Volume 37, Issue 150 (November 2024)                   IJN 2024, 37(150): 322-335 | Back to browse issues page

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Salimian M, Aghaei M H, Hakimi M H. The Knowledge and Performance of Nurses Working in Hospitals in Ardabil, Iran, Regarding the Care for Patients With Chest Tube and the Related Factors. IJN 2024; 37 (150) :322-335
URL: http://ijn.iums.ac.ir/article-1-3834-en.html
The Knowledge and Performance of Nurses Working in Hospitals in Ardabil, Iran, Regarding the Care for Patients With Chest Tube and the Related Factors
Milad Salimian1 , Mir Hossein Aghaei2 , Mohammad Hossein Hakimi 3
1- Students Research Committee, Institute of Health Education, Ardabil University of Medical Sciences, Ardabil, Iran.
2- Department of Nursing, Institute of Health Education, Ardabil University of Medical Sciences, Ardabil, Iran.
3- Department of Nursing, Institute of Health Education, Ardabil University of Medical Sciences, Ardabil, Iran. , mhha5479@gmail.com
Keywords: Knowledge, Practice, Nurses, Chest tube
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Introduction
The care of a patient with a chest tube is one of the most important nursing actions, as patients who need a chest tube are usually critically ill and require advanced nursing care. Therefore, it requires sufficient knowledge and skills. If nursing interventions for these patients are not performed correctly, it can lead to various complications. Therefore, assessing nurses' knowledge and practice in caring for patients with chest tubes is of paramount importance and can improve the quality of nursing care for these patients. There is scant comprehensive research on Iranian nurses' knowledge and practice and related factors in this area. Therefore, this study aimed to determine the knowledge and practice of nurses regarding the nursing care of patients with chest tubes and identify the related factors.

Methods
This descriptive- correlational study was conducted on 265 nurses working in the ICU, emergency, and surgery departments of hospitals affiliated with Ardabil University of Medical Sciences (ARUMS), Ardabil, Iran, in 2023. Data were collected using a three-part questionnaire. The first part surveyed demographic characteristics. The second part was the knowledge scale designed by Mohammed et al. The third part was the practice scale designed by Bedier et al. They had acceptable reliability and validity. The collected data were analyzed in SPSS software, version 23. Descriptive statistics were used to describe the data, and the Pearson correlation test and multiple linear regression analysis were used for data analysis. P<0.05 was considered statistically significant.

Results
The majority of participants were under 30 years of age (61.99%), female (70.94%), and married (56.60%), with a bachelor’s degree (81.50%). The results also showed that only 4.52% and 1.5% of nurses had a satisfactory score (above 75%) in the knowledge scale domains of “indications of chest tube” and “problems associated with chest tube”, respectively; the majority did not have a satisfactory score. Overall, their knowledge was at a moderate level. Also, most nurses had satisfactory scores in the practice scale. Data analysis revealed a significant correlation between the knowledge and practice scores of nurses regarding chest tube care (r=0.170, P=0.003). Based on multiple linear regression analysis, only education level had a significant association with nurses’ knowledge (B=3.090, P=0.008) and practice (B=2.299, P=0.010).

Conclusion 
The performance of the AUMS nurses in caring for patients with chest tubes is satisfactory, but their knowledge is not satisfactory (moderate). Given that chest tube care is essential for improving respiratory status and preventing complications, it is recommended that nurses undergo continuous training in this field. 

Ethical Considerations

Compliance with ethical guidelines
This study was approved by the Ethics Committee of Ardabil University of Medical Sciences (Code: IR.ARUMS.REC.1401.235). The voluntary participation, confidentiality of the information, and informed consent of the participants were considered.

Funding
This study was extracted from a research project funded by Ardabil University of Medical Sciences.

Authors' contributions
Supervision, writing, and editing: Mohammad Hossein Hakimi; Data analysis: Mir Hossein Aghaei; Initial draft preparation and data collection: Milad Salimian 

Conflict of interest
The authors declare no conflict of interest.

Acknowledgments
The authors would like to thank the Vice-Chancellor for Research and Technology of Ardabil University of Medical Sciences and all nurses from the hospitals in Ardabil who participated in this study for their support and cooperation.
 


