Abstract

Objective To explore the effect of building continuous renal replacement therapy (CRRT) professional nursing team in emergency intensive care unit (EICU).Methods To establish CRRT professional nursing team in EICU,define the duties,responsibilities and job contents,and provide theory and manipulative skill training about CRRT care,make processes and guides,accumulate cases,strengthen CRRT nursing quality control.The scores of theory knowledge and manipulative skill in CRRT and the incidence rate of CRRT nursing associated complication were respectively compared before and after the establishment of the CRRT professional nursing team.Results The scores of theory knowledge and manipulative skill in CRRT were respectively (95.53 ± 1.78),(97.00 ± 1.20) after the establishment of CRRT professional nursing team,and higher than (85.95 ±-3.82),(89.68 ± 2.85) before the establishment,and the differences were statistically significant (t =14.55,14.57,respectively; P < 0.01).The incidence rate of CRRT nursing associated complication was decreased from 5.26% to 1.44%,and the difference was statistically significant (x2 =4.59,P < 0.05).Conclusions The establishment of CRRT professional nursing team in EICU can improve nurses' theory and clinical skill,standardize nurses' professional nursing behaviors,mobilize nurses' enthusiasm for the job and initiative in learning,and improve nursing quality. Key words: Continuous renal replacement therapy ; CRRT; On-the-job training; Professional nursing team; Emergency ICU

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