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引用次数: 0
Abstract
Objective: To evaluate clinical nurses' knowledge, attitude, and practice toward MDRPI prevention.
Background: Medical device-related pressure injury (MDRPI) is a significant concern in healthcare, serving as a critical indicator of patient safety and the quality of nursing care.
Methods: This systematic review was conducted according to Preferred Reporting Items for Systematic Reviews and Meta-Analyses (PRISMA) guidelines. A comprehensive search was performed on PubMed, Embase, Web of Science, the Cochrane Library, and CINAHL, as well as Chinese databases including China Biology Medicine Disc (CBM), China National Knowledge Infrastructure (CNKI), Wanfang Database, and VIP Database using the relevant keywords, from the earliest available records to June 27, 2024. The quality of the studies was appraised using the Joanna Briggs Institute (JBI) literature evaluation tool.
Findings: A total of 8847 clinical nurses from 18 studies were included. Of these, 6502 working in intensive care units. While nurses generally exhibited a positive attitude, their knowledge and practice were insufficient. Several factors positively influenced nurses' knowledge, attitude, and practice regarding MDRPI prevention, which include the level of education, work experience, previous training on MDRPU, caring for MDRPI patients, being an ICU specialist nurse, working in tertiary hospitals, and holding wound care certifications.
Conclusion: This review underscores the critical need to develop educational training programs to enhance nurses' competencies in MDRPI prevention. It also highlights the importance of addressing the challenges in implementing these strategies to ensure their effectiveness in clinical practice.
目的：了解临床护士对MDRPI预防的知识、态度和做法。背景：医疗器械相关压力损伤（MDRPI）是医疗保健领域的一个重要问题，是患者安全和护理质量的重要指标。方法：本系统评价按照系统评价和荟萃分析的首选报告项目（PRISMA）指南进行。综合检索PubMed、Embase、Web of Science、Cochrane Library、CINAHL以及中国生物医学光盘（CBM）、中国知网（CNKI）、万方数据库、VIP数据库等中文数据库，检索到相关关键词，从最早可查记录到2024年6月27日。采用乔安娜布里格斯研究所（JBI）文献评价工具对研究的质量进行评价。结果：共纳入18项研究的8847名临床护士。其中6502人在重症监护病房工作。虽然护士普遍表现出积极的态度，但他们的知识和实践不足。教育水平、工作经历、MDRPU培训、护理MDRPI患者、担任ICU专科护士、在三级医院工作、持有伤口护理证书等因素对护士预防MDRPI的知识、态度和行为有积极影响。结论：本综述强调了制定教育培训计划以提高护士预防MDRPI能力的迫切需要。它还强调了在实施这些战略时应对挑战以确保其在临床实践中的有效性的重要性。
期刊介绍：
The Journal of Tissue Viability is the official publication of the Tissue Viability Society and is a quarterly journal concerned with all aspects of the occurrence and treatment of wounds, ulcers and pressure sores including patient care, pain, nutrition, wound healing, research, prevention, mobility, social problems and management.
The Journal particularly encourages papers covering skin and skin wounds but will consider articles that discuss injury in any tissue. Articles that stress the multi-professional nature of tissue viability are especially welcome. We seek to encourage new authors as well as well-established contributors to the field - one aim of the journal is to enable all participants in tissue viability to share information with colleagues.
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