As nurses, are we meeting the unique needs of the intact client?

IF 1.2 4区医学 Q3 NURSING Journal for Specialists in Pediatric Nursing Pub Date : 2021-08-25 DOI:10.1111/jspn.12356

Nadine Wodwaski DNP, MSN-ed, RN, ACNS, Kristen Munyan DNP, RN, FNP-BC

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引用次数: 1

Abstract

Purpose

Current routine circumcision rates declined indicating a procedure reduction and because of this, nurses will encounter more intact male patients. Best practices are needed to provide appropriate, safe nursing care. The research aim was to understand what American nurses presently know about intact care and if any knowledge deficits exist.

Design and Methods

The research was conducted using a cross-sectional survey design. American nurses currently in practice were invited to participate in a survey distributed via social media groups for nursing professionals. No incentive was offered for participation. An author-developed instrument was used to assess knowledge levels regarding intact care. Analysis was performed using descriptive statistics as there was no intervention.

Methods

American nurses currently in practice were invited to participate in a survey distributed via social media groups for nursing professionals. No incentive was offered for participation. An author-developed instrument was used to assess knowledge levels regarding intact care. Analysis was performed using descriptive statistics as there was no intervention.

Results

A convenient sample of 345 nursing professionals participated indicating an intact care knowledge deficit across the lifespan. Fourteen percent of respondents did not indicate that replacing the foreskin back over the glans was necessary with adult genital hygiene for intact patients. In pediatrics, 41.7% answered yes to the item statement “Do you retract the foreskin of an infant male child for catheter placement.”

Practice Implications

The results indicate a knowledge deficit among American nurses regarding genital hygiene, particularly for pediatric patients. Practicing without knowledge of intact care that scientifically based can endanger the caring relationship between nurse and patient, resulting in physical harm and may open themselves and their health systems to legal liability.

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作为护士，我们是否满足了完整病人的独特需求?

目的:当前常规包皮环切率下降，表明手术减少，因此，护士将遇到更多完整的男性患者。需要最佳做法来提供适当、安全的护理。研究的目的是了解美国护士目前对完整护理的了解，以及是否存在任何知识缺陷。设计与方法本研究采用横断面调查设计。目前在执业的美国护士被邀请参加一项通过社交媒体小组为护理专业人员分发的调查。没有提供参与的奖励。使用作者开发的工具评估关于完整护理的知识水平。由于没有干预，使用描述性统计进行分析。方法邀请美国在职护士参与一项针对护理专业人员的社交媒体调查。没有提供参与的奖励。使用作者开发的工具评估关于完整护理的知识水平。由于没有干预，使用描述性统计进行分析。结果345名护理专业人员参与了方便的样本，表明在整个生命周期中存在完整的护理知识缺陷。14%的回答者没有指出，在完整的成人生殖器卫生中，更换龟头以上的包皮是必要的。在儿科学中，41.7%的人回答“你会为放置导尿管而收回男婴的包皮吗?”实践意义的结果表明，知识赤字在美国护士关于生殖器卫生，特别是儿科患者。在不了解以科学为基础的完整护理的情况下执业，可能危及护士与患者之间的护理关系，造成人身伤害，并可能使自己及其卫生系统承担法律责任。

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来源期刊

Journal for Specialists in Pediatric Nursing 医学-护理

CiteScore

2.50

自引率

7.70%

发文量

审稿时长

>12 weeks

期刊介绍： Linking science and practice by publishing evidence-based information on pediatric nursing and answering the question, ''How might this information affect nursing practice?'' The Journal for Specialists in Pediatric Nursing (JSPN) is the international evidence-based practice journal for nurses who specialize in the care of children and families. JSPN bridges the gap between research and practice by publishing peer-reviewed reliable, clinically relevant, and readily applicable evidence. The journal integrates the best evidence with pediatric nurses'' passion for achieving the best outcomes. The journal values interdisciplinary perspectives and publishes a wide variety of peer-reviewed papers on clinically relevant topics.