关键词: Vascular access devices education imaging phantoms quality improvement simulation training ultrasonography

来  源:   DOI:10.1177/11297298241254633

Abstract:
UNASSIGNED: Ultrasound guidance can reduce the number of attempts to gain peripheral IV access while improving the success rate and satisfaction in patients with difficult IV access. Education and simulation are effective tools for improving the skills and knowledge related to ultrasound-guided peripheral IV access. Ultrasound phantom models allow for skill development without the risk of patient harm.
UNASSIGNED: Twenty-nine registered nurses and nurse practitioners were recruited for education and simulation regarding ultrasound-guided peripheral IV (USGPIV) placement. Participants completed a survey evaluating the efficacy of the phantom models in addition to pre- and post-intervention confidence, perceived competence, knowledge surveys, and a Directly Observed Procedural Skills Evaluation (DOPSE). The intervention included an educational PowerPoint and open practice session using the phantom models.
UNASSIGNED: Statistically significant improvements were found in participants\' confidence (p < 0.001; 95% CI: 5.287, 9.499; d = 1.31), perceived competence (p < 0.001; 95% CI: 1.231, 2.742; d = 1.20), knowledge (p < 0.001; 95% CI: 1.079, 2.163; d = 1.47), and skills (p < 0.001; 95% CI: 2.499; 5.501; d = 1.29). Participants improved in maintaining needle visualization (p < 0.001; 95% CI: 0.272, 0.9; d = 0.79) and decreasing their cannulation attempts (0.045; 95% CI: 0.013, 1.022; d = 0.48). Participants with no and novice experience saw statistically significant improvement across all categories (p < 0.02) compared to those with intermediate, advanced, or expert experience with ultrasound. 96.5% of participants could perform ultrasound-guided peripheral IV cannulation independently or with indirect supervision following the intervention.
UNASSIGNED: At $36.52 per model, the self-assembled ultrasound phantom models provided a cost-effective and sustainable solution to teaching ultrasound-guided peripheral IV cannulations. Education and simulation for ultrasound-guided peripheral vascular access may benefit individuals with no or novice ultrasound experience.
摘要:
超声引导可以减少尝试获得外周IV入路的次数,同时提高IV入路困难患者的成功率和满意度。教育和模拟是提高与超声引导的外周IV接入相关的技能和知识的有效工具。超声体模模型允许在没有患者伤害风险的情况下进行技能发展。
招募了29名注册护士和执业护士,对超声引导的外周静脉(USGPIV)放置进行教育和模拟。参与者完成了一项调查,评估除了干预前和干预后的信心之外,幻影模型的功效。感知能力,知识调查,和直接观察的程序技能评估(DOPSE)。干预包括使用幻影模型的教育性PowerPoint和开放式实践课程。
在统计学上显着改善了参与者的信心(p<0.001;95%CI:5.287,9.499;d=1.31),感知能力(p<0.001;95%CI:1.231,2.742;d=1.20),知识(p<0.001;95%CI:1.079,2.163;d=1.47),和技能(p<0.001;95%CI:2.499;5.501;d=1.29)。参与者在维持针头可视化方面有所改善(p<0.001;95%CI:0.272,0.9;d=0.79),并减少了插管尝试(0.045;95%CI:0.013,1.022;d=0.48)。没有经验和新手经验的参与者在所有类别中都看到了统计学上的显着改善(p<0.02)。先进,或超声波专家经验。96.5%的参与者可以在干预后独立或间接监督下进行超声引导的外周静脉插管。
每个型号36.52美元,自组装超声体模模型为超声引导的外周静脉插管教学提供了一种经济有效且可持续的解决方案.超声引导的外周血管通路的教育和模拟可能会使没有超声经验或新手超声经验的个体受益。
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