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

作　　者：Xiao-Hui Wei Li-Jin Zhou Rui Li Xin-Yuan Li Ye Zhang Hai-Yue Zhang Si-Meng Wang Jia Zhang 

机构地区：[1]Wuxi School of Medicine,Jiangnan University,Wuxi 214122,Jiangsu Province,China [2]Department of Nursing Emergency,Tongren Hospital,Shanghai Jiao Tong University School of Medicine,Shanghai 200335,China [3]Department of Nursing,Tongren Hospital,Shanghai Jiao Tong University School of Medicine,Shanghai 200335,China [4]Department of Neurosurgery,Tongren Hospital,Shanghai Jiao Tong University School of Medicine,Shanghai 200335,China [5]Department of Nursing,Bengbu Medical University,Bengbu 233030,Anhui Province,China

出　　处：《World Journal of Clinical Cases》2024年第18期3417-3427,共11页世界临床病例杂志

摘　　要：BACKGROUND The emergency department(ED)plays a critical role in establishing artificial airways and implementing mechanical ventilation.Managing airbags in the ED presents a prime opportunity to mitigate the risk of ventilator-associated pneumonia.Nonetheless,existing research has largely overlooked the understanding,beliefs,and practical dimensions of airway airbag management among ED nurses,with a predominant focus on intensive care unit nurses.AIM To investigate the current status of ED nurses'knowledge,beliefs,and practical behaviors in airway airbag management and their influencing factors.METHODS A survey was conducted from July 10th to August 10th,2023,using convenience sampling on 520 ED nurses from 15 tertiary hospitals and 5 sary hospitals in Shanghai.Pathway analysis was utilized to analyze the influencing factors.RESULTS The scores for ED nurses'airway airbag management knowledge were 60.26±23.00,belief was 88.65±13.36,and behavior was 75.10±19.84.The main influencing factors of airbag management knowledge included participation in specialized nurse or mechanical ventilation training,department,and work experience in the department.Influencing factors of airbag management belief comprised knowledge,department,and participation in specialized nurse or mechanical ventilation training.Primary influencing factors of airbag management behavior included knowledge,belief,department,participation in specialized nurse or mechanical ventilation training,and professional title.The belief in airbag management among ED nurses acted as a partial mediator between knowledge and behavior,with a total effect value of 0.513,and an indirect effect of 0.085,constituting 16.6%of the total effect.CONCLUSION ED nurses exhibit a positive attitude toward airbag management with relatively standardized practices,yet there remains room for improvement in their knowledge levels.Nursing managers should implement interventions tailored to the characteristics of ED nurses'airbag management knowledge,beliefs,and practices to enhanc

关 键 词：Artificial airway management Health knowledge ATTITUDES PRACTICE Airbag management Pathway analysis Nurses 

分 类 号：R473[医药卫生—护理学]