الفهرس 
Abstract
Significance of studyOnly 14 pages are availabe for public view
 |  | from | 91 |  |  |
| | | from | 91 | | |
Abstract
ETS is a rapid, simple, safe and non-surgical technique that achieves all the goals of airway management, maintains airway patency, protects the lungs from aspiration and permits leak free ventilation during mechanical ventilation, and remains the gold standard procedure for airway management (Celik and Elbas, 2009). ET suctioning is an essential aspect of effective airway management. Accumulation of tracheobronchial secretion is common and dangerous if unresolved with expert care. ETS is one intervention that should be based on research evidence. Also, ETS is a frequently performed procedure that has many associated risks and complication (Paul-Allen and Ostrow,2009& Stokowski, 2009).The procedure, however, is not free of risks and complications. Co-morbidities such as cardiac and/or respiratory failure, hemodynamic instability, tracheobronchial injury and hypoxemia may be a result of the procedure, especially when performed incorrectly. Therefore, it is imperative that this procedure is performed with professional competence, which means not only having the necessary skills, but also knowledge based on updated scientific evidence, guaranteeing efficiency and safety of the patient (Davies, et al., )2011(.
So, the present study aimed to assess nurses’ knowledge and practices about endotracheal suctioning in Neonatal Intensive Care Unit (NICU) at Assiut University Children Hospital. A descriptive design was used in this study.
A total of 40 nurses, who serve in the Neonatal Intensive Care Unit (NICU) were recruited in the study. A structured questionnaire interview sheet was designed to measure the level of knowledge of nurses about endotracheal suctioning. It consisted of two parts: first tool for personal data, nurses’ knowledge about endotracheal suctioning, and care for endotracheal suctioning. The second tool was an observation checklist designed by the researcher to evaluate nurses’ performances which contain critical performance elements regarding endotracheal suctioning. A pilot study was implemented on four nurses to test the tools.Data was collected in the period between the beginning of June 2015 until the end of October 2015; each nurse was interviewed individually for assessing her knowledge about endotracheal suctioning. Observation checklist was done during routine work of the unitand was done by the researcher herself to assess nurses’ practice before, during and afterendotracheal suctioning.The main results of the present study revealed that, nearly three quarters of nurses (72.5%) had unsatisfactory knowledge level. Concerning nurses’ practice level regarding endotracheal suctioning, it was found that the nurses’ practice was satisfactory level among 62.5% of studied nurses. Statistically significant associations were revealed between nurses’ knowledge and their age, total experience years. There was statistical significant difference between the nurses’ practice level and their years of experience (P= 0.041). There was a statistically significant correlation between the nurses’ knowledge score and the nurses’ practice score, with knowledge score increases, the more practice score increase (P=0.024 / r= 0.288).
The study researchers recommended that On Job Training (OJT) programs on regular basis is suggested in order to refresh and update nurses’ knowledge, as well as reinforce proper practice related to care given to neonates with endotracheal tube on mechanical ventilation. Continuous evaluation for nurses caring of neonates with endotracheal tube is crucial. Future studies about effectiveness of in - service training program about ETS on nurses’ knowledge and practice.