Intensive care nurses’ knowledge and practice of evidence-based recommendations for endotracheal suctioning: a multisite cross-sectional study in Changsha, China

Abstract Background Endotracheal suctioning is one of the most frequently performed invasive procedures by intensive care nurses. Nurses should have adequate knowledge and skills to perform endotracheal suctioning based on the best evidence. Little is known about intensive care nurses’ knowledge and practice of evidence-based endotracheal suctioning in Chinese hospitals. The purpose of this study was to investigate intensive care nurses’ knowledge and practice of evidence-based recommendations regarding endotracheal suctioning. Specifically, the study aimed to examine (1) intensive care nurses’ awareness of and adherence to endotracheal suctioning guidelines and (2) factors influencing their level of awareness and adherence. Methods A cross-sectional survey of 310 staff nurses working in intensive care units was carried out at Changsha, China. Data on participants’ characteristics, awareness of, and adherence to the endotracheal suctioning guidelines were collected through online questionnaires. Following univariate descriptive statistics, the Mann–Whitney U test and Kruskal–Wallis H test were performed using Software Package Statistical Analysis Version 23.0. Results A total of 281 nurses completed and returned the survey (response rate = 90.6 %). One-half to three-quarters of the nurses knew 21 of the 26 evidence-based practices and believed their practices followed the guidelines. Over half of them were unaware of the difference between open and close suctions and the pros and cons of using hyperinflation. Almost 50 % of nurses believed some of their clinical practices did not follow the evidence-based recommendations, such as not routinely using normal saline and using 80–120 mmHg suction pressure during endotracheal suctioning. Nurses with endotracheal suctioning training demonstrated significantly higher awareness of endotracheal suctioning recommendations and higher adherence levels than untrained nurses. Conclusions The study findings revealed that Chinese intensive care nurses lacked awareness of several essential evidence-based endotracheal suctioning practices, and there were gaps between their current practice and the guideline recommendations. Further research should emphasize revealing barriers and facilitators of implementing evidence-based endotracheal suctioning practices as well as developing context-suitable interventions for guideline implementation.

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Intensive Care Nurses’ Knowledge and Practice of Evidence-Based Recommendations for Endotracheal Suctioning: A Multisite Cross-Sectional Study in Changsha China

10.21203/rs.3.rs-138911/v1 ◽

2021 ◽

Author(s):

Wenjun Chen ◽

Shuang Hu ◽

Xiaoli Liu ◽

Nina Wang ◽

Junqiang Zhao ◽

...

Keyword(s):

Intensive Care ◽

Intensive Care Units ◽

Care Practice ◽

Evidence Based ◽

Endotracheal Suctioning ◽

Cross Sectional ◽

Intensive Care Nurses ◽

Significant Difference ◽

Knowledge And Practice ◽

Nurses Knowledge

Abstract Background: Endotracheal suctioning is one of the most frequently operated invasive procedures by intensive care nurses. Nurses should have adequate knowledge and skills to perform endotracheal suctioning based on the best evidence. Litter is known about intensive care nurses' knowledge and practice of evidence-based endotracheal suctioning in Chinese hospitals. The purpose of this study is to investigate intensive care nurses' knowledge and practice of the evidence-based recommendations regarding endotracheal suctioning. Specifically, the study aims to examine 1) intensive care nurses' awareness of and adherence to the endotracheal suctioning guideline; and 2) their influencing factors.Methods: The cross-sectional online questionnaire survey was distributed to 310 intensive care nurses working in intensive care units of five tertiary hospitals in Changsha, China. Results: 281 nurses completed and returned the survey (response rate= 90.6%). Participants' awareness of and adherence to the evidence-based guideline was at a poor to moderate level. There was a significant difference regarding the awareness of the guideline between experienced and inexperienced nurses. Nurses who worked 6-15 years in intensive care units had a higher awareness of evidence-based endotracheal suctioning practices than nurses who worked within five years and over 16 years. Nurses with endotracheal suctioning training demonstrated significantly higher awareness of endotracheal suctioning recommendations and higher adherence levels than those untrained nurses.Conclusion: There are considerable evidence-practice gaps in ETS among Chinese intensive care practice. further research should emphasis on revealing barriers and facilitators of implementing the evidence-based endotracheal suctioning practices, developing context-suitable interventions for the guideline implementation. We suggest a systematic training of the ETS guidelines along with innovative implementation strategies from implementation science to promote the ETS practice changes.

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Intensive care nurses’ knowledge and practice on endotracheal suctioning of the intubated patient: A quantitative cross-sectional observational study

PLoS ONE ◽

10.1371/journal.pone.0201743 ◽

2018 ◽

Vol 13 (8) ◽

pp. e0201743

Author(s):

Emelia T. Mwakanyanga ◽

Golden M. Masika ◽

Edith A. M. Tarimo

Keyword(s):

Intensive Care ◽

Observational Study ◽

Endotracheal Suctioning ◽

Cross Sectional ◽

Intensive Care Nurses ◽

Knowledge And Practice ◽

Nurses Knowledge

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Factors influencing evidence-based practice in prosthetics and orthotics

Prosthetics and Orthotics International ◽

10.1177/0309364610389353 ◽

2011 ◽

Vol 35 (1) ◽

pp. 30-38 ◽

Cited By ~ 8

Author(s):

