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

AI Article Synopsis

  • - The study examines the knowledge, beliefs, and behaviors of emergency department (ED) nurses regarding airway airbag management, highlighting a gap in research since much of it has focused on ICU nurses.
  • - A survey of 520 ED nurses in Shanghai revealed that while nurses scored relatively well in beliefs and behaviors regarding airbag management, their knowledge was lower, indicating areas for improvement.
  • - Factors influencing nurses' knowledge and behavior included participation in specialized training, work experience, and their departmental affiliation, with beliefs playing a key role in linking knowledge to practical behavior.

Article Abstract

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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Source
http://www.ncbi.nlm.nih.gov/pmc/articles/PMC11229935PMC
http://dx.doi.org/10.12998/wjcc.v12.i18.3417DOI Listing

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