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Objective:To provide basis for carrying out standardized training courses of intravenous therapy nursing technology for community nurses and improving the level of intravenous therapy for community nurses.Methods:This was a quasi experimental study. From May to July 2020, 260 nurses from 20 community health service institutions in Dalian were investigated with the convenient sampling method and self-designed evaluation scale for venous treatment nursing skills of community nurses and were given standardized training. The changes of venous treatment nursing skills of community nurses before and after training were compared.Results:The scores of theoretical knowledge, skill operation, complication nursing and health education of the intravenous therapy nursing skill evaluation scale for community nurses after training were (15.32 ± 1.67), (18.26 ± 2.46), (19.32 ± 1.57) and (16.33 ± 1.02) points, which were higher than (10.23 ± 2.43), (12.35 ± 3.42), (14.36 ± 2.48) and (12.31 ± 1.47) points before training. The difference was statistically significant ( t values were 1.32-2.46, all P<0.05). After the training, the total score of the evaluation scale of community nurses' intravenous treatment nursing skills was (77.41 ± 1.21)points, which was higher than that before the training (55.38 ± 1.35) points, with a statistically significant difference ( t=2.38, P<0.05). Conclusions:Higher medical institutions should construct venous treatment training group, strengthen the training of community nurses on intravenous therapy, improve the quality of community intravenous therapy services, and promote the better functioning of community health service institutions.
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Objective:To develop Nursing Skill Rating Scale of Intravenous Therapy for Community Nurses and to test its reliability and validity.Methods:Refer to the 2019 Infusion Nursing Society Infusion Therapy Standards of Practice, Nursing Technical Operation Specification of Intravenous Therapy, through literature review, expert group meeting and pre-survey, the Nursing Skill Rating Scale of Intravenous Therapy for Community Nurses was formed, and 260 community nurses of 20 communities in Dalian were investigated by convenience sampling method from May to June 2020 to test the reliability and validity. Results:The Nursing Skill Rating Scale of Intravenous Therapy for Community Nurses included five dimensions (theoretical knowledge, skill operation, management ability, complication treatment, health education) with 18 items, cumulative variance contribution rate was 50.510%. The scale-content validity index was 0.92. The item-level content validity index were from 0.76 to 1.00. The total Cronbach α coefficient of questionnaire was 0.857. The test-retest reliability was 0.948. Conclusions:The Nursing Skill Rating Scale of Intravenous Therapy for Community Nurses has good reliability, validity and strong applicability. It could be applied for the nursing skill level of intravenous therapy for community nurses.
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Objective:To enhance the comprehensive learning and clinical practice capabilities of intravenous therapy specialized nurses based on the "Internet+" and standardized patient (SP) multidisciplinary linkage teaching.Methods:In this study, 54 nurses who took training of the intravenous therapy specialists in Chaoyang Hospital affiliated to Capital Medical University from July 2019 to December 2019 were selected as research subjects and randomly divided into a control group and a study group, with 27 ones in each group. The control group used traditional training of intravenous therapy specialized nurse, and the research group used the multidisciplinary linkage model of "Internet+" and SP. After the training, the nurses were assessed for theoretical and practical operation and satisfaction surveys, and the incidence of venous catheterization complications during the training of the two groups of nurses was counted. SPSS 22.0 was used for t test and chi-square test. Results:There was no statistically significant difference between the two groups of nurses in the theoretical assessment of basic knowledge and professional knowledge ( P>0.05). The total score of case analysis and theoretical assessment of the study group was higher than that of the control group, and the difference was statistically significant ( P<0.001). The nurses of the study group scored higher than the control group did in such 8 aspects, namely, central venous catheter (CVC) maintenance, peripherally inserted central catheter (PICC) placement, PICC maintenance, infusion port maintenance, peripheral venous catheters, aseptic technique, prevention and treatment of catheterization complications, and health education, with statistically significant differences ( P<0.05). There were statistically significant differences in the average score of nurse satisfaction between the two groups [(85.4±3.7) vs. (95.7±2.6)], and in the incidence of complications between the two groups ( χ2=4.618, P=0.032). Conclusion:"Internet+" and SP multidisciplinary linkage teaching helps to enhance the comprehensive learning and clinical practice ability of intravenous therapy specialized nurses, reduce the incidence of complications, enable patients to receive high-quality intravenous infusion therapy and care, and ensure the safety of patients.
