{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,9,25]],"date-time":"2026-09-25T16:29:00Z","timestamp":1790353740222,"version":"4.1.0"},"reference-count":33,"publisher":"Wiley","license":[{"start":{"date-parts":[[2024,5,31]],"date-time":"2024-05-31T00:00:00Z","timestamp":1717113600000},"content-version":"unspecified","delay-in-days":0,"URL":"https:\/\/creativecommons.org\/licenses\/by\/4.0\/"}],"funder":[{"DOI":"10.13039\/501100018554","name":"Science and Technology Program of Gansu Province","doi-asserted-by":"publisher","award":["21CX6ZA114"],"award-info":[{"award-number":["21CX6ZA114"]}],"id":[{"id":"10.13039\/501100018554","id-type":"DOI","asserted-by":"publisher"}]},{"DOI":"10.13039\/501100018554","name":"Science and Technology Program of Gansu Province","doi-asserted-by":"publisher","award":["GSWSHL2021-010"],"award-info":[{"award-number":["GSWSHL2021-010"]}],"id":[{"id":"10.13039\/501100018554","id-type":"DOI","asserted-by":"publisher"}]},{"name":"Health Industry Research Project of Gansu Province, China","award":["21CX6ZA114"],"award-info":[{"award-number":["21CX6ZA114"]}]},{"name":"Health Industry Research Project of Gansu Province, China","award":["GSWSHL2021-010"],"award-info":[{"award-number":["GSWSHL2021-010"]}]}],"content-domain":{"domain":[],"crossmark-restriction":false},"short-container-title":["Journal of Nursing Management"],"published-print":{"date-parts":[[2024,5,31]]},"abstract":"<jats:p>Aim. The aim of this study was to understand the current status of knowledge-attitude-practice of ICU nurses in tertiary care hospitals regarding swallowing disorders after extubation of tracheally intubated patients and to analyse the influencing factors. Design. A cross-sectional study. Background. Most patients admitted to the ICU have an endotracheal tube, which may be the cause of acute and\/or chronic problems after extubation. Therefore, training of ICU nurses and early extubation are essential to prevent these problems. Methods. A convenience sample of clinical nurses (n\u2009=\u2009627) was selected from Grade A Hospitals in Northwest, North, and Central China as the study population. Survey instruments included the Questionnaire on ICU Nurses\u2019 Knowledge, Attitude, and Practice of Postextubation Swallowing Disorders in Patients with Tracheal Intubation. Data Sources. Data were sourced from structured questionnaire responses. Results. A total of 647 ICU nurses participated in this survey, with 627 valid questionnaires. The three dimensions of knowledge, attitude, practice, and the total score of the questionnaire on ICU nurses' knowledge, attitude, and practice of postextubation swallowing disorders in patients with tracheal intubation were (6.46\u00b13.09), (7.53\u00b11.69), (4.89\u00b12.00), and (18.88\u00b15.18), respectively. Multiple linear regression analysis showed that the factors affecting the total score of PED among ICU nurses were age, nationality, professional title, job satisfaction, and mode of employment. Gender, age, nationality, and job satisfaction were the factors that influenced the score of knowledge. The influencing factors of attitude score include gender, age, nationality, section, professional title, job satisfaction, and mode of employment. The influencing factors of the score of knowledge include professional title and job satisfaction. Conclusion. The current status of ICU nurses\u2019 knowledge-attitude-practice regarding postextubation dysphagia in tracheally intubated patients is generally at a moderate to low level, and the level of knowledge-attitude-practice needs to be further improved. Implications for Nursing Management. The results of the study showed that the knowledge, attitude, and practice of ICU nurses towards tracheal intubation patients\u2019 postextubation dysphagia were in the lower middle level. Therefore, it is necessary to improve the knowledge, attitude, and practice of ICU nurses towards tracheal intubation patients\u2019 postextubation dysphagia. This may include, but is not limited to, the development of tools for assessing PED, systematic and professional training, and the development of multidisciplinary collaborative models.<\/jats:p>","DOI":"10.1155\/2024\/9981458","type":"journal-article","created":{"date-parts":[[2024,6,1]],"date-time":"2024-06-01T02:35:07Z","timestamp":1717209307000},"page":"1-10","source":"Crossref","is-referenced-by-count":6,"title":["Knowledge, Attitude, and Practice (KAP) of ICU Nurses towards Tracheal Intubation Patients\u2019 Postextubation Dysphagia: A Cross-Sectional Study"],"prefix":"10.1155","volume":"2024","author":[{"given":"Shanshan","family":"Sun","sequence":"first","affiliation":[{"name":"Department of Critical Care Medicine, The First Hospital of Lanzhou University, School of Nursing, Lanzhou University, Lanzhou, Gansu 730000, China"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Lei","family":"Tao","sequence":"additional","affiliation":[{"name":"Department of Critical Care Medicine, The First Hospital of Lanzhou University, School of Nursing, Lanzhou University, Lanzhou, Gansu 730000, China"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Lin","family":"Yang","sequence":"additional","affiliation":[{"name":"Sias University, Zhengzhou, Henan 450000, China"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0000-0003-4620-4730","authenticated-orcid":true,"given":"Zhigang","family":"Zhang","sequence":"additional","affiliation":[{"name":"Department of Critical Care Medicine, The First Hospital of Lanzhou University, School of Nursing, Lanzhou University, Lanzhou, Gansu 730000, China"}],"role":[{"vocabulary":"crossref","role":"author"}]}],"member":"311","reference":[{"issue":"6","key":"1","first-page":"822","article-title":"Expert consensus on prevention of unplanned extubation care for adult transoral tracheal intubation","volume":"54","author":"Tianjin Quality Control Nursing Center","year":"2019","journal-title":"Chinese Nursing Journal"},{"key":"2","doi-asserted-by":"publisher","DOI":"10.1016\/j.bjorl.2017.08.010"},{"key":"3","doi-asserted-by":"publisher","DOI":"10.1111\/jgs.16039"},{"key":"4","doi-asserted-by":"publisher","DOI":"10.1007\/s12070-018-1275-x"},{"key":"5","doi-asserted-by":"publisher","DOI":"10.1097\/CCM.0000000000003368"},{"key":"6","doi-asserted-by":"publisher","DOI":"10.1016\/j.aucc.2020.05.008"},{"key":"7","doi-asserted-by":"publisher","DOI":"10.1097\/CCM.0000000000002765"},{"key":"8","doi-asserted-by":"publisher","DOI":"10.1016\/j.amjsurg.2013.08.010"},{"key":"9","doi-asserted-by":"publisher","DOI":"10.1016\/j.amjsurg.2011.06.030"},{"key":"10","doi-asserted-by":"publisher","DOI":"10.1186\/cc12791"},{"issue":"11","key":"11","first-page":"34","article-title":"Analysis of the current situation and risk factors of acquired swallowing disorder in ICU patients","volume":"18","author":"W. 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