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_GB
dc.type.categoryFull-texten_GB
dc.typePresentationen_GB
dc.titleComparison of Nurse versus Ordering Provider Perceived Barriers to Anthropometry Measurements in Critically Ill Childrenen_GB
dc.contributor.authorIrving, Sharon Y.en_GB
dc.contributor.authorMascarenhas, Maria R.en_GB
dc.contributor.authorSrinivasan, Vijayen_GB
dc.contributor.authorSeiple, Stephanieen_GB
dc.contributor.authorPerkel, Madeline Masuccien_GB
dc.contributor.authorFalk, Shiela E.en_GB
dc.contributor.authorNagle, Monica L.en_GB
dc.contributor.departmentXien_GB
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_GB
dc.identifier.urihttp://hdl.handle.net/10755/308637-
dc.description.abstract<p>Session presented on: Tuesday, November 19, 2013</p><p><b>Methods:</b>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.</p> <p><b>Results: </b>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).   <p><b>Conclusions: </b>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.  <p><b> </b>en_GB
dc.subjectanthropometryen_GB
dc.subjectcritically ill childrenen_GB
dc.subjectbarriersen_GB
dc.date.available2013-12-19T17:33:55Z-
dc.date.issued2013-12-19-
dc.date.accessioned2013-12-19T17:33:55Z-
dc.conference.date2013en_GB
dc.conference.name42nd Biennial Conventionen_GB
dc.conference.hostSigma Theta Tau International, the Honor Society of Nursingen_GB
dc.conference.locationIndianapolis, Indiana, USAen_GB
dc.description42nd Biennial Convention 2013 Theme: Give Back to Move Forward. Held at the JW Marriotten_GB
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