A study of nurse's self-assessment in performance of advanced cardiac life support skills
| Autor: | Hsieh, Mingyuan, 謝明芫 |
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| Rok vydání: | 2013 |
| Druh dokumentu: | 學位論文 ; thesis |
| Popis: | 101 Background: As nurses often discover patients who have had a critical situation at first, they should be trained and be able to perform resuscitation skills adequately. The need for effective advanced cardiac life support (ACLS) training is clear, it has never been more important to ensure the competence of healthcare professionals. Goal: This article is a report of a study that analyzes of self-evaluated the performance of ACLS skills, examines the association between demographic data and self-evaluated the performance of ACLS skills, and explores the predictors of self-evaluated resuscitation competency amony clinical nurses. Method: This descriptive and correlational study used a cross-sectional survey of 223 clinical nurses from a medical center in northern Taiwan from Sep. 20, 2011 to Jan. 10, 2012. We use “nurse’s self-assessment and performance of ACLS skills in medical center” scale as an instrument to measure the subjects who had attended ACLS training for one year. Out of 223 questionnaires sent out, 176 were completed in full giving an effective responsive rate was 94.1%. Results: “Nurse’s self-assessment and performance of ACLS skills in medical center” scale, in a total of 35 questions, the overall average score was 4.13 (5-point Likert scale). The item that get the highest average score is “correct execution of suction technology” (M = 4.66 ± 0.52), while the lowest is “Using AHA Guidelines major changes in the resuscitation situations” (M = 3.47 ± 0.92). By items analysis and explorations as well as exploratary factors analysis, extracted into six factors, named for: the ability of maintenance of the respiratory and circulatory, teamwork and exception handling, communication and coordination of the patients and their families, interpretation and disposal of abnormal heart rhythm, resuscitation assessment and initial management, show of the nurse’s role in resuscitation situations. Six factors total explained 61.72% of the variance. Subjects’ demographic and facilities characteristics influenced on subjects’ different dimensions of the self-assessment competence. Significant related factors of subjects’ competence were as follows: age, professional level, practicing years, will of attending in resuscitation training programs. Perception of will that attend in resuscitation training programs were predictors of perceived nursing resuscitation competence, and they accounted 22.8% of its variance, adjusted variance was 16.8%. Conclusion: We expect hospital management can think actively on how to improve nurse’s ability in resuscitation skills and strengthen the weaker part, such as “To use AHA Guidelines major changes in the resuscitation situations”, “interpretation and disposal of abnormal heart rhythm”, “Assist physicians to find out the resuscitation reasons (5H5T)” and “communication and coordination of the patients and their families”. The conclusion not only evaluates the outcomes of ACLS training but also provides the reference for nurses proceeding education. |
| Databáze: | Networked Digital Library of Theses & Dissertations |
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