Long Huang, Fan Zeng, Anqi Liang, Lu Wang, Chun-Feng Luo
{"title":"影响ICU护士拔管后吞咽困难的知识、态度和行为的个体和组织因素：一项横断面多中心研究。","authors":"Long Huang, Fan Zeng, Anqi Liang, Lu Wang, Chun-Feng Luo","doi":"10.1111/jocn.70032","DOIUrl":null,"url":null,"abstract":"<p><strong>Background: </strong>Dysphagia is a prevalent and critical issue in critically ill patients who have undergone mechanical ventilation. The knowledge, attitude, and practice (KAP) of ICU nurses are determinants of the effectiveness of post-extubation dysphagia (PED) management. However, existing evidence regarding the current KAP status of PED among ICU nurses remains insufficient.</p><p><strong>Objectives: </strong>This study aimed to assess the current status of ICU nurses' KAP regarding PED, along with associated individual and organisational factors.</p><p><strong>Methods: </strong>From August to September 2024, a cross-sectional, multicentre study was conducted on a convenience sample of 305 ICU nurses from 15 tertiary hospitals in 10 cities of Guangdong Province, China. An online self-reported structured questionnaire was used to collect data on the KAP of PED among ICU nurses.</p><p><strong>Results: </strong>A total of 305 valid questionnaires were analysed. The overall mean score was (70.08 ± 15.34). The mean scores of knowledge, attitude, and practice were (78.10 ± 28.98), (80.02 ± 13.27), and (52.13 ± 22.94), respectively. Multivariate analysis revealed that the individual factors related to the total score included confidence in PED management (β = 0.356, p < 0.001), and the organisational factors included leadership support (β = 0.210, p < 0.001), unit compliance with PED screening and treatment protocols (β = - 0.169, p = 0.001), and availability of PED educational resources (β = 0.156, p = 0.002).</p><p><strong>Conclusions: </strong>ICU nurses possess a relatively extensive knowledge base and exhibit positive attitudes toward PED, but there is still room for practice improvement. Besides strengthening the training of ICU nurses on PED-related knowledge, formulating standardised protocols, establishing a multidisciplinary management team, creating a favourable improvement atmosphere, and providing sufficient training resources are indispensable measures for enhancing the quality of clinical PED management.</p><p><strong>Relevance to clinical practice: </strong>To enhance the quality of PED management, it is advisable to formulate a multi-aceted support strategy targeting both organisations and individuals, thereby facilitating the implementation of relevant practices.</p><p><strong>Reporting method: </strong>The Strengthening the Reporting of Observational Studies in Epidemiology (STROBE) Statement of cross-sectional studies was followed for reporting in the study.</p><p><strong>Patient or public contribution: </strong>No patient or public involvement.</p>","PeriodicalId":50236,"journal":{"name":"Journal of Clinical Nursing","volume":" ","pages":""},"PeriodicalIF":3.5000,"publicationDate":"2025-07-09","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":"0","resultStr":"{\"title\":\"Individual and Organisational Factors Influencing Knowledge, Attitude and Practice Regarding Post-Extubation Dysphagia in ICU Nurses: A Cross-Sectional Multicentre Study.\",\"authors\":\"Long Huang, Fan Zeng, Anqi Liang, Lu Wang, Chun-Feng Luo\",\"doi\":\"10.1111/jocn.70032\",\"DOIUrl\":null,\"url\":null,\"abstract\":\"<p><strong>Background: </strong>Dysphagia is a prevalent and critical issue in critically ill patients who have undergone mechanical ventilation. The knowledge, attitude, and practice (KAP) of ICU nurses are determinants of the effectiveness of post-extubation dysphagia (PED) management. However, existing evidence regarding the current KAP status of PED among ICU nurses remains insufficient.</p><p><strong>Objectives: </strong>This study aimed to assess the current status of ICU nurses' KAP regarding PED, along with associated individual and organisational factors.</p><p><strong>Methods: </strong>From August to September 2024, a cross-sectional, multicentre study was conducted on a convenience sample of 305 ICU nurses from 15 tertiary hospitals in 10 cities of Guangdong Province, China. An online self-reported structured questionnaire was used to collect data on the KAP of PED among ICU nurses.</p><p><strong>Results: </strong>A total of 305 valid questionnaires were analysed. The overall mean score was (70.08 ± 15.34). The mean scores of knowledge, attitude, and practice were (78.10 ± 28.98), (80.02 ± 13.27), and (52.13 ± 22.94), respectively. Multivariate analysis revealed that the individual factors related to the total score included confidence in PED management (β = 0.356, p < 0.001), and the organisational factors included leadership support (β = 0.210, p < 0.001), unit compliance with PED screening and treatment protocols (β = - 0.169, p = 0.001), and availability of PED educational resources (β = 0.156, p = 0.002).</p><p><strong>Conclusions: </strong>ICU nurses possess a relatively extensive knowledge base and exhibit positive attitudes toward PED, but there is still room for practice improvement. 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Individual and Organisational Factors Influencing Knowledge, Attitude and Practice Regarding Post-Extubation Dysphagia in ICU Nurses: A Cross-Sectional Multicentre Study.
