Comparison of nurse versus ordering provider perceived barriers to anthropometry measurements in critically ill children
Sharon Y Irving, PhD, RN, CRNP; 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
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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.
42nd Biennial Convention 2013 Theme: Give Back to Move Forward. Held at the JW Marriott
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