 
Refrences
  1. Lewandowska K, Weisbrot M, Cieloszyk A, Mędrzycka-Dąbrowska W, Krupa S, Ozga D. Impact of alarm fatigue on the work of nurses in an intensive care environment—a systematic review. Int J Environ Res Public Health. 2020; 17(22):8409. [DOI:10.3390/ijerph17228409] [PMID] 
  2. Nezamdoust S, Abdekhoda M, Rahmani A. Determinant factors in adopting mobile health application in healthcare by nurses. BMC Med Inform Decis Mak. 2022; 22(1):47. [DOI:10.1186/s12911-022-01784-y] [PMID] 
  3. Zhang W, Wang X, Wu X, Tang S. Influence of comprehensive nursing care on heart failure patient management: A systematic review and meta-analysis. Cardiology. 2024; 149(6):535–48. [DOI:10.1159/000540387]
  4. Seyma ZK, Meral YC, Atiye E. Nurses’ knowledge levels about the care of the patients with chest tube. Int J Caring Sci. 2021; 14(2):1334-42. [Link]
  5. Awad A’elamgied Salime R, Wahdan Abd El-Aziz W, A Al-Metyazidy H, Weheida SM. Effectiveness of implementation of evidence-based educational intervention regarding chest tube on clinical patient’s outcomes in cardiothoracic care unit. Egypt J Health Care. 2021; 12(1):171-92. [DOI:10.21608/ejhc.2021.138613]
  6. Mohammed MA, Mahmoud ME, Sleem HA, Ibrahim NM. Assessment the nurses performance in providing care to patients undergoing chest tube in Suez Canal university hospital. Int j Nurs Didactics. 2016; 6(9):19-26. [DOI:10.15520/ijnd.2016.vol6.iss9.167.19-26]
  7. Diaz R, Patel KB, Almeida P, Shekar SP, Hernandez F, Mehta JP. Are chest radiographs routinely indicated after chest tubes placed for non-surgical reasons are removed? Cureus. 2020; 12(3):e7339. [DOI:10.7759/cureus.7339]
  8. Arafa A, Abusaad F, Said D. Effectiveness of an educational program regarding care of infants with chest tube on nurses' knowledge and practice. Mansoura Nurs J. 2022; 9(1):251-9. [DOI:10.21608/mnj.2022.259025]
  9. Kent NJ. Undergraduate nursing student perceptions and knowledge of chest tube drainage systems [MA thesis]. Statesboro: Georgia Southern University; 2020. [Link]
  10. AL-Gabri MM, Mohammed MA, Mehany MM. Factors affecting nurses compliance regarding the care of patients with chest trauma.  Assiut Sci Nurs J. 2020; 8(20):157-66. [DOI:10.21608/asnj.2020.90525]
  11. Ullah S, Naz N, Saeedullah, Khan N, Rahman S, Sultan A. Assessment of nurse’s knowledge regarding management of chest tube drainage at a public tertiary care hospital-an analytical approach. Pak J Med Health Sci. 2022; 16(10):31-4. [DOI:10.53350/pjmhs22161031]
  12. Elsaoudy NEI, Mahmoud FH, Elmaged RAA. Nurses' knowledge and practice regarding care of patients undergoing chest tube. Int J Health Sci. 2022; 6(S 4): 9558–66. [DOI:10.53730/ijhs.v6nS4.12004]
  13. Cha C, Sung C. Factors related to nursing performance in South Korean intensive care units. Int J Nurs Pract. 2020; 26(6):e12874. [DOI:10.1111/ijn.12874] [PMID]
  14. Leng M, Wei L, Shi X, Cao G, Wei Y, Xu H, et al. Mental distress and influencing factors in nurses caring for patients with COVID-19. Nurs Crit Care. 2021; 26(2):94-101. [DOI:10.1111/nicc.12528] [PMID]
  15. Wei H, Sewell KA, Woody G, Rose MA. The state of the science of nurse work environments in the United States: A systematic review. Int J Nurs Sci. 2018; 5(3):287-300. [DOI:10.1016/j.ijnss.2018.04.010] [PMID] 
  16. Khan N, Jackson D, Stayt L, Walthall H. Factors influencing nurses' intentions to leave adult critical care settings. Nurs Crit Care. 2019; 24(1):24-32. [DOI:10.1111/nicc.12348] [PMID]
  17. Abuejheisheh A, Qaddumi JAS, Darawad MW. Chest drains: prevalence of insertion and ICU nurses' knowledge of care. Heliyon. 2021; 7(8):e07719. [DOI:10.1016/j.heliyon.2021.e07719] [PMID] 
  18. Panza R, Prontera G, Ives KN, Zivanovic S, Roehr CC, Quercia M, et al. Pigtail catheters versus traditional chest drains for pneumothorax treatment in two NICUs. Eur J Pediatr. 2020; 179(1):73-9. [DOI:10.1007/s00431-019-03478-6] [PMID]
  19. Dahlberg K, Sundqvist AS, Nilsson U, Jaensson M. Nurse competence in the post-anaesthesia care unit in Sweden: A qualitative study of the nurse's perspective. BMC Nurs. 2022; 21(1):14. [DOI:10.1186/s12912-021-00792-z] [PMID] 
  20. Bedier NA, EL-Ata ABA, Ibrahim NM. Impact of an educational program on nurses, practice related to care of patients with chest tube. Int J Nurs Didactics. 2016; 6(9):27-34. [DOI:10.15520/ijnd.2016.vol6.iss9.168.27-34]
  21. Chege A, Mwaura J, Kirui A. Evaluation of the nursing management for patients on underwater chest drainage at Kenyatta National Hospital. Open J Obstet Gynecol. 2018; 8(12):1222-35. [DOI:10.4236/ojog.2018.812124]
  22. Grinberg K, Sela Y. Perception of the image of the nursing profession and its relationship with quality of care. BMC Nurs. 2022; 21(1):57. [DOI:10.1186/s12912-022-00830-4] [PMID] 
  23. M Kaur, N Juneja, VS Choudhary. A study to assess the efficacy of Self Instructional Module (SIM) on the knowledge regarding nursing management of patients with chest drainage among staff nurses of selected hospitals of Malwa region of Punjab. IOSR J Nurs Health Sci. 2020; 8(2):11-7. [Link]
  24. Lovely, Sharma S. A pre-experimental study to assess the effectiveness of a structured interventional program on knowledge regarding care of patients with chest tube drainage among staff nurses in IGMC and Hospital, Shimla, Himachal Pradesh. Int J Adv Res Ideas Innov Technol. 2020; 6(4):147-56. [Link]
  25. Elfaki BA, Mustafa HE, Hassan Ahmed AH. Nurses’ knowledge and practice regard care of patient with chest drains in Sudan Heart Center, Khartoum, Sudan. IOSR J Nurs Health Sci. 2016; 5(6):1-6. [Link]
Type of Study: Research | Subject: nursing
Received: 2024/08/24 | Accepted: 2024/09/26 | Published: 2024/10/31
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