收稿日期: 2024-10-08
网络出版日期: 2025-04-28
Survey on the implementation of group standard for adult airway suctioning by ICU nurses in tertiary hospitals in Jiangsu Province
Received date: 2024-10-08
Online published: 2025-04-28
目的 探讨江苏省三级医院ICU护士对中华护理学会标准委员会2021年发布的《成人有创机械通气气道内吸引技术操作(T/CNAS 10─2020)》标准的执行情况。方法 采用方便抽样法,于2023年6月采用自制问卷,通过问卷星小程序开展横断面调查,调查护士在气道内吸引操作中的评估、计划、实施、评价4个方面的表现。结果 共有614名来自三级医院ICU的护士参与调查。通过多元线性回归分析发现,在气道内吸引评估维度中,护士的能级与其能力呈负相关(B=-0.396,P=0.001);在气道内吸引计划维度中,女性优于男性(P=0.023);在实施维度和总得分中,最高学历与其能力呈负相关(B=-1.016,P=0.005;B=-1.746,P=0.038);而专科年限在气道内吸引评价维度中呈正相关(B=0.149,P=0.003)。结论 江苏省ICU护士团体标准的执行情况存在差异,建议加强高能级护士的技能巩固培训,提升男护士的计划能力,并为高学历护士提供更多临床实践机会,以促进理论与实践相结合。
张坤 , 廖勃 , 王雪梅 , 刘希利 , 陈超 , 龚玲 , 陈洁 , 沈礼泉 , 路玉宇 , 朱艳萍 . 江苏省三级医院ICU护士对成人气道内吸引团体标准执行情况的调查研究[J]. 中华急危重症护理杂志, 2025 , 6(5) : 524 -529 . DOI: 10.3761/j.issn.2096-7446.2025.05.002
Objective This study evaluated ICU nurses in tertiary hospitals in Jiangsu Province on their implementation of the 2021 “Adult Invasive Mechanical Ventilation Endotracheal Suctioning Technique Standard (T/CNAS 10-2020)” issued by the Chinese Nursing Association. Methods A cross-sectional survey was conducted using a self-developed questionnaire distributed through the “Questionnaire Star” applet,employing a convenience sampling method. The survey explored four aspects of the endotracheal suctioning(ETS) process,including assessment,planning,implementation,and evaluation. Results A total of 614 ICU nurses from tertiary hospitals participated in the survey. Multiple stepwise linear regression analysis revealed several significant findings:nurses’ competency level was negatively correlated with ETS assessment(B=-0.396,P=0.001);in the airway suctioning planning dimension,females performed better than males(P=0.023);and the highest educational level was negatively correlated with both ETS implementation and total score(B=-1.016,P=0.005;B=-1.746,P=0.038). Conversely,years of specialized experience was positively correlated with ETS evaluation ability(B=0.149,P=0.003). Conclusion Gaps remain in the implementation of ICU nurses in Jiangsu Province regarding the ETS standard. It is recommended to strengthen skill reinforcement training for high-competency nurses,improve planning abilities among male nurses,and provide nurses with advanced degrees more opportunities for clinical practice to better integrate theoretical knowledge with practical application.
Key words: Intensive Care Units; Nursing Care; Standard of Care; Airway; Suction; Clinical Practice
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