Nurses’ knowledge on trauma and emergency care and associated factors in Ghanaian district hospitals

IF 1.4 4区 医学 Q3 EMERGENCY MEDICINE
Akua K Karikari , Adam Gyedu , Isaac Yankson , Dorcas Doefe Amedzake , Peter Agyei-Baffour , Anthony K Edusei , Peter Donkor , Charles Mock
{"title":"Nurses’ knowledge on trauma and emergency care and associated factors in Ghanaian district hospitals","authors":"Akua K Karikari ,&nbsp;Adam Gyedu ,&nbsp;Isaac Yankson ,&nbsp;Dorcas Doefe Amedzake ,&nbsp;Peter Agyei-Baffour ,&nbsp;Anthony K Edusei ,&nbsp;Peter Donkor ,&nbsp;Charles Mock","doi":"10.1016/j.afjem.2025.04.004","DOIUrl":null,"url":null,"abstract":"<div><h3>Introduction</h3><div>Nurses’ knowledge of emergency care is a vital component of emergency capabilities. We sought to evaluate the factors that influence the knowledge on trauma and emergency care of nurses in district hospitals in Ghana.</div></div><div><h3>Methods</h3><div>In this cross-sectional study, we administered a questionnaire on emergency care to 406 nurses working in 11 (out of 37) randomly-selected district hospitals in the Ashanti Region. This included 10 multiple-choice questions on trauma care and 10 on general medical/surgical emergency care to objectively assess knowledge on emergency care. Analysis involved descriptive statistics, inferential tests comparing tests scores with Student’s <em>t</em>-tests and ANOVA, and multivariable linear regression.</div></div><div><h3>Results</h3><div>Mean overall test score for knowledge was 60.1 % correct (SD 13.7 %). Results were tightly clustered with an inter-quartile range of 50 % to 70 %. Factors influencing the test scores on multivariable linear regression included: (a) gender (male nurses scored an adjusted 3.8 % higher than female nurses, <em>p</em> = 0.015; beta=3.8; 95 %CI 0.7–6.8); and (b) refresher training (nurses who had received refresher training on emergency care scored an adjusted 3.3 % higher than those who had not received such training, <em>p</em> = 0.018; beta=3.3; CI 0.6–6.0). The higher overall scores for male nurses were due solely to higher scores on trauma-related questions. Male nurses scored an average of an adjusted 5.1 % higher on the trauma questions (<em>p</em> = 0.023; beta=5.1; CI 0.7–9.5) than female nurses, but their scores on general emergency care were not significantly different.</div></div><div><h3>Conclusions</h3><div>Test scores for knowledge on emergency care for nurses working in Ghanaian district hospitals were generally adequate. While gender did influence test scores, the main actionable factor associated with higher test scores was having received refresher training in emergency care. There is a need for greater availability of such continuing professional development for nurses.</div></div>","PeriodicalId":48515,"journal":{"name":"African Journal of Emergency Medicine","volume":"15 3","pages":"Article 100876"},"PeriodicalIF":1.4000,"publicationDate":"2025-06-10","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":"0","resultStr":null,"platform":"Semanticscholar","paperid":null,"PeriodicalName":"African Journal of Emergency Medicine","FirstCategoryId":"3","ListUrlMain":"https://www.sciencedirect.com/science/article/pii/S2211419X25000163","RegionNum":4,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":null,"EPubDate":"","PubModel":"","JCR":"Q3","JCRName":"EMERGENCY MEDICINE","Score":null,"Total":0}
引用次数: 0

Abstract

Introduction

Nurses’ knowledge of emergency care is a vital component of emergency capabilities. We sought to evaluate the factors that influence the knowledge on trauma and emergency care of nurses in district hospitals in Ghana.

Methods

In this cross-sectional study, we administered a questionnaire on emergency care to 406 nurses working in 11 (out of 37) randomly-selected district hospitals in the Ashanti Region. This included 10 multiple-choice questions on trauma care and 10 on general medical/surgical emergency care to objectively assess knowledge on emergency care. Analysis involved descriptive statistics, inferential tests comparing tests scores with Student’s t-tests and ANOVA, and multivariable linear regression.

