International Emergency Nursing Vol. 57 July 2021
A cross-sectional survey of knowledge pertaining to IV fluid therapy and hyponatraemia among nurses working at emergency departments in Denmark
Dublin Core
Title
International Emergency Nursing Vol. 57 July 2021
A cross-sectional survey of knowledge pertaining to IV fluid therapy and hyponatraemia among nurses working at emergency departments in Denmark
A cross-sectional survey of knowledge pertaining to IV fluid therapy and hyponatraemia among nurses working at emergency departments in Denmark
Subject
Hyponatraemia, Fluid therapy, Intravenous fluids, Administration practice, Nurse, Knowledge
Description
Introduction: Inappropriate fluid therapy may induce or worsen existing hyponatraemia with potentially life-threatening consequences. Nurses have an important role in assisting physicians in IV fluid prescribing. However, research is lacking in Denmark about nurses’ knowledge pertaining to IV fluid therapy and hyponatraemia.
Methods: An explorative cross-sectional survey was performed among Danish emergency department nurses in Spring 2019. Knowledge about IV fluid therapy was assessed for three common clinical scenarios, and multiple-choice questions were used to measure knowledge about hyponatraemia.
Results: 112 nurses responded to all scenario questions corresponding to 6.2% (112/1815) of the total population
of nurses working at emergency departments in Denmark. In two of the three scenarios, a minority of nurses
(8–10%) inappropriately selected hypotonic fluids. Nearly one third (31%) selected a hypotonic fluid for a pa-
tient with meningitis, which is against guideline recommendations. The study revealed limited knowledge about
severe symptoms of hyponatraemia, patients at high risk, and hyperglycaemia-induced hyponatraemia.
Conclusion: In accordance with guideline recommendation, the majority of nurses did not select hypotonic fluids
in three clinical scenarios commonly encountered in the emergency department. However, when setting up an
educational program, further awareness is needed regarding symptoms of hyponatraemia, high-risk patients, and
hyperglycaemia-induced hyponatraemia.
Methods: An explorative cross-sectional survey was performed among Danish emergency department nurses in Spring 2019. Knowledge about IV fluid therapy was assessed for three common clinical scenarios, and multiple-choice questions were used to measure knowledge about hyponatraemia.
Results: 112 nurses responded to all scenario questions corresponding to 6.2% (112/1815) of the total population
of nurses working at emergency departments in Denmark. In two of the three scenarios, a minority of nurses
(8–10%) inappropriately selected hypotonic fluids. Nearly one third (31%) selected a hypotonic fluid for a pa-
tient with meningitis, which is against guideline recommendations. The study revealed limited knowledge about
severe symptoms of hyponatraemia, patients at high risk, and hyperglycaemia-induced hyponatraemia.
Conclusion: In accordance with guideline recommendation, the majority of nurses did not select hypotonic fluids
in three clinical scenarios commonly encountered in the emergency department. However, when setting up an
educational program, further awareness is needed regarding symptoms of hyponatraemia, high-risk patients, and
hyperglycaemia-induced hyponatraemia.
Creator
Per Sindahl, Christian Overgaard-Steensen, Helle Wallach-Kildemoes, Marie Louise De Bruin, Maj-Brit Nørregaard Kjær, Kaare Kemp, Helga Gardarsdottir
Publisher
Elsevier Ltd.
Date
July 2021
Contributor
Sri Wahyuni
Rights
1755-599X
Format
PDF
Language
English
Type
Text
Coverage
International Emergency Nursing Vol. 57 July 2021
Files
Citation
Per Sindahl, Christian Overgaard-Steensen, Helle Wallach-Kildemoes, Marie Louise De Bruin, Maj-Brit Nørregaard Kjær, Kaare Kemp, Helga Gardarsdottir , “International Emergency Nursing Vol. 57 July 2021
A cross-sectional survey of knowledge pertaining to IV fluid therapy and hyponatraemia among nurses working at emergency departments in Denmark,” Repository Horizon University Indonesia, accessed November 21, 2024, https://repository.horizon.ac.id/items/show/1673.
A cross-sectional survey of knowledge pertaining to IV fluid therapy and hyponatraemia among nurses working at emergency departments in Denmark,” Repository Horizon University Indonesia, accessed November 21, 2024, https://repository.horizon.ac.id/items/show/1673.