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- Title
Improving Epistaxis Knowledge and Management Among Nursing Staff.
- Authors
Nelson, Avery
- Abstract
Background: Epistaxis is a common chief complaint addressed by otolaryngologists. A review of the literature showed that there is a deficit in epistaxis education within the nursing community. Conversations with our nursing colleagues confirmed this unmet demand. Objective:This quality improvement project aimed to increase general epistaxis knowledge, perceived comfort level managing nosebleeds, and perceived ability to stop nosebleeds among our nursing staff. Methods: Data were collected through a survey administered before and after our intervention. The survey tested general epistaxis knowledge and assessed comfort and confidence in stopping epistaxis. Our intervention was an educational session covering pertinent epistaxis etiology and management. Quality improvement principles were used to optimize delivery of the intervention. Results: A total of 51 nurses participated in the project. After participating in the in-service educational session, nurses answered significantly more epistaxis general knowledge questions correctly (mean [SD] difference, 2.07 [1.10] questions; 95% CI, 1.74-2.39; P<.001). There was no statistically significant difference in additional correct questions when stratified by clinical experience or clinical setting (P=. 128 and P=0.446, respectively). Nurses also reported feeling significantly more comfortable and significantly more confident in managing nosebleeds after the in-service (P=.007 and P< 0.001, respectively); 74.46% of nurses had an improvement in comfort level in managing epistaxis and 43.90% of nurses had an improvement in confidence in stopping epistaxis. After we moved the educational session from mid-shift to shift change, the nursing staff reported more satisfaction while maintaining similar improvements in knowledge and confidence. Conclusion: We were able to significantly increase epistaxis knowledge, improve comfort levels managing epistaxis, and improve confidence in successful epistaxis management. Nurses of varying clinical experience and different clinical settings benefitted equally from our intervention.
- Subjects
ILLINOIS; WORK experience (Employment); NURSING; NOSEBLEED; CONFIDENCE; HUMAN comfort; HOSPITAL nursing staff; QUALITY assurance; QUESTIONNAIRES; NURSES
- Publication
Journal of Clinical Outcomes Management, 2022, Vol 29, Issue 4, p147
- ISSN
1079-6533
- Publication type
Article
- DOI
10.12788/jcom.0100