Investigation and analysis of ICU nurses on the cognition of the cluster sedation and analgesia strategis

ObjectiveTo investigate the cognition, source of knowledge and demand of the cluster sedation and analgesia strategis (ABCDEF bundle) of the ICU nurses from 5 grade Ⅱ and above general hospitals.

MethodsA total of 200 ICU nurses in Bengbu were investigated using self-designed questionnaire.

ResultsThe score of nurses' knowledge of ABCDEF bundle was (4.87±0.97), and the cognitive levels of "pain management", "sedation and analgesic scale" and "risk factors of delirium" were lower.The differences of the scores of nurses in different ICUs and working years were statistically significant (P < 0.05).The results of pairwise comparison showed that the scores of nurses in surgical and general ICU were higher than that in internal medicine department (P < 0.05 and P < 0.01), and the score of nurses working in ICU for 6 to 10 years was higher than that in nurses working in ICU for 1 to 2 years (P < 0.05).The department lectures, class training and self-research were the main approaches of ICU nurses acquiring the knowledge of ABCDEF bundle.The implementation of early activities, use of sedative and analgesic scales, delirium assessment and intervention knowledge were the greatest needs of ICU nurses.

ConclusionsThe knowledge level of ABCDEF bundle in ICU nurses from 5 grade Ⅱ and above general hospitals in Bengbu is low, which cannot meet with the clinical needs.It may be related to the lack of school education and clinical continuing education, and inadequate training.It is suggested to increase the knowledge and skills of ABCDEF bundle in school curriculum and clinical training, improve the professional level of ICU nurses, standardize the clinical operation of ABCDEF bundle, so as to improve the clinical outcome of ICU patients.