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Poster Presentations: Wednesday, November 3, 2010 |

The Need for Nurses To Have an In-service Education of Chest Drain Management FREE TO VIEW

Maggie P. Lit, MN; Kuen Han Lee; Wing Hing O, MBChB; Wai Man Johnny Chan, MBBS
Author and Funding Information

Queen Elizabeth Hospital, Hospital Authority, Kowloon, Hong Kong PRC



Chest. 2010;138(4_MeetingAbstracts):587A. doi:10.1378/chest.9990
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Abstract

PURPOSE: Although chest drains have been used for over a century, there is a wide variation in practice and lack of consensus on the major chest drain management principles. It’s a study to assess nurses’ knowledge level regarding the chest drain management and some recommendations and remedy action will be made.

METHODS: A 30-item questionnaire was used to collect data on May 2009. It consisted of 3 sessions encompassing aspects of demographic details; a true-false questionnaire regarding day-to-day of chest drainage care, critical emergency management and scenario study with true/false response option. A questionnaire was distributed to 108 nurses working in five hospitals on acute, rehabilitation and convalescence care in different specialty including Department of Medicine, Surgery, Neurosurgery, A&E, Orthopaedics & Traumatology, Clinical Oncology as well as Pediatrics and Accident & Emergency.

RESULTS: 101 numbers of questionnaires were collected & analyzed. The response rate is 100%. The participants were predominantly registered nurses (78.2%; n=79), only 12.9% (n=13) of nurses were Nursing officer and Advanced Practice Nurses. 64.35% (n=65) of the nurses had at least 5 years’ medical experience. However, only 11.9 %( n=12) of nurses had attended an educational lectures and workshops concerning chest drainage management. Moreover, only 56.4% (n=57) of the recruited nurses have reached fifty percent passing marks. The study also revealed that nurses with good knowledge (>90% of the sampled nurses with correct answer) on aspects of observation of air leakage and potentially dangerous conditions that require urgent attention. However, there was poor knowledge (< 40% of the sampled nurses with correct answer) regarding milking chest drain, aspects of suction levels, clamping of chest drains and types of chest drainage system.

CONCLUSION: Identification of nurse’s educational needs regarding chest drains care is urgently required to improve clinical practice and reducing unnecessary complications.

CLINICAL IMPLICATIONS: It is envisaged that a comprehensive educational session relating to chest drain management should be held regularly. An appropriate evidenced-base clinical guidelines and protocols are needed to develop for safe clinical practices.

DISCLOSURE: Maggie Lit, No Financial Disclosure Information; No Product/Research Disclosure Information

12:45 PM - 2:00 PM


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