| Abstract [eng] |
SUMMARY Litvinskienė Evelina. “Enteral nutrition care and nurses‘ skills evaluation in intensive care units” Final Master‘s paper on the speciality of Nursing Supervisor: doc. Ožeraitienė V. Vilnius University, Faculty of Medicine, Department of general medical practice and nursing, Center of Propaedeutics and Nursing Studies, Antakalnio 57, Vilnius, Lithuania Aim of the study: Analyze and evaluate enteral nutrition care and professional skills of intensive care nurses. Tasks of the study: 1. Investigate enteral nutrition knowledge and care skills of intensive care nurses. 2. Determine, if experience and skills can affect EN complication character and frequency. 3. Determine factors, the most affecting intensive care nurses work, employing enteral nutrition. Object of the study: Intensive care nurses, their professional skills, knowledge, related to enteral nutrition (EN). Methods: Anonymous nurses survey was conducted in intensive care units of: VUL Santariskiu clinics, cardiology, VU Oncology institute, VUGPL, acute toxication, VMUL, VU children. Questionnaire form survey was parried out on 2006 03– 2006 04 months. Research data was processed and analyzed applying the SPSS 11 version of statistical data accumulation and analysis programming package. The difference of indices were statistically meaningful at p<0,05. Results: 173 nurses, working in ICUs participated in the survey. More than half of the respondents were older than 31 years old. Majority of the surveyed (43%) were working full-time, were married (66%), had higher education (49%). Only 15% had university degree. 67% of respondent were not completely satisfied with the work. Major unsatisfaction reasons – high work load (39%), continuous emotional stress because of extreme situations (32%), bad work organization, care tools shortage (27%), absence of psychological support, in case of troubles (16%). 84% of respondents are not satisfied with the salary. Common nurse satisfaction with the work was not affected by age, experience, but statistically important was if they were working full-time or less (p<0,01). Objectively evaluating knowledge of respondents, in 61% cases it was satisfactory. 58% respondents subjectively were assuming, that their knowledge in EN care process and professional skills is enough for everyday work, but one third of respondents (36%) were feeling knowledge shortage and would like to improve it, 2% of respondents declared that they do not want it and have no time for it. Generally EN is employed after surgery (48%), in case of neurological diseases (41%), pancreatitis (30%), oncology diseases, after injury (23%). Most frequent EN complications are: gastrointestinal complications (77%), enteral tube complications (19%). For patient EN care nurses spend averagely from 0,5 to 2,0 hours per day. Conclusions: 1. Respondents participated in research knowledge level was found satisfying in 61% cases, objectively evaluating survey answers. Subjectively majority of nurses (58%) own knowledge in EN care process and professional skills evaluate as “enough for everyday work”, and 2% of respondents are not concerned about their own knowledge. 2. Most important factors, affecting intensive care nurses work are hard, emotionally stressed, badly organized and financially-psychologically not valued by society work. 3. Nurses professional skills and experience, neglecting some professional flaws, high work load, low financial motivation had no affect on EN complication character and frequency. |
