Κατεύθυνση Επείγουσα Νοσηλευτική
Library of the School of Health Sciences

2020-02-24

2020

Vlachou Panoraia

Θεόδωρος Καπάδοχος, Επικ. Καθηγητής, Τμήμα Νοσηλευτικής, ΠΑΔΑ, Επιβλέπων
Γεώργιος Βασιλόπουλος, Επίκουρος Καθηγητής, Τμήμα Νοσηλευτικής, ΠΑΔΑ
Aναστασία Κοτανίδου, Καθηγήτρια, Ιατρική Σχολή, ΕΚΠΑ

Εκτίμηση γνώσεων νοσηλευτών στην αναγνώριση και διαχείριση των ρυθμών ανακοπής

Greek

Αssessment of nurses' knowledge of the identification and management on arrest rhythms

Introduction: Cardiac arrest is one of the leading causes of mortality and is responsible for nearly 50% of all deaths from cardiovascular diseases. The knowledge of the arrest rhythms from health professionals is considered particularly important for the early recognition and proper treatment.
Aim: The investigation of the level of knowledge of nurses on arrest rhythms, as well as the possible factors that influence this level.
Method: A prospective cross-sectional study was conducted in 4 hospitals of Athens during July - September 2019. The sample studied included 184 nurses. Data collection was performed with specially designed self-administered questionnaire that, apart from demographics and occupational data, included 16 knowledge questions related to recognition and treatment of arrest rhythms’ and also 2 self-assessment questions of their level of knowledge. Satisfactory level of knowledge was defined as correct answer of at least 12 questions (75%). Descriptive statistics, correlations study with non-parametric tests (χ2, Mann-Whitney, Kruskal-Wallis and Spearman tests), and logistic regression with dependent variable the nursing knowledge were performed (SPSS v.24, a=0.05).
Results: A 78% of the participants were women. The mean age of nurses was 34 (± 8) years. 13% of nurses had a master's or doctoral degree and 21% were university graduates. A 51% of the nurses worked in a closed ward and 53% were monitoring the patients' continuous cardiogram (ECG) daily. Only 25% of the participants had a satisfactory level of knowledge of how to recognize and treat the arrest rhythms. The level of knowledge differed significantly according to the nursing school degree (p = 0.046), the type of ward (p = 0.05), the frequency of continuous cardiogram monitoring (p = 0,000), and the level of self-assessment ability to recognize and treat arrest rhythms (p = 0,000). In multivariate logistic regression, the only factor that was independently related to the higher level of nurses knowledge was daily electrocardiogram monitoring (OR: 0.048, 95% CI: 0.005 - 0.417, p = 0.006).
Conclusion: Nurses’ level of recognition and treatment of arrest rhythms was low, and was related to the nursing school degree, the type of ward, and the ECG monitoring frequency. The results of this research demonstrate the need for systematic and continuous training of nurses in cardiopulmonary resuscitation and the arrest rhythms.

Health Sciences

Cardiac arrest, Cardiopulmonary resuscitation, Knowledge, Nurses

No

0

Yes

39

83

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https://pergamos.lib.uoa.gr/uoa/dl/object/2897849