Focused simulation training: emergency department nurses' confidence and comfort level in performing ultrasound-guided vascular access
| Autor: | Charles Schmier, Srikar Adhikari, Jared T. Marx |
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| Rok vydání: | 2015 |
| Předmět: |
Models
Anatomic medicine.medical_specialty Nursing staff Inservice Training Cross-sectional study Attitude of Health Personnel Vascular access Nursing Staff Hospital Simulation training Catheterization Upper Extremity Education Nursing Continuing Surveys and Questionnaires Task Performance and Analysis Medicine Humans Ultrasonography Interventional Academic Medical Centers business.industry Phantoms Imaging Models Cardiovascular Emergency department medicine.disease Ultrasound guided Cross-Sectional Studies Nephrology Motor Skills Workforce Physical therapy Surgery Medical emergency Clinical Competence Clinical competence business Emergency Service Hospital |
| Zdroj: | The journal of vascular access. 16(6) |
| ISSN: | 1724-6032 |
| Popis: | Study objectives The objective of this study is to assess Emergency Department (ED) nurses’ confidence, comfort level, and competency in performing ultrasound-guided vascular access after a focused ultrasound simulation training session. Methods A cross-sectional study at an academic medical center. A simulation-based ultrasound training module was used to train ED nurses in ultrasound-guided intravenous (IV) access. The training module consisted of didactics followed by hands-on practice on human models and Blue Phantom ultrasound training block model. All subjects completed a questionnaire after completing the training module. Results A total of 40 nurses were enrolled. All subjects successfully demonstrated competency during the training session by identifying upper extremity sonographic vascular anatomy on a human model and performing real-time ultrasound-guided IV access on Blue Phantom ultrasound training block model. On a scale of 1-10, the average confidence level in performing the ultrasound-guided vascular access was 6.9 [95% confidence interval (95% CI) 6.3-7.46], with 98% (95% CI, 92-102%) reporting no difficulty in recognizing upper limb vascular anatomy on ultrasound. Ninety-two percent (95% CI, 84-100%) agreed that focused training in ultrasound-guided IV access was adequate to learn the procedure. Conclusions After a focused simulation training session, ED nurses had a high level of comfort using ultrasound for vascular access. Despite having a moderate degree of confidence, ED nurses were accurate in identifying vascular anatomy and performing ultrasound-guided vascular access. |
| Databáze: | OpenAIRE |
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