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DOI: 10.1055/s-0042-1759508
Knowledge and Practice of Internship Students on the Emergency Crash Cart System in a Selected Tertiary Care Hospital, Mangaluru, Karnataka, India
Abstract
Introduction A crash cart is the trolley for storing lifesaving equipment and drugs in a hospital. During an emergency situation, nurses are left with confusion and hurry in getting the emergency medication and equipment. Typically, the crash cart system remains locked until a code blue triage is initiated by the hospital. This lack of exposure leads to poor competency and confident in performing essential tasks during a code blue. A well-organized crash cart system can save a lot of time and confusion during an emergency, which in turn can save a life.
Aim The aim of this study was to identify the knowledge and practice of internship students on emergency crash cart system and to find the correlation between knowledge and practices of nursing internship students on maintenance of emergency crash cart system.
Materials and Methods A descriptive correlative research study was conducted among 93 nursing internship students tertiary care hospital, Mangaluru, Karnataka, India. The samples were selected by using purposive sampling techniques. Demographic proforma, structured knowledge questionnaire on knowledge regarding emergency crash cart system with 32 items was used to determine the level of knowledge and observation practice checklist with 24 items was used to assess the practice of internship students on maintenances of emergency crash cart system. Descriptive and inferential statistics was used to analyze the collected data.
Results Majority (89; 95.7%) of the internship students are in the age group of 20 to 25 years and most (59; 63.4%) of internship students are working in wards. Of that 79 (84.9%) internship students have average knowledge with mean 18.1, median 19, and standard deviation (SD) 3.2. Majority 90 (96.7%) of the internship students have satisfactory practice on emergency crash carts with mean 22.9, median 23, and SD 1. 11. There is a moderate positive linear relationship between knowledge and practice scores of the internship students on the emergency crash cart system (r = 0.38, df =92, p= 0.05).
Conclusions The study concludes nursing internship students have average knowledge about emergency crash cart system. And the practice of internship students on maintenance of crash cart was satisfactory. The study thus implies the need for frequent reinforcement and training programs, which may help the internship students to improve knowledge on emergency crash cart systems. There should be clear instructions about the arrangement and use of a crash cart in each and every unit.
Limitation
This study results were limited to only small sample size with one hospital settings.
Nursing Implication(s)
Nursing Services
A nursing superintend, nurse educator, senior nurse, or ward in-charge can conduct individual teaching, group discussion and organize hands-on training that will improve the quality of nursing practice. The finding of the study can be incorporated in nursing services especially in causality and in intensive care unit.
Nursing Education
The findings of the study can be incorporated with the existing nursing education curriculum and must include imparting knowledge about the importance of emergency crash cart system among students and staff. The nursing teachers can use the result of the study as an informative illustration for the students. The in-service education program for internship students can be organized before starting of the internship
Nursing Administration
The nurse administrator can take part in developing hospital policy and standing orders related to crash cart for staff nurses and internship students. Administrators can ensure the opportunity for future nurses to study about the utilization and maintenance of emergency crash cart system.
Nursing Research
This study has given an insight to the necessity of doing research in the nursing practice side. The study will serve as a valuable reference material for the future investigators. Nurse can use the finding for further research studies to plan and implement strategies to impart knowledge on emergency crash cart system.
Financial Support and Sponsorship
Nil.
Ethics Approval
This study was performed in line with the principles of the Declaration of Helsinki. Approval was granted by the institutional Ethics Committee-2 dated 16/10/2020
Publication History
Article published online:
30 December 2022
© 2022. The Author(s). This is an open access article published by Thieme under the terms of the Creative Commons Attribution License, permitting unrestricted use, distribution, and reproduction so long as the original work is properly cited. (https://creativecommons.org/licenses/by/4.0/)
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