Peripheral Intravenous Catheter Insertion Competence and Confidence in Medical/Surgical Nurses.

Autor:	Jacobs L; School of Nursing, Bowling Green State University, Bowling Green, Ohio.; Lisa Jacobs, DNP, MSN, RN, NEA-BC, CNE® , is an assistant professor of nursing in the BSN program at Bowling Green State University. Lisa has more than 2 decades of nursing experience in medicine/surgery, infusion therapy, critical care, case management, accreditation, and nursing education. She earned her BSN and MSN from the University of Detroit Mercy (Detroit, MI) and her DNP from Mount St. Joseph University (Delhi, OH). She is certified as a nurse executive advanced and is a certified nurse educator. During the time of this study, she was employed as an evidence-based practice specialist and nursing resident educator for a large health system in the midwestern United States. She is one of the first 50 nurses to become an evidence-based practice certificate holder from the Ohio State University Fuld Institute (Columbus, OH). She continues to support evidence-based practice by serving as a portfolio reviewer.
Jazyk:	angličtina
Zdroj:	Journal of infusion nursing : the official publication of the Infusion Nurses Society [J Infus Nurs] 2022 Nov-Dec 01; Vol. 45 (6), pp. 306-319.
DOI:	10.1097/NAN.0000000000000487
Abstrakt:	The objective of this study was to implement an evidence-based practice project to improve peripheral intravenous catheter (PIVC) insertion confidence and competence and to improve first-attempt success. The researcher used a blended online learning module and live simulation to increase PIVC insertion confidence and competence. Internal application of a blended curriculum model improved the first-attempt PIVC insertion success of nurses. A validated confidence assessment was completed by participants (n = 38) preintervention, immediately postintervention, and 30 days postintervention. A Mann-Whitney U test determined that nurses' confidence was significantly higher immediately following the intervention compared with preintervention (P = .003), and the increase was sustained 30 days after the intervention (P < .001). While placing a PIVC in simulation, the observer measured competence using a validated tool verifying 28 steps required, with a 76% success rate for all 28 steps. Nurses' self-reported first-attempt PIVC success increased significantly from the preintervention survey to the 30-day postintervention survey (P = .00004). Competing Interests: Disclosures: The author of this article has no conflicts of interest to disclose. (Copyright © 2022 Infusion Nurses Society.)
Databáze:	MEDLINE
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