Wei XH, Zhou LJ, Li R, Li XY, Zhang Y, Zhang HY, Wang SM, Zhang J. Current state and influencing factors in airbag management among emergency department nurses: A multicenter study. World J Clin Cases 2024; 12(18): 3417-3427 [PMID: 38983437 DOI: 10.12998/wjcc.v12.i18.3417]
Corresponding Author of This Article
Rui Li, MS, Director, Department of Nursing, Tongren Hospital, Shanghai Jiao Tong University School of Medicine, No. 1111 Xianxia Road, Changning District, Shanghai 200335, China. 18616365160@163.com
Research Domain of This Article
Emergency Medicine
Article-Type of This Article
Observational Study
Open-Access Policy of This Article
This article is an open-access article which was selected by an in-house editor and fully peer-reviewed by external reviewers. It is distributed in accordance with the Creative Commons Attribution Non Commercial (CC BY-NC 4.0) license, which permits others to distribute, remix, adapt, build upon this work non-commercially, and license their derivative works on different terms, provided the original work is properly cited and the use is non-commercial. See: http://creativecommons.org/licenses/by-nc/4.0/
Xiao-Hui Wei, Hai-Yue Zhang, Si-Meng Wang, Wuxi School of Medicine, Jiangnan University, Wuxi 214122, Jiangsu Province, China
Li-Jin Zhou, Department of Nursing Emergency, Tongren Hospital, Shanghai Jiao Tong University School of Medicine, Shanghai 200335, China
Rui Li, Jia Zhang, Department of Nursing, Tongren Hospital, Shanghai Jiao Tong University School of Medicine, Shanghai 200335, China
Xin-Yuan Li, Department of Neurosurgery, Tongren Hospital, Shanghai Jiao Tong University School of Medicine, Shanghai 200335, China
Ye Zhang, Department of Nursing, Bengbu Medical University, Bengbu 233030, Anhui Province, China
Co-first authors: Xiao-Hui Wei and Li-Jin Zhou.
Co-corresponding authors: Rui Li and Xin-Yuan Li.
Author contributions: Wei XH, Zhou LJ, Li R, and Li XY contributed to the research design and writing; Wei XH, Zhang HY, and Zhang Y collected and analyzed the data; Wei XH, Zhang HY, Zhang J, and Wang SM contributed to the data collection; Zhou LJ and Li R overall supervised the study; and all authors contributed to the article and approved the submitted version.
Institutional review board statement: The study was reviewed and approved by the Science and Research Office of Tong Ren Hospital (Shanghai).
Informed consent statement: All study participants provided informed written consent prior to study enrollment.
Conflict-of-interest statement: There are no conflicts of interest to report.
Data sharing statement: No additional data are available.
STROBE statement: The authors have read the STROBE Statement—checklist of items, and the manuscript was prepared and revised according to the STROBE Statement—checklist of items.
Open-Access: This article is an open-access article that was selected by an in-house editor and fully peer-reviewed by external reviewers. It is distributed in accordance with the Creative Commons Attribution NonCommercial (CC BY-NC 4.0) license, which permits others to distribute, remix, adapt, build upon this work non-commercially, and license their derivative works on different terms, provided the original work is properly cited and the use is non-commercial. See: https://creativecommons.org/Licenses/by-nc/4.0/
Corresponding author: Rui Li, MS, Director, Department of Nursing, Tongren Hospital, Shanghai Jiao Tong University School of Medicine, No. 1111 Xianxia Road, Changning District, Shanghai 200335, China. 18616365160@163.com
Received: March 9, 2024 Revised: April 25, 2024 Accepted: May 10, 2024 Published online: June 26, 2024 Processing time: 100 Days and 22.2 Hours
Abstract
BACKGROUND
The emergency department (ED) plays a critical role in establishing artificial airways and implementing mechanical ventilation. Managing airbags in the ED presents a prime opportunity to mitigate the risk of ventilator-associated pneumonia. Nonetheless, existing research has largely overlooked the understanding, beliefs, and practical dimensions of airway airbag management among ED nurses, with a predominant focus on intensive care unit nurses.
AIM
To investigate the current status of ED nurses' knowledge, beliefs, and practical behaviors in airway airbag management and their influencing factors.
METHODS
A survey was conducted from July 10th to August 10th, 2023, using convenience sampling on 520 ED nurses from 15 tertiary hospitals and 5 sary hospitals in Shanghai. Pathway analysis was utilized to analyze the influencing factors.
RESULTS
The scores for ED nurses' airway airbag management knowledge were 60.26 ± 23.00, belief was 88.65 ± 13.36, and behavior was 75.10 ± 19.84. The main influencing factors of airbag management knowledge included participation in specialized nurse or mechanical ventilation training, department, and work experience in the department. Influencing factors of airbag management belief comprised knowledge, department, and participation in specialized nurse or mechanical ventilation training. Primary influencing factors of airbag management behavior included knowledge, belief, department, participation in specialized nurse or mechanical ventilation training, and professional title. The belief in airbag management among ED nurses acted as a partial mediator between knowledge and behavior, with a total effect value of 0.513, and an indirect effect of 0.085, constituting 16.6% of the total effect.
CONCLUSION
ED nurses exhibit a positive attitude toward airbag management with relatively standardized practices, yet there remains room for improvement in their knowledge levels. Nursing managers should implement interventions tailored to the characteristics of ED nurses' airbag management knowledge, beliefs, and practices to enhance their airbag management proficiency.
Core Tip: The emergency department (ED) serves as a critical setting for establishing artificial airways and implementing mechanical ventilation. Managing airbags in the ED presents a prime opportunity to mitigate the risk of ventilator-associated pneumonia. Research findings reveal that ED nurses generally harbor a positive attitude toward airbag management, and their practical behaviors are moderately standardized. Nevertheless, there remains a need for enhancing their knowledge levels. This study offers theoretical underpinning for delivering pertinent training and fostering the development of specialized nursing programs tailored to ED settings. Furthermore, it underscores the necessity for implementing targeted improvement strategies.
