EFFECT OF AN EDUCATIONAL PROGRAM ON NURSES' PRACTICE REGARDING MANAGEMENT OF PATIENTS UNDERGOING PERIPHERAL VASCULAR ACCESS

Document Type : Original Article

Authors

1 medical surgical nursing, faculty of nursing, port said

2 Professor of Medical Surgical Nursing Faculty of Nursing Mansoura University

3 Assistant professor of Medical Surgical Nursing Faculty of Nursing Port SaidUniversity

4 lecturer of Medical Surgical Nursing Faculty of Nursing Port SaidUniversity

Abstract

Background: The vascular catheters uses is common in both inpatient and outpatient care that play an integral role in modern health care and are of great clinical value for supporting patient's status. Nursing management of peripheral vascular lines is important. A comprehensive understanding of the procedure features an excellent value so as to scale back the complications arising from peripheral vascular lines. All staff must remember all aspect of care and therefore the principles of safe insertion, injection, dressing change & flushing procedure. Aim of the study: To evaluate the effect of an educational program on nurses' practice regarding management of patients undergoing peripheral vascular access. Research design: Quasi-experimental design was utilized to conduct the study at Al-Azhar university hospital in New Damietta city. The study nurses consisted of 50 nurses. Tools: Two tools were used for data collections: tool I Structured interview questionnaire sheet and tool II Nurses' practice Observational Checklists. The Results less than three quadrant of studied nurses (70%) had satisfactory total practice level immediately post educational program implementation compared to (12%) of studied nurses pre educational program implementation and  (22%) of subjects follow up educational program Conclusion: There was significant improvement in nurses’ practice between pre and immediately post program implementation Recommendations: Providing ongoing education and practical training for areas of low practice to make sure the standard of care provided by nurses.

