BACKGROUND:Healthcare professionals are expected to have knowledge of current basic and advanced cardiac life support(BLS/ACLS) guidelines to revive unresponsive patients.METHODS:Across-sectional study was conducted t...BACKGROUND:Healthcare professionals are expected to have knowledge of current basic and advanced cardiac life support(BLS/ACLS) guidelines to revive unresponsive patients.METHODS:Across-sectional study was conducted to evaluate the current practices and knowledge of BLS/ACLS principles among healthcare professionals of North-Kerala using pretested self-administered structured questionnaire.Answers were validated in accordance with American Heart Association's BLS/ACLS teaching manual and the results were analysed.RESULTS:Among 461 healthcare professionals,141(30.6%) were practicing physicians,268(58.1%) were nurses and 52(11.3%) supporting staff.The maximum achievable score was 20(BLS15/ACLS 5).The mean score amongst all healthcare professionals was 8.9±4.7.The mean score among physicians,nurses and support staff were 8.6±3.4,9±3.6 and 9±3.3 respectively.The majority of healthcare professionals scored <50%(237,51.4%);204(44.3%) scored 51%-80%and 20(4.34%)scored >80%.Mean scores decreased with age,male sex and across occupation.Nurses who underwent BLS/ACLS training previously had significantly higher mean scores(10.2±3.4) than untrained(8.2±3.6,P=0.001).Physicians with <5 years experience(P=0.002) and nurses in the private sector(P=0.003)had significantly higher scores.One hundred and sixty three(35.3%) healthcare professionals knew the correct airway opening manoeuvres like head tilt,chin lift and jaw thrust.Only 54(11.7%) respondents were aware that atropine is not used in ACLS for cardiac arrest resuscitation and 79(17.1%) correctly opted ventricular fibrillation and pulseless ventricular tachycardia as shockable rhythms.The majority of healthcare professionals(356,77.2%) suggested that BLS/ACLS be included in academic curriculum.CONCLUSION:Inadequate knowledge of BLS/ACLS principles amongst healthcare professionals,especially physicians,illuminate lacunae in existing training systems and merit urgent redressal.展开更多
目的基于重症监护室(intensive care unit,ICU)的特殊背景,了解ICU工作压力源感知现状及其影响因素,为ICU压力调节和管理提供依据。方法采用便利抽样法,于2021年11—12月,采用一般资料调查表和重症监护室医护人员压力源感知量表,对四川...目的基于重症监护室(intensive care unit,ICU)的特殊背景,了解ICU工作压力源感知现状及其影响因素,为ICU压力调节和管理提供依据。方法采用便利抽样法,于2021年11—12月,采用一般资料调查表和重症监护室医护人员压力源感知量表,对四川省内10所医院符合标准的346名ICU医护人员进行横断面调查。采用多元线性回归分析ICU压力源水平的影响因素。结果重症监护室医护人员感知压力源量表总分为(147.53±40.23)分,得分前5项条目为持续而繁重的工作量,随时待命或夜间工作,不支持工作/有攻击性/谵妄的患者,缺少医护人员,提出许多要求且不断哀怨的患者。不同年龄、职称、婚姻状况、工作年限的医护人员,其压力源得分差异均有统计学意义(均P<0.05)。多元线性回归分析显示,职称和婚姻状况是ICU医护人员工作压力源水平的主要影响因素(β=13.183、13.336,均P<0.05)。结论ICU医护人员工作压力源居于中等水平,高职称和已婚者压力源水平更高,应重视上述人群的工作压力水平,合理安排人力配置,以识别和改善重症监护室压力源,保障ICU医护人员的身心健康。展开更多
目的了解合肥地区各级医院医务人员对药品不良反应(ADR)认知和态度。方法分层抽取合肥地区三级医院1所、二级医院5所、一级医院7所,整群抽取上述医院于调查日在岗的医务人员,进行现场调查,EPI info 6.04建立数据库,SPSS11.5统计软件分...目的了解合肥地区各级医院医务人员对药品不良反应(ADR)认知和态度。方法分层抽取合肥地区三级医院1所、二级医院5所、一级医院7所,整群抽取上述医院于调查日在岗的医务人员,进行现场调查,EPI info 6.04建立数据库,SPSS11.5统计软件分析。结果合肥地区各级医务人员对ADR概念、ADR呈报程序、ADR临床表现特点等知识认知度基本一致(P>0.05);对ADR性质、ADR监测主管部门等认知度差异具有显著性(P<0.05),等级高的医院医务人员认知度通常好于等级低医院,但也有个别问题反之;医务人员对ADR呈报态度总体端正,但也存在误区。结论加强ADR知识宣传培训,端正态度,增强医务人员上报意识,提高ADR监测水平。展开更多
目的 探讨认知性访谈在医务人员工作场所负性行为问卷(negative behaviors in health care survey, NBHC)汉化过程中的应用,并评价该方法在问卷汉化中的应用效果。方法 基于Brislin双向翻译模型对NBHC进行汉化,通过目的抽样法于2022年6-...目的 探讨认知性访谈在医务人员工作场所负性行为问卷(negative behaviors in health care survey, NBHC)汉化过程中的应用,并评价该方法在问卷汉化中的应用效果。方法 基于Brislin双向翻译模型对NBHC进行汉化,通过目的抽样法于2022年6-8月选取重庆市某三级甲等医院和社区卫生服务中心共22名医务人员作为访谈对象,共进行3轮认知性访谈,了解受访者对各条目的理解情况,并根据访谈结果对问卷条目进行修订。通过便利抽样法于2022年9-10月抽取全国418名医务人员进行测量学检验。结果 第1轮认知性访谈对存在疑义的问卷指导语和6个条目进行讨论修改;第2轮认知性访谈对1个翻译拗口的条目予以修订;第3轮认知性访谈所有受访者均能正确理解条目内容且无疑义。最终版中文问卷包括4个维度、23个条目和2项开放性问题,Cronbach′s α系数为0.873,重测信度为0.859,条目水平的内容效度指数为0.830~1.000,平均内容效度为0.930。结论 通过认知性访谈,了解我国医务人员对中文版NBHC的理解情况,针对性地进行问卷修订,提高了中文版NBHC问卷的准确性、可靠性和适用性。展开更多