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Objective To explore the effect of improving the process of intravenous therapy using six Sigma methodology among hospitalized patients. Methods Select patients of a certain ward in our hospital as the objects. Used the steps of standard six Sigma methodology as define, measure, analyze, improve, and control. Analyze the relevant causes and formulate improvement measures after identifying and defining the adverse events. Quality control team ensured the implementation of the improvement measures, and finally compared the incidences of adverse events before and after the implementation of the measures. Results Before implementation of the improvement measures, intravenous therapy was performed within 1056 persons in a month. There were 132 adverse events, and the percentage was 12.5％. After the implementation of improvement measures, 1102 patients were performed intravenous therapy. There were 81 adverse events, and the percentage was 7.4％. The incidence of adverse events was significantly reduced (χ2=16.08, P<0.01). Conclusion The application of six Sigma management method can effectively improve the effect of intravenous treatment of inpatients with reducing the incidence of adverse events.
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Objective To improve the function of outpatient intravenous admixture services , provide patients better medical services.Methods According to the characteristic of outpatient , the rationality of the operation of outpatient intravenous admixture services was analyzed , combining with the actual situation of our hospital .Results Outpatient intravenous admixture services effi-ciently promoted safe and rational medication , but it had some deficiencies .Conclusion Outpatient intravenous admixture services played a significant role in improving quality of health care .It should be essential to improve and develop the advantages .
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The purpose of this study were to identify nurse's recognition and performance and to represent the factors of hindrance in the IV therapy management. The subjects were 420 nurses who worked at five general hospitals in Pusan. The data were collected using a questionnaire and the period of data collection was from January 1 to January 31, 1998. The instrument for this study was made by author oneself on the basis of guidelines Simmons et al., CDC' Stanley' and Kurdi' guideline, Clinical Nurses's Association' that consist of 68 items for 5 fields ; pre-injection, just before-injection, needle-injection, during injection, post-injection field. Cronbach Alpha coefficient of recognition and performance in the IV therapy management was .93 and .87. The data were analyzed by a SPSS program using frequency, percent, paired t-test, t-test and oneway ANOVA. The results obtained were as follows : 1. The mean score of recognition in IV therapy management was significantly higher than that of performance(t=5.86, P<.001). 2. The items of lower than mean score of each fields in performance were the identification of drugs, hands washing, patient methods of the injection site and the rubber stopper in bottle, the use of disposable gloves, mask and eye goggles at the chemotherapy preparation, use of tape and armboard, changing the IV tubing, labeling the dressing over the injection site, observation and recordings of patient's condition after medication and confirmation of the needle length at the needle removal. 3. The factors of hindrance on IV therapy were "having no time", "insufficiency of goods", "unknowing of methods", "no disadvantage", and "factors of doctor's doing". the most important factor was "have no time", especially item of hands showed high frequency in the following items ; "insufficiency of goods" in the use of disposable gloves, mask and eye goggles at the chemotherapy preparation, "unknowing of methods" in the certification of drugs compatibility, "no disadvantage" in the labeling the dressing over the injection site, and "factors of doctor's doing" in the changing the subclavian catheter dressing and checking the glucose level during the TPN infusion. In conclusion, there is necessity of educational program which can improve the nurse's knowledge of drugs, disinfection methods, comfort of patient and recordings in IV therapy management and financial aids such as setting up the sink, giving of paper for reducing the factors of hindrance for IV therapy management.