Acquired Weaknesses Of ICU Patients In Level Ⅱ Hospitals By ICU Nurses Study On The Construction And Application Of A Questionnaire For Knowledge,Belief And Behavior

ObjectivesThe purpose of this study was to construct the ICU-Acquired Weakness Knowledge,Belief and Action Scale for ICU nurses in secondary hospitals,to test its reliability,to investigate the current situation of ICU Acquired Weakness Knowledge and Belief Behavior of ICU nurses in secondary hospitals,and analyze the factors affecting the level of ICU nurses’knowledge and belief behavior.The scale was used to improve the current situation of ICU-acquired weakness among ICU nurses and to reduce the incidence of ICU-acquired weakness in ICU patients.Methods1.Based on the theory of knowing and believing behavior,we reviewed the studies related to ICU acquired debilitation,and through theoretical analysis,we initially constructed the entries of the ICU nurses’ knowing and believing behavior questionnaire on ICU acquired debilitation in secondary hospitals,and modified the questionnaire entries through Delphi expert correspondence to form the initial questionnaire.2.Using the initial questionnaire,a convenience sample of 205 ICU nurses from secondary hospitals in Shandong Province was selected for the survey.SPSS21.0 software was applied to analyze the data,and content validity,internal consistency reliability,split-half reliability and retest reliability were used to test the final official questionnaire.3.Using a formal questionnaire,340 ICU nurses from secondary hospitals in Shandong Province were selected by convenience sampling for current status survey and SPSS 21.0 software was used for data analysis.The statistical methods included descriptive statistical analysis,Pearson correlation analysis,rank sum test,and multiple linear regression analyze.Results1.The results of Delphi expert correspondence:the number of experts participating in the correspondence was 17,and the opinion rates were 64.7%and 17.6%.the authority coefficients of the correspondence experts were both 0.9,and the coefficients of variation of the two rounds of expert correspondence ranged from 0-0.27 and 0-0.19,respectively,with Kendall’s W values of 0.341(P<0.001)and 0.205(P<0.001),both significant.2.The results of the reliability test:①The content validity index of the entries in this study ranged from 0.882-1.0,and the content validity index of the scale was 0.958;② the Cronbach’s alpha coefficients of each dimension and total scale were 0.847,0.955,0.936,and 0.918,respectively;③the half-score reliability indices of each dimension and total scale were 0.773,0.905,0.902,and 0.682,respectively;④the 30 ICU nurses sampled in this study had two The total scores of the questionnaire survey were(76.13±17.48)and(78.47±20.72),respectively,and r=0.967 for correlation analysis(P<0.001).3.The "Questionnaire on the Knowledge,Belief and Action Status of ICU Nurses in ICU Acquired Frailty in Secondary Hospitals" compiled by this study and 31 entries were finally retained,including 14 ICU acquired weakness knowledge dimensions,8 attitude dimensions and 9 behavior dimensions.4.The results of a survey of 340 ICU nurses’ knowledge and beliefs in secondary hospitals in Shandong Province showed that 274 of the participating ICU nurses were female,accounting for 86.7%of the surveyed population,with an average age of(30.9±5.7)years,the youngest age being 21 years and the oldest age being 50 years.The ICU acquired debilitating knowledge dimension score(36.22±9.10),attitude dimension score(15.67±5.66),and behavioral dimension score(22.34±7.16),with an overall score of(74.24±16.86).Pearson correlation analysis showed that ICU nurses’knowledge and attitude(r=0.210,P<0.001),knowledge and behavior(r=0.547,P<0.001),and attitude and behavior(r=0.311,P<0.001)were positively correlated with each other.5.Univariate analysis showed that there were statistically significant differences in knowledge scores between different ages,educational backgrounds,professional titles and nursing working years(P<0.05);There were statistically significant differences in behavior scores between different educational backgrounds,employment forms and nursing working years(P<0.05);There were significant differences in the total score of different educational backgrounds,employment forms and nursing working years(P<0.05).6.The results of multiple linear regression analysis showed that:ICU nurses with different working years,education and professional titles were influential factors in the knowledge score of ICU acquired debilitation(P<0.05);ICU nurses with different educational backgrounds and employment forms were influential factors in the behavior score of ICU acquired debilitation(P<0.05);ICU nurses with different work education were influential factors in the knowledge and belief behavior score of ICU acquired debilitation(P<0.05).Conclusions1.The "ICU Acquired Debilitation Knowledge and Trust Behavior Questionnaire for ICU Nurses in Level Ⅱ Hospitals" has good reliability and validity and can be used as an assessment tool to investigate the current status of ICU Acquired Debilitation Knowledge and Trust Behavior for ICU nurses in Level Ⅱ hospitals.2.The status of ICU nurses’ knowledge and beliefs about ICU acquired debilitation in secondary hospitals in Shandong Province had lower total scores compared to tertiary hospitals,with the lowest attitude scores and higher knowledge scores.Therefore,hospital managers can gradually establish a standardized knowledge system,Strengthening the professional identity of nurses,so as to improve ICU acquired debilitation knowledge and practice of ICU nurses competence.3.The comprehensive quality of ICU nurses in secondary hospitals needs to be improved,and the department should strengthen the training of nurses with low seniority,high education and low titles,as well as strengthen medical and nursing communication to improve the quality and effectiveness of care for critically ill patients.