Effectiveness of a self-assessment application in evaluating the care coordination competency of intensive care unit nurses in managing patients on life support: An intervention study

IF 1.7 4区医学 Q2 NURSING

Japan Journal of Nursing Science Pub Date : 2024-01-25 DOI:10.1111/jjns.12584

Chie Takiguchi, Tomoko Inoue

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引用次数: 0

Abstract

Aim

To examine the effectiveness of the feedback from the Nurses' Care Coordination Competency Scale (NCCCS) application (app) used for self-assessing the care coordination competency of intensive care unit (ICU) nurses in managing patients on life support.

Methods

A non-randomized open-label study was conducted in Japan from November 2021 to March 2022. Participants were 318 ICU nurses from acute hospitals in Japan. They were divided manually into two groups based on their certification status. The intervention was immediate feedback on the results of the care coordination competency self-assessment through the NCCCS app; the control group performed the NCCCS survey with no feedback. The primary outcome was an increase in the NCCCS score 1 month after the intervention. Mann–Whitney U test was used to compare the scores of the intervention and control groups. Wilcoxon's signed rank sum test was used to compare the scores in the first and second NCCCS surveys.

Results

Forty-one participants were lost to follow-up, leaving 277 participants (intervention = 141, control = 136) for analysis. One month later, NCCCS scores similarly increased in both groups. For nurses with at least 5 years of ICU experience (n = 152), the NCCCS score increased in the intervention group (n = 75) (rising point mean: 4.8, standard deviation [SD]: 9.8) compared with that in the control group (n = 77) (rising point mean: 1.3, SD: 8.3) (p = .048).

Conclusions

Feedback from the NCCCS app can improve care coordination behavior. However, a certain level of ICU experience may be required to translate feedback into improved behavior.

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自我评估应用程序在评估重症监护室护士管理生命支持患者的护理协调能力方面的有效性：干预研究。

目的：研究护士护理协调能力量表（NCCCS）应用程序（App）的反馈对重症监护室（ICU）护士在管理生命支持患者时进行护理协调能力自我评估的有效性：2021年11月至2022年3月在日本进行了一项非随机开放标签研究。参与者为来自日本急症医院的 318 名 ICU 护士。根据护士的资格认证情况将其手动分为两组。干预组通过 NCCCS 应用程序对护理协调能力自我评估结果进行即时反馈；对照组进行 NCCCS 调查，但无反馈。主要结果是干预 1 个月后 NCCCS 分数的提高。Mann-Whitney U 检验用于比较干预组和对照组的得分。Wilcoxon 符号秩和检验用于比较第一次和第二次 NCCCS 调查的得分：有 41 名参与者失去了随访机会，因此有 277 名参与者（干预组 = 141 人，对照组 = 136 人）需要进行分析。一个月后，两组的 NCCCS 分数都有类似的提高。对于至少有 5 年 ICU 经验的护士（n = 152），干预组（n = 75）的 NCCCS 得分（上升点平均值：4.8，标准差 [SD] ：9.8）与对照组（n = 77）的 NCCCS 得分（上升点平均值：1.3，标准差：8.3）相比有所增加（p = .048）：结论：NCCCS 应用程序的反馈可以改善护理协调行为。结论：NCCCS 应用程序的反馈可改善护理协调行为，但要将反馈转化为改善行为，可能需要一定的 ICU 经验。

本文章由计算机程序翻译，如有差异，请以英文原文为准。

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来源期刊

Japan Journal of Nursing Science 医学-护理

CiteScore

4.10

自引率

0.00%

发文量

审稿时长

>12 weeks

期刊介绍： The Japan Journal of Nursing Science is the official English language journal of the Japan Academy of Nursing Science. The purpose of the Journal is to provide a mechanism to share knowledge related to improving health care and promoting the development of nursing. The Journal seeks original manuscripts reporting scholarly work on the art and science of nursing. Original articles may be empirical and qualitative studies, review articles, methodological articles, brief reports, case studies and letters to the Editor. Please see Instructions for Authors for detailed authorship qualification requirement.