Abstract:

Objective　To understand the current status of knowledge, attitude, and practice (KAP) of invasive intracranial pressure (ICP) monitoring in neurocritical nurses, and to provide a reference for standardized training intervention on weak links in invasive ICP monitoring in neurocritical nurses. Methods　The phenomenological research method was applied. Semi-structured in-depth interview was conducted on 12 neurocritical nurses in Henan Provincial People's Hospital from June to July 2022, including 3 males and 9 females, aged 26-39 (33.58±3.97) years. The data were analyzed by Nvivo 10.0 software. Results　Three themes were summarized for the current status of KAP of invasive ICP monitoring in neurocritical nurses. (1) The knowledge of invasive ICP monitoring in neurocritical nurses was not solid and comprehensive. (2) Neurocritical nurses had a positive attitude towards invasive ICP monitoring. (3) Neurocritical nurses had good practical ability in invasive ICP monitoring. Conclusions　Neurocritical nurses should strengthen the learning of invasive ICP monitoring. Managers should improve the training mode for nurses, and provide a basis for the formulation of visual standard processes with multidisciplinary medical and nursing joint management, so as to obtain accurate monitoring data for disease diagnosis and treatment.

Key words:

Intracranial pressure, Monitoring, Neurological intensive care, Knowledge-attitude-practice, Qualitative study

摘要：

目的　了解神经重症护士有创颅内压（intracranial pressure，ICP）监测知信行现状，为护士有创ICP监测薄弱环节进行规范化培训干预提供参考依据。方法　采用目的抽样法，于2022年6月—7月选取河南省人民医院的12名神经重症护士进行半结构化深入访谈，男3名，女9名，年龄为26～39（33.58±3.97）岁，采用Nvivo 10.0软件进行资料分析。结果　对神经重症护士有创ICP监测知信行现状共归纳出3个主题：（1）神经重症护士有创ICP监测相关知识掌握不扎实和不全面；（2）神经重症护士有创ICP监测态度较积极；（3）神经重症护士有创ICP监测实践能力较好。结论　神经重症护士应加强有创ICP监测知识学习，管理者应改进护士培训模式，以多学科医护联合管理为制定可视化标准流程提供依据，进而获得精准的监测数据进行疾病诊治。

关键词:

颅内压, 监测, 神经重症, 知信行, 质性研究