Simulation training to improve aseptic non-touch technique and success during intravenous cannulation—effect on hospital-acquired blood stream infection and knowledge retention after 6 months: The snowball effect theory
| Autor: | Sofia Stevens, Deepa Rajesh, Suman Rao Pn, Bonita Viona Pinto, Bharathi Balachander |
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| Rok vydání: | 2020 |
| Předmět: |
Adult
Male medicine.medical_specialty Time Factors Neonatal intensive care unit Bacteremia Manikins Risk Assessment Simulation training Young Adult 03 medical and health sciences 0302 clinical medicine Risk Factors 030225 pediatrics Catheterization Peripheral medicine Humans 030212 general & internal medicine Simulation Training Asepsis Quality Indicators Health Care Cross Infection Intravenous cannulation business.industry Retention Psychology Quality Improvement Knowledge retention Checklist Treatment Outcome Nephrology Catheter-Related Infections Emergency medicine Educational Status Female Surgery Clinical Competence Aseptic processing business Blood stream |
| Zdroj: | The Journal of Vascular Access. 22:353-358 |
| ISSN: | 1724-6032 1129-7298 |
| DOI: | 10.1177/1129729820938202 |
| Popis: | Background: Intravenous cannulation is a common procedure and a valuable skill in the neonatal intensive care unit. Standardized procedure and personnel training are needed in the unit to prevent hospital-acquired blood stream infections. Hence, we evaluated the effect of training using a low-fidelity simulation on the improvement of the aseptic non-touch technique during intravenous cannulation and knowledge retention after 6 months. Methods: The study was conducted in a tertiary care neonatal unit from June 2017 to July 2018. All the staff nurses and junior resident doctors posted in the neonatal intensive care were included in the study. A protocol and checklist score sheet was developed. The score sheet consisted of 23 items with a total score of 46. Participants were expected to obtain a minimum of 80%. A pre-test was conducted initially, followed by a formal training and then a post-test. The NITA newborn venous access mannequin was used to facilitate the training. A re-training for new nurses was conducted after 6 months. Data were analyzed using paired t-test. Results: A total of 29 doctors and nurses were enrolled in the training. The mean pre-test score was 29.93 compared to 42.66 in the post-test scores (mean difference 12.24(95% confidence interval: 9.39–16.05), p Conclusion: Simulation-based training of health care personnel is a good modality to improve aseptic non-touch technique during intravenous cannulation in the neonatal intensive care unit. Simulation-based training also helps in knowledge retention and standardization of training procedures. |
| Databáze: | OpenAIRE |
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