Table 5 Perceptions of roles and responsibilities and confidence in performing (Pre-implementation n = 88; post-implementation n = 69)
Behaviour | Item stem | Response option group | Pre | Post | Â |
|---|---|---|---|---|---|
| Â | Â | Â | n (%) | n (%) | Test statistics |
Bowel assessment | How often should intensive care patients have their bowel function assessed? | Once, on admission | Â | 1(1) | Â |
| Â | On admission, and at least once every 8Â hours | 51(58) | 32(46) | Â | |
| Â | On day 3 of admission | 4(4) | 6(9) | Â | |
| Â | Other | 33(38) | 27(39) | Â | |
| Â | Who performs bowel assessment | Nurse | 66(75) | 46(66) | Â |
| Â | Doctor | 11(12) | Â | Â | |
| Â | ICU Team | N/A | 16(23) | Â | |
| Â | Who is responsible for bowel assessment | Nurse | 71(81) | 44(64) | Â |
| Â | Doctor | 7(8) | 4(6) | Â | |
| Â | ICU Team | N/A | 16(23) | Â | |
PR exam | Who is responsible for PR | Nurse | 69(78) | 53(77) | Â |
| Â | Doctor | 12(14) | 4(6) | Â | |
| Â | ICU Team | N/A | 7(10) | Â | |
| Â | Who decides to do a PR | Nurse | 46(52) | 37(54) | Â |
| Â | Doctor | 22(25) | 8(12) | Â | |
| Â | ICU Team | N/A | 18(26) | Â | |
| Â | Who should decide to do PR | Nurse | 50(57) | 39(56) | Â |
| Â | Doctor | 17(19) | 5(7) | Â | |
| Â | ICU Team | N/A | 19(28) | Â | |
Administration of enema | Who is responsible for administering enema | Nurse | 87(99) | 62(90) | Â |
Doctor | Â | 1(1) | Â | ||
| Â | ICU Team | N/A | 1(1) | Â | |
| Â | Who is responsible for prescribing enema | Nurse | 18(20) | 19(27) | Â |
| Â | Doctor | 53(60) | 26(38) | Â | |
| Â | ICU Team | N/A | 17(27.4) | Â | |
| Â | Who is responsible for nurse initiating enema | Nurse | 72(82) | 55(80) | Â |
| Â | Doctor | 4(5) | 2(3) | Â | |
| Â | ICU Team | N/A | 6(9) | Â | |
| Â | Who should decide enema | Nurse | 36(41) | 24(35) | Â |
| Â | Doctor | 31(35) | 13(19) | Â | |
| Â | ICU Team | N/A | 27(39) | Â | |
Confidence in performing | Mean (SD) | Mean (SD) | Â | ||
I feel confident in deciding when it is appropriate to perform a PR exam on an intensive care patient# | [n = 88] 5.58 (1.68) | [n = 69] 5.79 (1.31) | t = −0.866, df = 151.78, p = 0.388 | ||
I feel confident in choosing the correct enema or suppository to prescribe/nurse initiate dependant on the results of a PR exam# | [n = 88] 4.97 (1.78) | [n = 69] 5.59 (1.34) | t = −2.486, df = 152.0, p = 0.014 | ||