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Nurses' Knowledge and Self-Efficacy in the Management of Vascular Access Devices Before and After Field Training
Marzia Lommi1, Maria Ymelda Tolentino Diaz1, Michela Piredda2
1Area for Training, Professional Development and Research, U.O.C. Care for the Person, Roma, Italy.
Aim:
To assess nursing staff' knowledge and self-efficacy in vascular access device management before and after a Field Training Course, aligned to the recent Standard of Infusion Therapy Guidelines.
Design:
Quasi-experimental study.
Method:
Nursing staff from a healthcare company in Rome, Italy, participated in a 25-h Field Training Course, focusing on vascular access management, promoting collaborative learning, reflection and research. Participants filled in the Nurses' knowledge and self-efficacy on vascular access devices questionnaire pre and post-course. The course's impact on knowledge and self-efficacy was assessed using ANOVA or T-test.
Results:
A total of 472 nurses completed both questionnaires. Baseline knowledge scores significantly varied by gender, work setting and previous attendance at courses on vascular accesses, reflecting a positive influence from the healthcare facility's vascular team and the culture around PICC/Midline. Male gender and hospital setting were associated with higher self-efficacy scores, often linked to prior course attendance. Knowledge scores were lowest for short peripheral catheters and ports, intermediate for general knowledge and long peripheral catheters/midline and highest for peripherally inserted central catheter. Self-efficacy was higher for short peripheral catheters and lower for long peripheral catheters/midline, PICC and Ports. After the course, both knowledge and self-efficacy significantly improved, except for short peripheral catheter self-efficacy, which was already high at baseline.
Relevance To Clinical Practice:
In the constantly evolving healthcare landscape, updated knowledge and strong self-efficacy in managing vascular access devices are crucial for nurses to deliver high-quality care. This enables professionals to navigate complexities, make informed decisions and promote a culture of safety.
Reporting Method:
SQUIRE (Standards for quality improvement reporting excellence) reporting method (EQUATOR guidelines).
Patient Or Public Contribution:
None.
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