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Research Article
Intensive Care Nurses’ Knowledge and Practice of Evidence-Based Recommendations for Endotracheal Suctioning: A Multisite Cross-Sectional Study in Changsha China
Wenjun Chen
School of Nursing, University of Ottawa
Corresponding Author
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Background: Endotracheal suctioning is one of the most frequently operated invasive procedures by intensive care nurses. Nurses should have adequate knowledge and skills to perform endotracheal suctioning based on the best evidence. Litter is known about intensive care nurses' knowledge and practice of evidence-based endotracheal suctioning in Chinese hospitals. The purpose of this study is to investigate intensive care nurses' knowledge and practice of the evidence-based recommendations regarding endotracheal suctioning. Specifically, the study aims to examine 1) intensive care nurses' awareness of and adherence to the endotracheal suctioning guideline; and 2) their influencing factors.
Methods: The cross-sectional online questionnaire survey was distributed to 310 intensive care nurses working in intensive care units of five tertiary hospitals in Changsha, China.
Results: 281 nurses completed and returned the survey (response rate= 90.6%). Participants' awareness of and adherence to the evidence-based guideline was at a poor to moderate level. There was a significant difference regarding the awareness of the guideline between experienced and inexperienced nurses. Nurses who worked 6-15 years in intensive care units had a higher awareness of evidence-based endotracheal suctioning practices than nurses who worked within five years and over 16 years. Nurses with endotracheal suctioning training demonstrated significantly higher awareness of endotracheal suctioning recommendations and higher adherence levels than those untrained nurses.
Conclusion: There are considerable evidence-practice gaps in ETS among Chinese intensive care practice. further research should emphasis on revealing barriers and facilitators of implementing the evidence-based endotracheal suctioning practices, developing context-suitable interventions for the guideline implementation. We suggest a systematic training of the ETS guidelines along with innovative implementation strategies from implementation science to promote the ETS practice changes.
Keywords
intensive care units, suction, evidence-based practice, nursing, China
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This preprint is under consideration at BMC Nursing. A preprint is a preliminary version of a manuscript that has not completed peer review at a journal. Research Square does not conduct peer review prior to posting preprints. The posting of a preprint on this server should not be interpreted as an endorsement of its validity or suitability for dissemination as established information or for guiding clinical practice.
Learn more about In Review
Research Article
Intensive Care Nurses’ Knowledge and Practice of Evidence-Based Recommendations for Endotracheal Suctioning: A Multisite Cross-Sectional Study in Changsha China
Wenjun Chen
School of Nursing, University of Ottawa
Corresponding Author
Badges
Prescreen
This manuscript passed our Prescreen assessment
Complete author information
Appropriate declaration statements
Potential risks to human health
Prescreen
Peer Review Timeline
CURRENT STATUS: Under Review
Version 1
Posted 07 Jan, 2021
No community comments so far
Editor invited
On 05 Jan, 2021
Submission checks complete
On 05 Jan, 2021
First submitted
On 31 Dec, 2020
Metrics
Comments: 0
PDF Downloads: ...
HTML Views: ...
Subject Areas
Nursing
License:
This work is licensed under a CC BY 4.0 License. Read Full License
Background: Endotracheal suctioning is one of the most frequently operated invasive procedures by intensive care nurses. Nurses should have adequate knowledge and skills to perform endotracheal suctioning based on the best evidence. Litter is known about intensive care nurses' knowledge and practice of evidence-based endotracheal suctioning in Chinese hospitals. The purpose of this study is to investigate intensive care nurses' knowledge and practice of the evidence-based recommendations regarding endotracheal suctioning. Specifically, the study aims to examine 1) intensive care nurses' awareness of and adherence to the endotracheal suctioning guideline; and 2) their influencing factors.
Methods: The cross-sectional online questionnaire survey was distributed to 310 intensive care nurses working in intensive care units of five tertiary hospitals in Changsha, China.
Results: 281 nurses completed and returned the survey (response rate= 90.6%). Participants' awareness of and adherence to the evidence-based guideline was at a poor to moderate level. There was a significant difference regarding the awareness of the guideline between experienced and inexperienced nurses. Nurses who worked 6-15 years in intensive care units had a higher awareness of evidence-based endotracheal suctioning practices than nurses who worked within five years and over 16 years. Nurses with endotracheal suctioning training demonstrated significantly higher awareness of endotracheal suctioning recommendations and higher adherence levels than those untrained nurses.
Conclusion: There are considerable evidence-practice gaps in ETS among Chinese intensive care practice. further research should emphasis on revealing barriers and facilitators of implementing the evidence-based endotracheal suctioning practices, developing context-suitable interventions for the guideline implementation. We suggest a systematic training of the ETS guidelines along with innovative implementation strategies from implementation science to promote the ETS practice changes.