| BackgroundPICC is a clinical nursing technology which puts the catheter into the central vein by peripheral vein puncture and it is a central vein passage with more safety, easy operation, retention time extension and decreased complication occurrence probability, but it is also a technology with difficult clinical operation and some possible complication. The occurrence of complication will directly influence the retention time and safety of the PICC in the patients’ body. The nurse’s catheterization technology and the maintenance technology during the catheter function time are the main important factors that influence the catheter application safety. So the implementation of PICC technology requires that the operators should have professional and accurate cathethering technology and maintenance technology in order to make sure the smooth catheter operation and patients’ safety.ObjectivesTo know about the PICC nurses’related knowledge acquisition level and analyze its influencing factors in the second grade and higher level hospitals in Tai’an City; to know about the PICC cathertering nurses’related knowledge level change after being trained.MethodsCross-sectional study. This research made a questionnaire survey to 110 nurses of all 120 nurses engaging in PICC technology in second grade and higher level hospitals in Tai’an City from October to November,2015. The PICC Nurses’Related Knowledge Questionnaire was designed based on a lot of references related to this research and experts’ advice. This questionnaire included three parts as the attendant personnel basic information, related working situation, and related knowledge situation in order to know about the nurses’related knowledge acquisition situation and its influence factors.Intervention effect study. During December 2015 to January 2016, we carried out a multi-mode training for 82 nurses who attended the first survey and agreed to take the training intervention, made the same questionnaire survey after training and compared the PICC related knowledge acquisition situation before and after the training.All the research data were analyzed by Excel and SPSS16.0 software and processed by the application of descriptive analysis, t-test, Chi-square test,, multivariate analysis; P<0.05 was set as the statistical significance in this research.ResultsOne hundred and 4 in 110 nurses responsed the questionnaires. The related knowledge questionnaire survey of 104 PICC nurses showed that nurses with the excellent result took 8.7%; good result,65.4%; the unsatisfactory result,26.0%. The nurses’characteristics like age, professional title, working experience, professional training, monthly cathetering times, and full time had influence on the knowledge acquisition level. As the increase of age, working time, more monthly cathetering times, and receiving trained cathetering technique, the nurses had a better knowledge acquisition.PICC nurses’ employment state and certificate situation. Among all the 104 nurses, there were only 17 (16.3％) nurses for professional PICC technology operation and 24 (23.1％) nurses without PICC operation certificate, which was against patients transfusion and safety guarantee of nurse occupation.The PICC nurses’professional training had been popularized and didn’t have standard training mode. There were 89 nurses had been trained professionally but with different training organizations (hospital training,18.3％; catheter supplier training,34.6%; and nurse association training,47.1％), and this would cause the difference of the cathetering nurses’knowledge standards and regulations.PICC nurses’knowledge level had been obviously improved after training: excellence,62.5％, good,36.2％, and unsatisfaction,1.3％. There was significant difference before and after training in PICC related knowledge score (P<0.05). It was necessary to attach importance to the further training for nurses in occupation and keep PICC nursing quality continuously improved.The intervention effect of PICC nurses’related knowledge training was obviously influenced by ages (β=5.835), education (β=1.452), working period (β=-5.592), professional title (β=-5.187), cathetering experience (β=2.057), monthly cathetering times (β=-2.598).ConclusionThe related knowledge of PICC nurses in second grade and higher level hospitals in Tai’an City needs to be improved and is influenced by many factors. PICC operation mode and certificate qualification in hospitals have some shortcomings and need to be completed by medical institutions. Professional training and further education are important methods to guarantee the PICC nurses’knowledge acquisition level improvement and necessary methods to guarantee PICC technology stable development. |
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