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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 10 to August 10, 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 enhance their airbag management proficiency.
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http://dx.doi.org/10.12998/wjcc.v12.i18.3417 | DOI Listing |
Cureus
October 2024
Department of Anesthesiology, Uniformed Services University of the Health Sciences, Bethesda, USA.
Traffic Inj Prev
November 2024
Department of Biomedical Engineering, Wake Forest University School of Medicine, Winston-Salem, North Carolina.
Objective: The objective of this study is to examine the effects of seatback angle, seat rotation, and impact speed on occupant kinematics and injury risk in highly automated vehicles.
Methods: The study utilized the Global Human Body Models Consortium midsize male (M50-OS+B) simplified occupant model in a simplified vehicle model (SVM) to simulate frontal crashes. The M50-OS+B model was gravity-settled and belted into the driver and left rear passenger seat.
Traffic Inj Prev
November 2024
Waymo, LLC, Mountain View, CA.
Objectives: With fully automated driving systems (ADS; SAE level 4) ride-hailing services expanding in the U.S., we are now approaching an inflection point in the history of vehicle safety assessment.
View Article and Find Full Text PDFForensic Sci Int Genet
January 2025
Forensic Genetics Unit, University Center of Legal Medicine, Lausanne - Geneva, Lausanne University Hospital and University of Lausanne, Ch. de la Vulliette 4, Lausanne 1000, Switzerland.
This article presents a case where the issue was to determine who was the driver and who was the passenger at the time of a fatal car accident involving two persons, one of whom died in the accident. The presence of the two persons in the car was not contested, only the mechanisms that led to the deposition of the DNA (i.e.
View Article and Find Full Text PDFSensors (Basel)
September 2024
Health Direction of the Institute of Lumezzane, Istituti Clinici Scientifici Maugeri IRCCS, 25065 Lumezzane, Italy.
Active wearable devices such as protective smart belts have been proposed to reduce hip impact in the event of a fall. This study primarily evaluated the feasibility and acceptance of a specific protective belt among selected patients identified as being at risk of falling who were admitted to an ICS Maugeri Neurorehabilitation Unit from September 2022 to April 2023. According to previous institutional observations, the device was worn between the 6th and 21st days of recovery.
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