Comparison of Nurse versus Ordering Provider Perceived Barriers to Anthropometry Measurements in Critically Ill Children

2.50
Hdl Handle:
http://hdl.handle.net/10755/308637
Category:
Full-text
Type:
Presentation
Title:
Comparison of Nurse versus Ordering Provider Perceived Barriers to Anthropometry Measurements in Critically Ill Children
Author(s):
Irving, Sharon Y.; Mascarenhas, Maria R.; Srinivasan, Vijay; Seiple, Stephanie; Perkel, Madeline Masucci; Falk, Shiela E.; Nagle, Monica L.
Lead Author STTI Affiliation:
Xi
Author Details:
Sharon Y Irving, PhD, RN, CRNP, ysha@nursing.upenn.edu; Maria R Mascarenhas, MBBS; Vijay Srinivasan, MD; Stephanie Seiple, RD, CNSC, LDN; Madeline Masucci Perkel, MSN, RN; Shiela E. Falk, RD, LDN; Monica L Nagle, RD, CNSC, LDN
Abstract:

Session presented on: Tuesday, November 19, 2013

Methods: IRB-approved online survey using six intraprofessional list serves. Characteristics of the care environment, provider, and perceived barriers to anthropometric measurements were obtained. Chi-square was used for analysis. Results: Of 258 respondents, 139 (54%) were nurses, 46% were OP's. Half (49%) worked in medical-surgical (non-cardiac) critical care environment. Most (72%) used parental estimates of anthropometry measurements, only 3% affirmed obtaining them on admission.�Both groups perceived barriers to obtaining Wt as extracorporeal life support (ECLS) (80%), hemodynamic instability (76%), and critical airway (69%); for S: hemodynamic instability (50%), medical devices (48%), and ECLS (47%); and for HC: medical devices (64%), nurse workload (38%) and ECLS (34%). Compared to nurses, more OP's perceived barriers to obtaining Wt (47% vs. 40%, p < 0.001) and HC (28% vs. 20%, p <0.001). The OP perceived barriers to Wt included nurse workload (52% vs. 34%, p = 0.004), osteopenia (46% vs. 29%, p = 0.007), and lack of importance (33% vs. 12%, p < 0.001). OP perceived barriers to head circumference included medical devices (72% vs. 57%, p = 0.01), brain trauma (42% vs. 24%, p = 0.002), and unimportance (48% vs. 17%, p < 0.001). Nurse perceived barriers to S included obesity (26% vs. 15%, p = 0.04) and dialysis (21% vs. 9%, p = 0.01). Conclusions: Barriers to obtaining anthropometry measurements in critically ill children exist. OP's perceived more barriers than nurses. These findings suggest a need for interdisciplinary education to overcome perceived barriers.
Keywords:
anthropometry; critically ill children; barriers
Repository Posting Date:
19-Dec-2013
Date of Publication:
19-Dec-2013
Conference Date:
2013
Conference Name:
42nd Biennial Convention
Conference Host:
Sigma Theta Tau International, the Honor Society of Nursing
Conference Location:
Indianapolis, Indiana, USA
Description:
42nd Biennial Convention 2013 Theme: Give Back to Move Forward. Held at the JW Marriott

Full metadata record

DC FieldValue Language
dc.language.isoen_USen
dc.type.categoryFull-texten
dc.typePresentationen
dc.titleComparison of Nurse versus Ordering Provider Perceived Barriers to Anthropometry Measurements in Critically Ill Childrenen
dc.contributor.authorIrving, Sharon Y.en
dc.contributor.authorMascarenhas, Maria R.en
dc.contributor.authorSrinivasan, Vijayen
dc.contributor.authorSeiple, Stephanieen
dc.contributor.authorPerkel, Madeline Masuccien
dc.contributor.authorFalk, Shiela E.en
dc.contributor.authorNagle, Monica L.en
dc.contributor.departmentXien
dc.author.detailsSharon Y Irving, PhD, RN, CRNP, ysha@nursing.upenn.edu; Maria R Mascarenhas, MBBS; Vijay Srinivasan, MD; Stephanie Seiple, RD, CNSC, LDN; Madeline Masucci Perkel, MSN, RN; Shiela E. Falk, RD, LDN; Monica L Nagle, RD, CNSC, LDNen
dc.identifier.urihttp://hdl.handle.net/10755/308637en
dc.description.abstract<p>Session presented on: Tuesday, November 19, 2013</p> Methods: IRB-approved online survey using six intraprofessional list serves. Characteristics of the care environment, provider, and perceived barriers to anthropometric measurements were obtained. Chi-square was used for analysis. Results: Of 258 respondents, 139 (54%) were nurses, 46% were OP's. Half (49%) worked in medical-surgical (non-cardiac) critical care environment. Most (72%) used parental estimates of anthropometry measurements, only 3% affirmed obtaining them on admission.�Both groups perceived barriers to obtaining Wt as extracorporeal life support (ECLS) (80%), hemodynamic instability (76%), and critical airway (69%); for S: hemodynamic instability (50%), medical devices (48%), and ECLS (47%); and for HC: medical devices (64%), nurse workload (38%) and ECLS (34%). Compared to nurses, more OP's perceived barriers to obtaining Wt (47% vs. 40%, p < 0.001) and HC (28% vs. 20%, p <0.001). The OP perceived barriers to Wt included nurse workload (52% vs. 34%, p = 0.004), osteopenia (46% vs. 29%, p = 0.007), and lack of importance (33% vs. 12%, p < 0.001). OP perceived barriers to head circumference included medical devices (72% vs. 57%, p = 0.01), brain trauma (42% vs. 24%, p = 0.002), and unimportance (48% vs. 17%, p < 0.001). Nurse perceived barriers to S included obesity (26% vs. 15%, p = 0.04) and dialysis (21% vs. 9%, p = 0.01). Conclusions: Barriers to obtaining anthropometry measurements in critically ill children exist. OP's perceived more barriers than nurses. These findings suggest a need for interdisciplinary education to overcome perceived barriers.en
dc.subjectanthropometryen
dc.subjectcritically ill childrenen
dc.subjectbarriersen
dc.date.available2013-12-19T17:33:55Z-
dc.date.issued2013-12-19en
dc.date.accessioned2013-12-19T17:33:55Z-
dc.conference.date2013en
dc.conference.name42nd Biennial Conventionen
dc.conference.hostSigma Theta Tau International, the Honor Society of Nursingen
dc.conference.locationIndianapolis, Indiana, USAen
dc.description42nd Biennial Convention 2013 Theme: Give Back to Move Forward. Held at the JW Marriotten
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