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Abd El-Azeem H. (2009): Assessment of Nursing Performance for Patients With Peripheral Vascular Lines, Ain shams University accessed in 25/11/2018
Abraham. L(2018): Assessment of knowledge and practices of staff nurses regarding care of peripheral intravenous line in child care areas of selected hospital., Ludhiana ., Punjab., International Journal of Advances in Nursing Management .,6(1) accessed in  21/2/2019 6.50 p.m Available at https://ijanm.com
Andersson E. (2015): Insertion of peripheral intravenous catheters – A complex act including nursing care and patient safety, An observational study performed at a local hospital in Tanzania, (Bachelor thesis), Umea University accessed in 24/2/2019 4.58 p.m available at www.diva-portal.org
Australian commission on safety and quality in health care(2015):national standard for user-applied labeling of injectable medicines, fluids and lines, accessed in  20/30/2019 9.10 p.m available at www.safetyandquality.gov.au
Bedier N., Abo-El Ata A., &Ibrahim N.(2014):Impact of an educational program on nurses knowledge related to care of patients with chest tube, port said scientific journal, vol 1(2), accessed in 13/8/2020 7.17 A.m available on https://pssjn.journals.ekb.eg
Bernatchez S. (2014): care of peripheral venous catheter sites: advantages of transparent film dressings over tape and gauze, Association for Vascular Access journal, Vol 19 No 4 accessed in 7/3/2019 9.28 p.m available at https://www.sciencedirect.com
Cleary M.(2013): Guideline Peripheral Intravenous Catheter (PIVC), Centre for Healthcare Related Infection Surveillance and Prevention& Tuberculosis Control, version  2 accessed in 24/2/2019 5.30 p.m Available at www.health.qld.gov.au/qh
Dolan S., Felizardo G., Barnes S., Cox T., Patrick M., Ward K., and Arias K. (2010) : APIC position paper: Safe injection, infusion, and medication vial practices in health care, Association for Professionals in Infection Control and Epidemiology, American Journal of Infection Control , Vol. 38 , No. 3 , page 167 -170 , accessed in 16/3/2019 8.18 p.m Available at www.apic.org
El-seadi A., Maria A., Ahmed R., & Abd El-Hay S.(2020): Effect of Implementing a Protocol of Nursing Care on Peripheral Venous Access Complications for Patients Undergoing Chemotherapy, Tanta Scientific Nursing Journal, vol 19 (1):120-151 accessed in 29/4/2021 7.20 p.m available at https://tsnj.journals.ekb.eg
Emergency Nurses Association (2016).Clinical Practice Guideline: Difficult Intravenous Access. Accessed in 10/10/2018 Available at www. ena.org
Keogh S., Flynn J., Marsh N., Higgins N., Davies K., &Rickard C.(2015): Nursing and midwifery practice for maintenance of vascular access device patency. A cross-sectional survey, International Journal of Nursing Studies, accessed in 28/10/2018 8.45p.m Available at https://pubmed.ncbi.nlm.nih.gov
Lynn, P. (2018). Skill Checklists for Taylor’s Clinical Nursing Skills. 5th ed. Wolters Kluwer publishers.289-330 accessed in 14/5/2017 8.15 p.m
Major G. & Holmes J. (2008): How do nurses describe health care procedures? Analyzing nurse patient interaction in a hospital ward, Australian Journal of Advanced Nursing, Volume 25 Number 4, page 58-59, accessed in  31/3/2019 4.23 p.m Available at www.ajan.com
Mohammed E.,& Taha A.(2014): Critical Care Nurses’ Knowledge and Practice Regarding Administration of Total Parenteral Nutrition at Critical Care Areas in Egypt, Journal of Biology, Agriculture and Healthcare, Vol.4(13):10-22 accessed in  7/3/2019 2.47 p.m available at www.iiste.org
Negussie N. (2010)  : An analysis of factors affecting performance of nurses in public hospitals and health centers in Addis Ababa , Addis Ababa university , page 16 -133 , accessed in 25/11/2018 7.16 p.m Available at www.ncbi.nlm
Nettina, s. (2018). Lippincott Manual of Nursing Practice. 11th ed. Wolters Kluwer publishers.594-620 accessed in 23/9/2018 8.30 p.m
Nuttall G., Burckhardt J., Hadley A., Kane s., Kor D., Marienau m., Schroeder D., Handlogten K., Wilson G. & Oliver W.( 2016): Surgical and Patient Risk Factors for Severe Arterial Line Complications in Adults, the American Society of Anesthesiologists, Vol 124,(3):590-597 accessed in 16/3/2019 9.04 p.m available at http://anesthesiology.pubs.asahq
Ouda W., Mahmoud M., Kafl R., & Soliman H.(2019):Nurses knowledge and practices regarding peripheral intravenous cannulation and blood sampling in pediatric health care settings, port said scientific journal, vol 6(3)  accessed in 18/7/2020 8.56 A.m available on https://pssjn.journals.ekb.eg
Patil K., Zagade T., Shinde M., Kshirsagar V.(2020): effectiveness of structured teaching program on arterial blood gas analysis among staff nurses of critical care unit, international journal of advanced science and technology,vol.29(3s):476-480 accessed in  18/7/2020 6.19 p.m available at www.sersc.org
Perry, A., & Potter, P. (2015). Mosby’s Pocket Guide to Nursing Skills& Procedures. 8th ed. Mosby, Elsevier Inc accessed in 23/9/2018 5.30 p.m
Qamar Z., Afzal M., Kousar R., Waqas A., & Gilani S. (2017): Assess Nurses Knowledge and Practices towards Care and Maintenance of Peripheral Intravenous Cannulation in Services Hospital Lahore, Pakistan, Saudi Journal of Medical and Pharmaceutical Sciences, Vol.3 (6B): 608-614 accessed in 20/3/2019 10.20 p.m available at www.researchgate.net
Ravik, M., Havnes, A., & Bjork, I. (2017): Conditions Affecting the Performance of Peripheral Vein Cannulation during Hospital Placement: A Case Study., Nursing Research and Practice accessed in 10/10/2018 available at https://www.hindawi.com
Sabaq A., El-aasar H., & Mohammed M. (2019): Effect of Educational Program on Improving Nurses' Performance Regarding Arterial Blood Gases Sampling for Critically Ill Children, International Journal of Nursing Didactics,vol.9,No.5, 1-10, accessed in 18/7/2020 8.56.A.M available at http://innovativejournal.in/index.php/ijnd
Saber H. (2016): Assessment of nurses’ performance Regarding Management of Patients Undergoing Peripheral Vascular Access, Port -Said University accessed in 25/11/2018
Said N., Yassien S., & Ameen D. (2020): Factors Affecting Nurses' Performance toward Central Line Associated Blood Stream Infection in Critical Care Units, Egyptian Journal of Health Care, vol.11, No.1, 234-247 accessed in  18/7/2020 8.56 p.m available at https://ejhc.journals.ekb.eg
Shah M. (2017): Impact of interpersonal conflict in health care setting on patient care; the role of nursing leadership style on resolving the conflict, Vol 2 (2), Nursing & Care, page 44-45 accessed in16/8/2020 8.49 p.m available at http://medcraveonline.com
Urus A., Pongtiku A., Rantetampang A., & Mallongi A.(2019): The Factors Affecting Performance of Nurses at Sorong District Hospital, Galore International Journal of Health Sciences and Research, Vol.4, Issue 1 available at www.gijhsr.com accessed in 16/8/2020 8.35p.m
Winfield C., Davis S., Schwaner S., Conaway M., & Burns S.(2010) : Best Practices For IV Dressings , American Nurse Today journal , American Nurses Association, page 2-6, accessed in  15/8/2020 9.33 p.m Available at www.centurionmp.com