تفاوت بین دانش و عملکرد پرستاران در رعایت استانداردهای ساکشن تراشه در بخش های ICU

Aims: Endotracheal suctioning is a vital process to keep the airways open. The method of performing endotracheal suctioning has a great effect on its complications and effectiveness. This study was carried out with the aim of assessing gap between the knowledge and performance of nurses working in intensive care units (ICU) in tracheal suctioning. Methods: In this cross sectional study, knowledge and performance of ۴۴ nurses working in three ICUs in Shahid Beheshti Hospital, Kashan, Iran, was analyzed in three areas of prior, during and post suctioning, using a ۲۶ item questionnaire and check list in ۲۰۱۰. kruskalwallis test, spearman correlation coefficient and SPSS۱۴ software were used for data analysis. Results: In the ۸ items in question of prior suction the average score for knowledge and performance were ۵.۴ (±۱.۱۲) and ۰.۸۱ (±۰.۷۱) respectively and in the analysis of ten items during suction an average score of ۷.۷ (±۱.۰۹) and ۴.۶ (±۰.۷۵) were obtained for knowledge and performance respectively. In ۸ items of post suction the average score of knowledge was ۶.۴۷ (±۰.۶۹) and that of performance was ۳.۸۶. In general, from ۲۶ possible points, the average score of knowledge and performance were ۱۹.۵۹ and ۸.۷۵ respectively. The type of ICU and nurses working experience were not significantly related to their knowledge and performance. Conclusion: This study revealed that despite acceptable knowledge, nurses performance in endotracheal suctioning is poor. This shows that education alone is not sufficient for observance of the standards.