Enhancing nurse competence in early recognition of cardiotoxicity.

IF 3.2 Q2 CARDIAC & CARDIOVASCULAR SYSTEMS
Jeff Kolbus, Mopelola T Adeola, Janelle M Tipton, Caitlin E D Luebcke
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Abstract

Background: Preliminary research reveals that many nurses feel inadequate and possess limited knowledge when it comes to managing cardiotoxicity, underscoring the necessity for educational programs to enhance nursing skills in this area.

Methods: The aim of the study was to assess the impact of an educational intervention on nurses perceived self-efficacy in recognizing patients exhibiting symptoms of cancer treatment-related cardiotoxicity. The study was set in a 16-bed cardiac critical care unit (CCU) within a 462-bed hospital. The sample group was comprised of registered nurses (RNs) working on or floating to the CCU. The study used a within-subjects design. Participants completed a pre-education survey, attended one of six 30-minute education interventions, and completed a post-education survey. The outcome variables were 7 self-confidence questions from the Nursing Self-Efficacy Scale for Managing Cancer Treatment-Related Cardiotoxicity (NSS-CTC) on a 5-point Likert scale and one yes or no self-efficacy question. Descriptive statistics and paired T-tests were applied to analyze pre- and post-education surveys.

Results: The pre-and post-education comparative analysis for each of the 7 NSS-CTC self-confidence questions was statistically significant with test statistics ranging from t = 3.43 to t = 8.69 and p-values ranging from 0.0021 to less than 0.0001. All 26 RNs answered "yes" in their ability to detect symptoms of cancer therapy-related cardiotoxicity after the education.

Conclusions: The lack of education for cardiac nurses against the backdrop of increasing cardiotoxicity in cancer patients showcases the essential need for cardiac nurse early symptom recognition education.

提高护士早期识别心脏毒性的能力。
背景:初步研究显示,许多护士在处理心脏毒性时感到力不从心,掌握的知识也很有限,这突出表明有必要开展教育项目以提高这方面的护理技能:研究旨在评估教育干预对护士识别癌症治疗相关心脏毒性症状患者的自我效能感的影响。研究地点设在一家拥有 462 张病床的医院内的一个拥有 16 张病床的心脏重症监护病房(CCU)。样本组由在重症监护室工作或流动的注册护士(RN)组成。研究采用了受试者内部设计。参与者完成教育前调查,参加六次 30 分钟教育干预中的一次,并完成教育后调查。结果变量包括 7 个自信心问题,这些问题来自管理癌症治疗相关心脏毒性的护理自我效能量表(NSS-CTC),采用 5 点李克特量表,还有一个 "是 "或 "否 "的自我效能问题。采用描述性统计和配对 T 检验对教育前后的调查进行分析:在 7 个 NSS-CTC 自信心问题中,每个问题的教育前后比较分析都具有显著的统计学意义,检验统计量从 t = 3.43 到 t = 8.69 不等,P 值从 0.0021 到小于 0.0001 不等。所有 26 名护士在接受教育后,对癌症治疗相关心脏毒性症状的检测能力均回答 "是":结论:在癌症患者心脏毒性不断增加的背景下,心脏科护士缺乏相关教育,这表明心脏科护士亟需早期症状识别教育。
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
Cardio-oncology
Cardio-oncology Medicine-Cardiology and Cardiovascular Medicine
CiteScore
5.00
自引率
3.00%
发文量
17
审稿时长
7 weeks
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