Current situations and influencing factors for comprehensive geriatric assessment of knowledge-attitude-practice in geriatric ward nurses
10.3760/cma.j.issn.1674-2907.2017.34.011
- VernacularTitle:老年病房护士老年综合评估知信行现状及影响因素分析
- Author:
Yan GAO
1
;
Siyu CHEN
;
Jie ZHANG
;
Jianhua ZHANG
;
Ping DONG
Author Information
1. 100730,北京医院保健医疗部(老年医学部) 国家老年医学中心门诊
- Keywords:
Nurses;
Comprehensive geriatric assessment;
Knowledge-attitude-practice
- From:
Chinese Journal of Modern Nursing
2017;23(34):4354-4357
- CountryChina
- Language:Chinese
-
Abstract:
Objective To investigate the current situations and influencing factors for comprehensive geriatric assessment (CGA) of knowledge-attitude-practice (KAP) in geriatric ward nurses of a grade Ⅲ class A hospital, and to provide theoretical evidence for training and clinical practice of CGA mode. Methods 190 geriatric ward nurses from a grade Ⅲ class A hospital were selected in this study in February 2017 using convenience sampling. A self-designed geriatric ward nurses CGA questionnaire was used for the investigation. Results A total of 190 questionnaires were issued, and the valid response rate was 96.84% (184/190). The total KAP score was (74.68±7.53), with 6.0%, 90.7%, and 3.3% nurses had excellent, good, and failed scores, respectively. The univariate analyses suggested that nurses who were in the base ward had significantly higher KAP scores compared with nurses who were not (P< 0.05). Those who had received CGA education within one year had significantly higher KAP scores compared with those who had not (P<0.05). The Logistic regression analysis showed that whether in the base ward was associated with KAP in geriatric ward nurses (OR=2.212, P=0.028). Conclusions The knowledge of and cognitive attitude towards CGA are unsatisfactory in geriatric ward nurses, especially the CGA behaviors. The intensive training should be tailored for nurses according to their different characteristics. The quality assessment standard of CGA working mode should be established. Furthermore, the revisit center can be developed to improve the transfer of hospital-community-nursing home / home based on conjoined medical system. The standard CGA method which combined basic examination with detailed assessment is beneficial for elderly patients.