Nurses’ Care Coordination Competency Scale (NCCCS) survey for MV patients was administered to all the nurses to assess their care coordination competence. The data were analysed using Student's t test, ANOVA and linear regression. Reporting of this research follows STROBE guidelines. Results A total of 254 nurses participated in the survey. The overall NCCCS mean score was 3.94 (±0.69) out of a 5‐point scale. Also, the “promoting team cohesion factor (Factor 1)” had a mean score of 3.90 (±0.77), the “understanding care coordination needs factor (Factor II)” had a mean score of 4.00 (±0.77), the “aggregating and disseminating information factor (Factor III)” had a mean score of 4.05 (±0.76), and the “devising and clearly articulating the care vision factor (Factor IV)” had a mean score of 3.78 (±0.87). The mean overall NCCCS score was 4.10 among Indians, 3.98 among Filipinos and 3.81 among Saudi nationals. Conclusion There were a high overall score and subscale scores of nurses’ care coordination competence for mechanically ventilated patients, but few gaps were identified in some of the items. Relevance to Clinical Practice The results provide information on the status and gaps in ICU nurses’ care coordination competencies to address the needs of mechanically ventilated critically ill patients. The NCCCS can be utilised as an educational tool for nurses who are new to the ICU work environment.

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“…Hence, this could explain the generally low knowledge scores obtained for questions regarding nursing care practices for the management of ETT cuff pressure by the nurses in this study. Quality training is imperative for good quality care in the ICU as training is considered as being related to an increase in knowledge regarding ICU-related nursing practices (Haniffa et al 2017 ; Perrie et al 2014 ). Therefore, it is recommended that nurses in ICUs should be formally trained before positioning them in these units and/or that a structured training programme should be provided to those currently without formal training but working in ICUs.…”

Section: Discussionmentioning

confidence: 99%

Improving nurses’ knowledge of managing endotracheal tube cuff pressure in intensive care units: A quasi-experimental study

Mpasa

Rooyen

Venter

et al. 2020

Health SA Gesondheid

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Background Previous studies conducted on nurses’ knowledge regarding endotracheal tube cuff pressure revealed that there were differences in intensive care nurses’ knowledge, leading to varying practices. Aim This study aimed to evaluate how an educational intervention based on the existing evidence-based guidelines, using both passive and active implementation strategies, could improve the knowledge of nurses regarding managing endotracheal tube cuff pressures in Malawian intensive care units. Setting Six functional ICUs (four public and two private) in Malawi. Methods The study followed a quasi-experimental, pre- and post-test design using an educational intervention. Intensive care nurses of six functional intensive care units in Malawi were randomly assigned to two intervention groups. Both groups received a half-day educational session, a printed version of the evidence-based guidelines, a printed and laminated summary of the guidelines and a related algorithm. Additionally, Intervention 2 group received four monitoring visits. Pre- and post-test questionnaires were conducted between February and August 2016. Descriptive and inferential data analyses (a chi-square test and t -test) were utilised. Results An improvement in knowledge was observed on the nursing care practices for the management of endotracheal tube cuff pressure for both groups following the educational intervention, although only the results comparing Intervention 2 group participants indicate that the level of knowledge was significant ( t [df = 48] = 2.08, p = 0.043, d = 0.59). Conclusion Implementation of a formal training and mentorship programme for Malawian intensive care nurses would be of great benefit to enhance the knowledge and skills managing endotracheal tube cuff pressure. Follow-up studies would also assist in understanding how guidelines could be implemented most effectively to achieve better knowledge outcomes.

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Knowledge of intensive care nurses in selected care areas commonly guided by protocols

Cited by 10 publications

References 18 publications

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

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

Critical care nurses' perception of care coordination competency for management of mechanically ventilated patients

Improving nurses’ knowledge of managing endotracheal tube cuff pressure in intensive care units: A quasi-experimental study

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