ICU NURSES’ PERCEIVED KNOWLEDGE, ATTITUDE, AND PRACTICE ON ENDOTRACHEAL SUCTIONING: A PRELIMINARY STUDY AT AHOSPITAL IN PAHANG, MALAYSIA
DOI:
https://doi.org/10.31674/MJMR.2020.V04I04.005Abstract
Background: Endotracheal suctioning is a common procedure for intubated patients typically seen in the Intensive Care Unit (ICU). Although several studies regarding the knowledge and practice of endotracheal suctioning among nurses were conducted internationally, the status of the procedure in Malaysia is unknown. Objectives: To assess the level of knowledge, attitude, and practice on endotracheal suctioning and the relationship between each variable. Materials and methods: A cross-sectional study was conducted via convenient sampling at two ICUs using a set of questionnaires that consisted of four parts pertaining to sociodemographic data, knowledge items, attitude items, and practice items following ethical approvals. The data obtained were analysed for descriptive and inferential assessments using SPSS. Results: A total of 77 nurses responded to the questionnaire (response rate 100%). A moderate positive relationship between knowledge and attitude were identified (r=0.514, p=0.000), while a weak positive relationship was observed between knowledge and practice (r=0.408, p=0.000). A negligible correlation was also observed between attitude and practice (r=0.269, p=0.018). Discussion: From the study, the level of knowledge, attitude, and practice were found to be related to each other. The results have shown that age does not represent the score gain in knowledge, attitude, and practice questions. Similarly, the score gain was not affected whether the nurses had a post-basic background or not. Conclusion: There is a relationship between knowledge, attitude, and practice on endotracheal suctioning among ICU nurses. There is no relationship between socio-demographic data (age, working experience and post-basic) with knowledge, attitude, and practice on endotracheal suctioning. A good practice score were seen in this study compared to the knowledge and attitude score among ICU nurses in HTAA Kuantan. Most of the ICU nurses in the HTAA Kuantan exhibited an excellent practice on endotracheal suctioning.
Keywords:
Endotracheal Suctioning, Intensive Care Unit, Knowledge, Practice, AttitudeDownloads
References
American Association for Respiratory Care (AARC), 2010 Clinical Practice Guidelines. Endotracheal suctioning of mechanically ventilated patients with artificial airways. Respiratory Care. 55(6) pp:758-764.
Ansari, A., Alavi, N. M., Adib-Hajbagheri, M. & Afazel, M, 2012. The gap between knowledge and practice in standard endo-tracheal suctioning of ICU nurses, Shahid Beheshti Hospital. Iranian Journal of Critical Care Nursing, 5(2), pp:71–76.
Bülbül Maraş, G., Kocaçal Güler, E., Eşer, I. & Köse, Ş. (2017). Knowledge and practice of intensive care nurses for endotracheal suctioning in a teaching hospital in western Turkey. Intensive and Critical Care Nursing, 39, pp:45–54.
Haghighat, S. & Yazdannik, A. (2015). The practice of intensive care nurses using the closed suctioning system: An observational study. Iranian Journal of Nursing and Midwifery Research, 20(5), pp: 619.
Jansson, M., Ala-Kokko, T., Ylipalosaari, P. & Kyngäs, H. (2013). Evaluation of endotracheal-suctioning practices of critical-care nurses – An observational correlation study. Journal of Nursing Education and Practice, 3(7), pp:99–105.
Majeed, H. M. (2017). Assessment of knowledge and practices of intensive care unit nurses about endotracheal suctioning for adult patients in Baghdad, Iraq teaching hospitals. International Journal of Research in Medical Sciences, 5(4), pp:1396.
Mukaka M. M. (2012). Statistics corner: A guide to appropriate use of correlation coefficient in medical research. Malawi medical journal :The journal of Medical Association of Malawi, 24(3), pp:69–71.
Mwakanyanga, E. T., Masika, G. M. & Tarimo, E. A. M. (2018). Intensive care nurses’ knowledge and practice on endotracheal suctioning of the intubated patient: A quantitative cross-sectional observational study. PLoS ONE, 13(8), pp:1–13.
Pedersen, C. M., Rosendahl-Nielsen, M., Hjermind, J. & Egerod, I. (2009). Endotracheal suctioning of the adult intubated patient-What is the evidence? Intensive and Critical Care Nursing.
Susmita Shrestha and Rosy Shrestha. “Knowledge and Practice Regarding Endotracheal Suctioning among Nurses of Selected Teaching Hospitals, Bharatpur, Chitwan”. Acta Scientific Medical Sciences 2.6 (2018): pp:10-16.