Effect of evidence-based nursing training on delicacy management of artificial airway

Abstract

Objective To investigate the influence of evidence-based nursing training scheme on knowledge and nursing behavior of nursing staff concerning artificial airway management, and to observe clinical effect of the training. Methods 76 nurses in ICU in Department of Neurology were trained with evidence-based nursing of delicacy management of artificial airway. Their knowledge about artificial airway and normalization of nursing behavior were compared before and after the training. Meanwhile, occurrence rates of hospital acquired pneumonia (HAP) and ventilator associated pneumonia (VAP) of 88 patients with artificial airway before and after the training were compared. Results Before the training, scores of nurses′ theoretical knowledge on normalized management of artificial airway were (69.05±5.09), while the scores were (89.05±4.13) after the training (t=-26.587, P<0.01). After the training, passing percentage of nursing operations of oral care after orotracheal intubation, airway suction, airbag pressure monitoring and dressing change after tracheotomy were 90.8%, 93.4%, 94.7% and 92.1%, all higher than the percentage before the training (χ2=16.369, 11.878, 10.417, 11.207; P<0.01). After the training, occurrence rate of HAP and VAP in patients with artificial airway was both 16.7%, lower than before the training (χ2=4.905, 4.795; P<0.05). Conclusions Evidence-based nursing training on standardized management of artificial airway can improve the nurses′ theoretical knowledge, standardize nursing behavior, decrease occurrence rate of HAP/VAP of patients with artificial airway, and provide scientific management strategies for nursing managers on delicacy management of artificial airway. Key words: Artificial airway; Evidence-based nursing; Delicacy management; Training