Results

Mean overall test score for knowledge was 60.1 % correct (SD 13.7 %). Results were tightly clustered with an inter-quartile range of 50 % to 70 %. Factors influencing the test scores on multivariable linear regression included: (a) gender (male nurses scored an adjusted 3.8 % higher than female nurses, p = 0.015; beta=3.8; 95 %CI 0.7–6.8); and (b) refresher training (nurses who had received refresher training on emergency care scored an adjusted 3.3 % higher than those who had not received such training, p = 0.018; beta=3.3; CI 0.6–6.0). The higher overall scores for male nurses were due solely to higher scores on trauma-related questions. Male nurses scored an average of an adjusted 5.1 % higher on the trauma questions (p = 0.023; beta=5.1; CI 0.7–9.5) than female nurses, but their scores on general emergency care were not significantly different.

Conclusions

Test scores for knowledge on emergency care for nurses working in Ghanaian district hospitals were generally adequate. While gender did influence test scores, the main actionable factor associated with higher test scores was having received refresher training in emergency care. There is a need for greater availability of such continuing professional development for nurses.
加纳地区医院护士对创伤和急救护理及相关因素的了解
护士的急救知识是急救能力的重要组成部分。我们试图评估影响加纳地区医院护士创伤和急救知识的因素。方法在横断面研究中,我们对阿散蒂地区随机选择的11家(37家)区级医院的406名护士进行了急诊护理问卷调查。其中包括10道创伤护理的多项选择题和10道普通内科/外科急诊护理的多项选择题,以客观评估急救知识。分析包括描述性统计、与学生t检验和方差分析比较测试成绩的推理检验以及多变量线性回归。结果平均总知识测试分数正确率为60.1%(标准差为13.7%)。结果紧密聚类,四分位数间范围为50%至70%。多变量线性回归的影响因素包括:(a)性别(调整后男护士得分比女护士高3.8%,p = 0.015;β= 3.8;95% ci 0.7-6.8);(b)进修培训(接受过急诊进修培训的护士得分比未接受过此类培训的护士高3.3%,p = 0.018;β= 3.3;可信区间0.6 - -6.0)。男护士的总体得分较高仅仅是因为在创伤相关问题上得分较高。男护士在创伤问题上的平均得分高出5.1% (p = 0.023;β= 5.1;CI 0.7 ~ 9.5)高于女护士,但在普通急诊护理方面的得分差异无统计学意义。结论加纳地区医院护士急救知识测试得分总体较好。虽然性别确实影响考试成绩,但与较高考试成绩相关的主要可采取行动的因素是接受过紧急护理方面的进修培训。有必要为护士提供更多的这种持续的专业发展。
本文章由计算机程序翻译,如有差异,请以英文原文为准。
求助全文
约1分钟内获得全文 求助全文
来源期刊
CiteScore
2.40
自引率
7.70%
发文量
78
审稿时长
85 days
×
引用
GB/T 7714-2015
复制
MLA
复制
APA
复制
导出至
BibTeX EndNote RefMan NoteFirst NoteExpress
×
提示
您的信息不完整,为了账户安全,请先补充。
现在去补充
×
提示
您因"违规操作"
具体请查看互助需知
我知道了
×
提示
确定
请完成安全验证×
copy
已复制链接
快去分享给好友吧!
我知道了
右上角分享
点击右上角分享
0
联系我们:info@booksci.cn Book学术提供免费学术资源搜索服务,方便国内外学者检索中英文文献。致力于提供最便捷和优质的服务体验。 Copyright © 2023 布克学术 All rights reserved.
京ICP备2023020795号-1
ghs 京公网安备 11010802042870号
Book学术文献互助
Book学术文献互助群
群 号:604180095
Book学术官方微信