护士在静脉接入装置插入和管理方面的基于证据的知识和自我有效性:开发和验证一个问卷
Michela Piredda1,2, Marco Sguanci1, Maddalena De Maria3
1Department of Medicine and Surgery, Research Unit Nursing Science, Campus Bio-Medico di Roma University, Rome, Italy.
Nursing open
|July 5, 2024
概括
一个新的,经过验证的工具评估了护士在管理各种静脉接入装置方面的基于证据的知识和自我有效性,包括短外围导管 (SPC),长外围导管/中线 (LPC),PICC和端口.
科学领域:
- 护理实践 护理实践
- 医疗器械管理 医疗器械管理
- 医疗保健教育 医疗保健教育
背景情况:
- 对静脉接入装置 (VAD) 的有效管理对于患者的安全和治疗结果至关重要.
- 护士需要专门的知识和自我效能来插入和管理各种VAD,包括短外围导管 (SPC),长外围导管/中线 (LPC),外围插入的中央导管 (PICC) 和完全植入的中央静脉导管 (Port).
- 现有的评估工具可能无法全面覆盖所有VAD类型的基于证据的实践.
研究的目的:
- 开发和心理测试一个工具来评估护士的基于证据的知识和自我有效性在管理VADs.
- 该工具旨在涵盖成人患者的SPC,LPC,PICC和Port.
主要方法:
- 进行了一项多中心,横截面的观察性研究.
- 开发了一个基于证据的工具,包含知识 (34项) 和自我有效性 (81项) 部分,并经过了专家内容有效性评估.
- 心理测试包括试点研究 (n=86),项目分析 (难度,歧视),自我有效性的确认因素分析,构造有效性测试和可靠性分析 (克朗巴赫的alpha,omega系数),最终样本为425名护士.
主要成果:
- 该仪表表现出了良好的内容有效性 (尺度内容有效性指数为0.96-0.99).
- 知识项显示了可接受的难度和歧视.
- 确认因素分析支持自我有效性模型的维度,并建立了构造有效性. 可靠性非常好 (阿尔法0.843-0.946,欧米茄0.833-0.933).这是一个非常好的结果.
结论:
- 现在可以使用一个有效和可靠的工具来评估护士的静脉接入装置能力.
- 该工具基于更新的指导方针,可以评估护士的知识和自我有效性,用于VAD插入和管理.
- 这种在心理测量上健全的仪器的可用性支持针对性的教育和改善与VAD相关的患者护理.
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