加護護理人員對實證氣管內抽痰術認知及技能之關係

Nurses' Knowledge and Skill toward Evidence-Based Practice of Endotracheal Suctioning in Adult Intensive Care Unit

李薇莉(Weil-Lie Lee) ； 陳夏蓮(Shiah-Lian Chen) ； 李美麗(Mei-Li Lee)

《台灣醫學》 14卷2期 (2010/03) Pp. 105-113

https://doi.org/10.6320/FJM.2010.14(2).01

摘要

This descriptive study examined the relationship between ICU nurses' skills and knowledge of evidence-based practice of endotracheal suctioning (ETS). A system random sample of 63 participants consisted of adult intensive care unit nurses were recruited from three hospitals at the middle Tai-Chung area in Taiwan. Structured questionnaires of demographics, ETS skill and knowledge questionnaire were developed by the researchers to examine ICU nurses' knowledge and their actual ETS practices during procedures of ETS, their preventions of hypoxia and management of complications of ETS. The results indicated that participants had a mean score of ETS 23.95 which was considered as medium lower on standardized score. There was no correlation between nurses’ knowledge and their actual skill of ETS (r=-0.025, p＞0.05). Type of ICUs, education level of nursing, and frequency of using hyperoxygenation were important explanatory factors accounting for 39% of variance of ETS scores. These findings suggested that continuing education needs in updated knowledge of hyperoxygenation, washing hands before ETS, suctioning tube insertion and normal saline irrigation during ETS, and interaction with patients after ETS. Renewing procedure guideline of evidence-based ETS, and continuous monitoring of ETS were important to ensure continuity of ETS knowledge and skill ability of ICU nursing staff.

關鍵字

實證氣管內抽痰術 ； 加護護理人員 ； 過度氧合 ； 過度充氣

並列摘要

This descriptive study examined the relationship between ICU nurses' skills and knowledge of evidence-based practice of endotracheal suctioning (ETS). A system random sample of 63 participants consisted of adult intensive care unit nurses were recruited from three hospitals at the middle Tai-Chung area in Taiwan. Structured questionnaires of demographics, ETS skill and knowledge questionnaire were developed by the researchers to examine ICU nurses' knowledge and their actual ETS practices during procedures of ETS, their preventions of hypoxia and management of complications of ETS. The results indicated that participants had a mean score of ETS 23.95 which was considered as medium lower on standardized score. There was no correlation between nurses’ knowledge and their actual skill of ETS (r=-0.025, p＞0.05). Type of ICUs, education level of nursing, and frequency of using hyperoxygenation were important explanatory factors accounting for 39% of variance of ETS scores. These findings suggested that continuing education needs in updated knowledge of hyperoxygenation, washing hands before ETS, suctioning tube insertion and normal saline irrigation during ETS, and interaction with patients after ETS. Renewing procedure guideline of evidence-based ETS, and continuous monitoring of ETS were important to ensure continuity of ETS knowledge and skill ability of ICU nursing staff.

並列關鍵字

evidence-based practice of endotracheal tube suctioning ； nurses in the adult intensive care unit ； hyperoxygenation ； hyperinflation