文摘BACKGROUND:Healthcare professionals are expected to have knowledge of current basic and advanced cardiac life support(BLS/ACLS) guidelines to revive unresponsive patients.METHODS:Across-sectional study was conducted to evaluate the current practices and knowledge of BLS/ACLS principles among healthcare professionals of North-Kerala using pretested self-administered structured questionnaire.Answers were validated in accordance with American Heart Association's BLS/ACLS teaching manual and the results were analysed.RESULTS:Among 461 healthcare professionals,141(30.6%) were practicing physicians,268(58.1%) were nurses and 52(11.3%) supporting staff.The maximum achievable score was 20(BLS15/ACLS 5).The mean score amongst all healthcare professionals was 8.9±4.7.The mean score among physicians,nurses and support staff were 8.6±3.4,9±3.6 and 9±3.3 respectively.The majority of healthcare professionals scored <50%(237,51.4%);204(44.3%) scored 51%-80%and 20(4.34%)scored >80%.Mean scores decreased with age,male sex and across occupation.Nurses who underwent BLS/ACLS training previously had significantly higher mean scores(10.2±3.4) than untrained(8.2±3.6,P=0.001).Physicians with <5 years experience(P=0.002) and nurses in the private sector(P=0.003)had significantly higher scores.One hundred and sixty three(35.3%) healthcare professionals knew the correct airway opening manoeuvres like head tilt,chin lift and jaw thrust.Only 54(11.7%) respondents were aware that atropine is not used in ACLS for cardiac arrest resuscitation and 79(17.1%) correctly opted ventricular fibrillation and pulseless ventricular tachycardia as shockable rhythms.The majority of healthcare professionals(356,77.2%) suggested that BLS/ACLS be included in academic curriculum.CONCLUSION:Inadequate knowledge of BLS/ACLS principles amongst healthcare professionals,especially physicians,illuminate lacunae in existing training systems and merit urgent redressal.
文摘目的基于重症监护室(intensive care unit,ICU)的特殊背景,了解ICU工作压力源感知现状及其影响因素,为ICU压力调节和管理提供依据。方法采用便利抽样法,于2021年11—12月,采用一般资料调查表和重症监护室医护人员压力源感知量表,对四川省内10所医院符合标准的346名ICU医护人员进行横断面调查。采用多元线性回归分析ICU压力源水平的影响因素。结果重症监护室医护人员感知压力源量表总分为(147.53±40.23)分,得分前5项条目为持续而繁重的工作量,随时待命或夜间工作,不支持工作/有攻击性/谵妄的患者,缺少医护人员,提出许多要求且不断哀怨的患者。不同年龄、职称、婚姻状况、工作年限的医护人员,其压力源得分差异均有统计学意义(均P<0.05)。多元线性回归分析显示,职称和婚姻状况是ICU医护人员工作压力源水平的主要影响因素(β=13.183、13.336,均P<0.05)。结论ICU医护人员工作压力源居于中等水平,高职称和已婚者压力源水平更高,应重视上述人群的工作压力水平,合理安排人力配置,以识别和改善重症监护室压力源,保障ICU医护人员的身心健康。
文摘目的了解合肥地区各级医院医务人员对药品不良反应(ADR)认知和态度。方法分层抽取合肥地区三级医院1所、二级医院5所、一级医院7所,整群抽取上述医院于调查日在岗的医务人员,进行现场调查,EPI info 6.04建立数据库,SPSS11.5统计软件分析。结果合肥地区各级医务人员对ADR概念、ADR呈报程序、ADR临床表现特点等知识认知度基本一致(P>0.05);对ADR性质、ADR监测主管部门等认知度差异具有显著性(P<0.05),等级高的医院医务人员认知度通常好于等级低医院,但也有个别问题反之;医务人员对ADR呈报态度总体端正,但也存在误区。结论加强ADR知识宣传培训,端正态度,增强医务人员上报意识,提高ADR监测水平。
文摘目的 探讨认知性访谈在医务人员工作场所负性行为问卷(negative behaviors in health care survey, NBHC)汉化过程中的应用,并评价该方法在问卷汉化中的应用效果。方法 基于Brislin双向翻译模型对NBHC进行汉化,通过目的抽样法于2022年6-8月选取重庆市某三级甲等医院和社区卫生服务中心共22名医务人员作为访谈对象,共进行3轮认知性访谈,了解受访者对各条目的理解情况,并根据访谈结果对问卷条目进行修订。通过便利抽样法于2022年9-10月抽取全国418名医务人员进行测量学检验。结果 第1轮认知性访谈对存在疑义的问卷指导语和6个条目进行讨论修改;第2轮认知性访谈对1个翻译拗口的条目予以修订;第3轮认知性访谈所有受访者均能正确理解条目内容且无疑义。最终版中文问卷包括4个维度、23个条目和2项开放性问题,Cronbach′s α系数为0.873,重测信度为0.859,条目水平的内容效度指数为0.830~1.000,平均内容效度为0.930。结论 通过认知性访谈,了解我国医务人员对中文版NBHC的理解情况,针对性地进行问卷修订,提高了中文版NBHC问卷的准确性、可靠性和适用性。