Background: Dysphagia is a prevalent and critical issue in critically ill patients who have undergone mechanical ventilation. The knowledge, attitude, and practice (KAP) of ICU nurses are determinants of the effectiveness of post-extubation dysphagia (PED) management. However, existing evidence regarding the current KAP status of PED among ICU nurses remains insufficient.
Objectives: This study aimed to assess the current status of ICU nurses' KAP regarding PED, along with associated individual and organisational factors.
Methods: From August to September 2024, a cross-sectional, multicentre study was conducted on a convenience sample of 305 ICU nurses from 15 tertiary hospitals in 10 cities of Guangdong Province, China. An online self-reported structured questionnaire was used to collect data on the KAP of PED among ICU nurses.
Results: A total of 305 valid questionnaires were analysed. The overall mean score was (70.08 ± 15.34). The mean scores of knowledge, attitude, and practice were (78.10 ± 28.98), (80.02 ± 13.27), and (52.13 ± 22.94), respectively. Multivariate analysis revealed that the individual factors related to the total score included confidence in PED management (β = 0.356, p < 0.001), and the organisational factors included leadership support (β = 0.210, p < 0.001), unit compliance with PED screening and treatment protocols (β = - 0.169, p = 0.001), and availability of PED educational resources (β = 0.156, p = 0.002).
Conclusions: ICU nurses possess a relatively extensive knowledge base and exhibit positive attitudes toward PED, but there is still room for practice improvement. Besides strengthening the training of ICU nurses on PED-related knowledge, formulating standardised protocols, establishing a multidisciplinary management team, creating a favourable improvement atmosphere, and providing sufficient training resources are indispensable measures for enhancing the quality of clinical PED management.
Relevance to clinical practice: To enhance the quality of PED management, it is advisable to formulate a multi-aceted support strategy targeting both organisations and individuals, thereby facilitating the implementation of relevant practices.
Reporting method: The Strengthening the Reporting of Observational Studies in Epidemiology (STROBE) Statement of cross-sectional studies was followed for reporting in the study.
Patient or public contribution: No patient or public involvement.
期刊介绍：
The Journal of Clinical Nursing (JCN) is an international, peer reviewed, scientific journal that seeks to promote the development and exchange of knowledge that is directly relevant to all spheres of nursing practice. The primary aim is to promote a high standard of clinically related scholarship which advances and supports the practice and discipline of nursing. The Journal also aims to promote the international exchange of ideas and experience that draws from the different cultures in which practice takes place. Further, JCN seeks to enrich insight into clinical need and the implications for nursing intervention and models of service delivery. Emphasis is placed on promoting critical debate on the art and science of nursing practice.
JCN is essential reading for anyone involved in nursing practice, whether clinicians, researchers, educators, managers, policy makers, or students. The development of clinical practice and the changing patterns of inter-professional working are also central to JCN''s scope of interest. Contributions are welcomed from other health professionals on issues that have a direct impact on nursing practice.
We publish high quality papers from across the methodological spectrum that make an important and novel contribution to the field of clinical nursing (regardless of where care is provided), and which demonstrate clinical application and international relevance.
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