Nurses' Performance And Self-Efficacy About Open Versus Closed Suction On Intubated Adult Patients: A Comparative Study
DOI:
https://doi.org/10.47750/p1w25823Abstract
Background: Closed-system endotracheal suction improves oxygen desaturation by reducing the lung tidal volume that follows open-system endotracheal suction. Evidence-based practices: more of these nurses’ practices are unobserved and not upgraded. It is necessary to improve their knowledge and skills to be more competent at suctioning. This study aimed to compare nurses' performance and self-efficacy about open versus closed suction on intubated adult patients.
Materials and Method: A cross-sectional comparative research design study was conducted at adult intensive care units in Suez Canal University hospitals. They were sorted into two groups by random selection: group (I) included 32 nurses for whom open suction, while group (II) included 32 nurses for whom closed suction was utilized. Utilizing self-administered questionnaires to assess nurses’ demographic features and level of knowledge, self-efficacy, and observational checklists to assess nurses' practice.
Results: There was a highly statistically significant difference between intensive care nurses' performance in open and closed suction (68% and 47%) consecutively. However, there was no statistically significant correlation between their self-efficacy about open and closed suction (P = 0.06). Conclusions: More of those studied nurses had a technical institute in both groups of suction. Also, there is an overall difference in satisfactory performance levels between open ET suction group I and closed ET suction group II. Additionally, their self-efficacy level is high in open group I compared to the ET closed suction group II.
Recommendations: In-service-led continuous training courses improve nurses' performance in the closed suction system and upgrade open suction in addition to enhancing their self-efficacy level in both. ICU nurses ought to be attentive sequentially for the use of the suction system and updated nursing guidelines in regular practice.
