| ObjectivesTo compile a questionnaire on the status of knowledge,belief and practice of clinical nurses’ maintenance of TIVAP,and conduct reliability and validity t est of the questionnaire,provide survey tools for clinical nurses’ maintenance o f TIVAP of knowledge,belief and behavior.And describe the current status of TIVAP maintenance knowledge,attitude and practice among nurses,and to an alyze its influencing factors,provide a reference for the maintenance,managem ent and training of intravenous infusion ports.Methods1.Based on the theory of knowledge,letter and behavior,review the maint enance of intravenous infusion port and related research progress,technical gui delines and standards for intravenous infusion,and preliminary draft questionnai re entries for clinical nurses on the maintenance of intravenous infusion port,a nd modify the entries through the expert Delphi method to form a preliminary questionnaire.2.Through convenient sampling,450 clinical nurses in Shandong Province were selected for pre-test questionnaire survey.All data were analyzed by SPS S22.0,items were selected by decision value method,and Cronbach’s alpha coe fficient and content validity test were used to form the final questionnaire.3.Investigation on the status of knowledge and practice of clinical nurses’TIVAP maintenance,using the general survey form and the "Clinical Nurses’TIVAP Maintenance Knowledge,Attitude and Practice Questionnaire" to conduc t a network survey,and 1089 clinical nurses were selected from various hospit als in Shandong province through convenience sampling method Research subje cts conduct investigations.All data are analyzed by SPSS22.0,statistical metho ds include descriptive statistical analysis,rank sum test,Pearson correlation ana lysis and multiple linear regression analysis.Results1.Results of Delphi expert inquiry:in the two rounds of inquiry,the ent husiasm of experts was 82.8%and 93.1%respectively;the rate of putting forw ard opinions was 58.6%and 37.0%respectively,and the expert authority coeffi cient was 0.92.The coordination coefficient of two rounds of expert opinions was 0.147(P<0.001)and 0.168(P<0.001),and the variation coefficient was 0.00-0.24 and 0.00-0.23 respectively.2.Reliability and validity test results:the reliability analysis is expressed by internal consistency,the overall Cronbach’s alpha of the questionnaire is 0.959,and the Cronbach’s alpha of knowledge,belief and behavior are 0.787,0.987 and 0.965,respectively,indicating that the questionnaire has good internal c onsistency.The validity analysis was expressed by content validity.The item le vel content level validity(I-CVI)of the two rounds of the questionnaire was 0.62-1.00 and 0.85-1.00 respectively.The overall consistency content validity(S-CVI/UA)of the two rounds of the questionnaire was 0.96 and 0.95,and the mean content validity(S-CVI/Ave)of the questionnaire was 0.97.3.Through two rounds of expert consultation and pre-test reliability and validity test,the final version of the questionnaire on the status quo of knowle dge,attitude and practice of clinical nurses in the maintenance of intravenous i nfusion port was formed,with a total of 64 items,including 28 items in the k nowledge dimension,18 items in the belief dimension,and 18 items in the be havior dimension.4.1179 questionnaires were distributed and 1089 valid questionnaires were collected.Among 1089 clinical nurses,98.2%were female,54.3%were nurse s aged 26-20,86.8%were nurses with bachelor’s degree,61.3%had participate d in the training of infusion port related knowledge,and only 25.4%were nur ses specialized in intravenous therapy5.The overall score of clinical nurses infusion port maintenance in Shand ong Province is(174.37±24.26)points,and the scores of each dimension of kn owledge,belief,and practice are(16.42±4.66)points,(82.43±12.56)points,and(75.53±14.19)points.Minute.Pearson correlation analysis showed that clinical nurses maintained knowledge and belief(r=0.264,P<0.001),knowledge and pr actice(r=0.209,P<0.001),belief and practice(r=0.434,P<0.001).There is a positive correlation.6.Univariate analysis shows that there are statistically significant differenc es in TIVAP maintenance knowledge scores of different gender,age,work depa rtment,final education,professional title,whether they are specialist nurses in i nfusion therapy,and whether clinical nurses who have received training in TIV AP maintenance related knowledge(P<0.01);There are statistically significant differences in the belief scores of TIVAP maintenance among clinical nurses wi th different ages,working years,job titles,whether they are specialist nurses in infusion therapy,and whether they have received training in related knowledge of TIVAP maintenance(P<0.01);There were statistically significant difference s in the TIVAP maintenance practice scores of different working departments,a ges,and titles of infusion therapy nurses and clinical nurses who received rele vant knowledge training of TIVAP maintenance(P<0.01).7.The results of multiple linear regression analysis showed that the main influencing factors of clinical nurses’ TIVAP maintenance knowledge score were working years,department,gender,age,educational background,professional ti tle,hospital level and whether they had received TIVAP maintenance training,whether Is an infusion therapy nurse(P<0.05);the main influencing factor of belief score is gender,whether he is an infusion therapy nurse,and whether he has participated in TIVAP maintenance training(P<0.05);the main influencing factor of practice score is department,whether to participate in the maintenan ce training of TIVAP(P<0.05).Conclusions1.The "Questionnaire on Current Status of Knowledge,Attitude,and Pract ice of Maintenance of Clinical Nurses’ TIVAP" has good reliability and validity and can be used as an evaluation tool to understand the level of clinical nurs es’ maintenance of TIVAP.2.Compared with the maintenance belief score of the infusion port,the k nowledge score is low and the practice score is relatively low.Therefore,relev ant measures should be formulated to improve the knowledge and practice leve 1 of clinical nurses on the maintenance of the TIVAP.3.Strengthen the training of nurses with low seniority,young,low profess ional title,college degree,non-venous treatment specialist nurses,and nurses w ho have not participated in TIVAP maintenance related training,combined with diversified training methods,stimulate clinical nurses to take the initiative to le arn and improve training Quality and effect. |
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