围手术期
多学科方法
医学
横断面研究
可能性
观察研究
优势比
逻辑回归
家庭医学
医疗保健
围手术期护理
急诊医学
护理部
医疗急救
麻醉
内科学
社会科学
病理
社会学
经济
经济增长
作者
Judy Munday,Simon Maffey,Alana Delaforce,Samantha Keogh
出处
期刊:Collegian
[Elsevier]
日期:2022-10-01
卷期号:29 (5): 713-719
被引量:1
标识
DOI:10.1016/j.colegn.2022.04.005
摘要
Background Patients undergoing surgery require accurate and consistent temperature monitoring to enable identification of thermal disturbances. Internationally, evidence indicates low rates of monitoring, but knowledge of Australian practices reported by the multidisciplinary team is lacking. Aim To investigate temperature monitoring practices as reported by multidisciplinary health care workers caring for patients receiving perioperative care. Methods A cross-sectional survey was distributed online via nursing, anaesthetic, and anaesthetic allied health practitioner professional colleges. Following low-risk ethical approval, data were collected via REDCap using a pre-piloted tool (November to December 2019). Data were analysed using IBM SPSS Statistics (Version 26). Binomial logistic regression assessed relationships between private or public facilities, location, profession, and factors influencing temperature monitoring practices. Findings Responses were received from 545 participants: registered or enrolled nurses comprised the largest proportion (n = 281/545, 52%) followed by anaesthetists (n = 219/545, 40%). Over half were unsure whether national guidelines for perioperative temperature monitoring existed (n = 273/500, 55%), 19% (n = 106/545) stated that decision-making was influenced by guidelines, and 24% (n = 129/545) were influenced by departmental policy. The odds of influence by national guidelines in decision-making among nurses was twice than for anaesthetists (OR 2.09, 95% CI 1.26, 3.46, p <0.01). Discussion Findings revealed a lack of awareness of perioperative temperature monitoring guidelines among all professions, but adequate availability of devices was reported. Disparities exist between reported uptake of monitoring, and existing observational evidence. Conclusion Low uptake of optimal perioperative temperature monitoring practices may be influenced by lack of awareness of guidelines and availability of accurate devices.
科研通智能强力驱动
Strongly Powered by AbleSci AI