Jan Andrysek ◽

James Christensen ◽

Annie Dupuis

Keyword(s):

Evidence Based Practice ◽

Principal Component ◽

Barriers And Facilitators ◽

Internet Survey ◽

Evidence Based ◽

Principal Component Factor Analysis ◽

Clinical Practices ◽

Cross Sectional Survey ◽

Cross Sectional ◽

Relevant Evidence

Background: The importance of evidence-based practice is being recognized across a broad range of healthcare disciplines as a means for improving patient outcomes and also efficiently managing healthcare resources.Objective: The objective of this work was to obtain information from clinicians about the underlying barriers and facilitators relating to evidence-based practice in prosthetics and orthotics.Study design: Cross sectional survey.Methods: An internet survey was developed and distributed to 300 prosthetists and orthotists currently practicing in Canada.Results: A principal component factor analysis of the survey results revealed ten primary factors affecting evidence-based practice. These include time constraints, workload and system demands, limited relevant evidence from research, and gaps in skills and knowledge required to perform evidence-based practice.Conclusions: Clinicians value research as a means of improving clinical practice, but they are faced with a number of practical barriers in performing evidence-based practice.Clinical relevanceThis study provides empirical data about the underlying barriers and facilitators relating to evidence-based practice in prosthetics and orthotics. Such data are essential in order to inform those involved in improving existing clinical practices, including educators, professional organizations, and governing bodies.

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Clinical nurses’ knowledge and practice of venous thromboembolism risk assessment and prevention in South Korea: a cross-sectional survey

Journal of Clinical Nursing ◽

10.1111/jocn.13424 ◽

2016 ◽

Vol 26 (3-4) ◽

pp. 427-435 ◽

Cited By ~ 6

Author(s):

Hyunjin Oh ◽

Sunjoo Boo ◽

Jung-Ah Lee

Keyword(s):

Risk Assessment ◽

Venous Thromboembolism ◽

South Korea ◽

Cross Sectional Survey ◽

Cross Sectional ◽

Clinical Nurses ◽

Risk Assessment And Prevention ◽

Knowledge And Practice ◽

Nurses Knowledge

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Compassion satisfaction and fatigue: A cross-sectional survey of Australian intensive care nurses

Australian Critical Care ◽

10.1016/j.aucc.2017.10.003 ◽

2018 ◽

Vol 31 (6) ◽

pp. 396-405 ◽

Cited By ~ 15

Author(s):

Samantha Jakimowicz ◽

Lin Perry ◽

Joanne Lewis

Keyword(s):

Intensive Care ◽

Compassion Satisfaction ◽

Cross Sectional Survey ◽

Cross Sectional ◽

Intensive Care Nurses

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Intensive care nurses’ knowledge of evidence-based guidelines for prevention of ventilator-associated events: an evaluation study

Australian Critical Care ◽

10.1016/j.aucc.2020.04.007 ◽

2020 ◽

Vol 33 ◽

pp. S3

Author(s):

Auxillia Madhuvu ◽

Julia Morphet ◽

Virginia Plummer ◽

Ruth Endacott

Keyword(s):

Intensive Care ◽

Evaluation Study ◽

Evidence Based ◽

Intensive Care Nurses ◽

Evidence Based Guidelines ◽

Nurses Knowledge

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Attitude, Knowledge, and Practice on Evidence-Based Nursing among Registered Nurses in Traditional Chinese Medicine Hospitals: A Multiple Center Cross-Sectional Survey in China

Evidence-based Complementary and Alternative Medicine ◽

10.1155/2016/5478086 ◽

2016 ◽

Vol 2016 ◽

pp. 1-8 ◽

Cited By ~ 6

Author(s):

Fen Zhou ◽

Yufang Hao ◽

Hong Guo ◽

Hongxia Liu

Keyword(s):

Survey Design ◽

Knowledge Score ◽

Evidence Based ◽

Research Experience ◽

Cross Sectional Survey ◽

Working Pressure ◽

Cross Sectional ◽

Professional Attitude ◽

Positive Attitudes ◽

Knowledge And Practice

Objective.This study was to describe RNs’ attitude, knowledge, and practice on evidence-based practice (EBP) in traditional Chinese nursing field and to estimate the related sociodemographic and professional factors.Methods.A multiple institutional cross-sectional survey design with self-reported EBP Questionnaire (EBPQ) and self-designed questionnaires were used.Results.The average scores of the total EBPQ were with a mean of 4.24 (SD = 0.79). The score of attitude was the highest one, followed by the knowledge score, and the lowest one is practice. RNs with longer experience reported stronger EBP knowledge (H=6.64,P<0.05). And RNs under higher working pressure reported less positive attitudes (ρ=0.17,P<0.001), whereas RNs holding negative professional attitude reported lower scores (Spearman’sρ: 0.12 to 0.15,P<0.001). Significant statistics were found between RNs with research experience and without in attitude (t=-2.40,P<0.05) and knowledge (t=-2.43,P<0.05).Conclusions.Respondents generally viewed EBP positively and their attitudes towards EBP tended to be more positive than knowledge and practice of EBP. Data also showed that longer working experience, having administrative position, research experience, lighter working load, and better professional attitude might facilitate EBP.

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