Educating intensive care unit nurses to use central venous catheter infection prevention guidelines: effectiveness of an educational course

Aloush, Sami

doi:10.1177/1744987118762992

Cited by 14 publications

(20 citation statements)

References 28 publications

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“…Unsurprisingly, the age of the nurses was positively associated with their years of work experience and seniority in their healthcare organisation. Generally, older nurses (both in age and in years of experience) had better knowledge of both CVAD and PIV care and maintenance than their younger peers (Abu Sharour, 2018; Aloush, 2018; Bijayalaxmi et al, 2010; Cicolini et al., 2013; Dedunska & Dyk, 2015; Paolucci, Nutter, & Albert, 2011). However, it was not clear from these studies where these older nurses had obtained their knowledge (e.g.…”

Section: Discussionmentioning

confidence: 98%

“…Our scoping review revealed an inconsistent relationship between years in nursing practice (seniority) and VAD management knowledge. Although some studies found no relationship between years in nursing practice and VAD management knowledge (Banks, et al, 2010; Mason, Ferrall, Boyington, & Reich, 2014; Raynak et al., 2018),one found a trend towards higher knowledge scores based on employment seniority (Paolucci, Nutter, & Albert, 2011), and three studies found that experienced nurses performed significantly better than less experienced nurses (Abu Sharour, 2018; Aloush, 2018; Dedunska & Dyk, 2015). However, one study reported that older nurses performed more poorly on the knowledge tests than younger nurses (Esposito, Guillari, & Angelillo, 2017).…”

Section: Cvads—themes In the Literaturementioning

confidence: 99%

“…In relation to academic background or advanced certification, three studies reported no relationship with VAD management knowledge (Al Quadire, 2017; Mason et al., 2014; Raynak et al., 2018), whereas others found some significant relationship between VAD management knowledge and nurses holding either a Bachelor or Masters degree in nursing (Abu Sharour, 2018; Aloush, 2018; Barbosa et al., 2017; Kapucu et al., 2016) or holding an advanced certification (Abu Sharour, 2018; Dedunska & Dyk, 2015).…”

Section: Cvads—themes In the Literaturementioning

confidence: 99%

“…(2016), in which education received more than 2 years ago still positively influenced VAD knowledge. Aloush (2018) noted in their study that the vast majority (75%) of nurses participating had not received any formal education about catheter‐related infection prevention in their workplace.…”

Section: Cvads—themes In the Literaturementioning

confidence: 99%

“…This scoping review revealed that ten studies used a single knowledge score to describe the state of nurses knowledge (Al Qadire, 2017; Alkubati et al., 2015; Barbosa et al., 2017; Dedunska & Dyk, 2015; Kelly, Green, & Hainey, 2015; Kurian & John, 2016; Letournel, 2018; Ozden & Caliskan, 2012; Paolucci, Nutter, & Albert, 2011; Raynak et al., 2018). Ten additional studies reported the effect of an educational intervention, using a pretest and post‐test design (Aloush, 2018; Aniyan & Shaiju, 2013; Banks,et al, 2010; Humphrey, 2015; Mutlu & Senturan, 2017; Ngo & Murphy, 2005; Page, Tremblay, Nicholas, & James, 2016; Roslien & Alcock, 2009; Yilmaz, Caylan, Aydin, Topbas, & Koksal, 2007; Xavier, 2013). Two authors tested nurses’ knowledge using a pre‐established minimum satisfactory score.…”

Section: Cvads—themes In the Literaturementioning

confidence: 99%

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Nurses' knowledge on routine care and maintenance of adult vascular access devices: A scoping review

Raynak

Marchionni

Lok

et al. 2020

Journal of Clinical Nursing

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Background: Vascular access devices (VAD), centrally (CVAD) or peripherally (PIV) located, are common in the nursing profession. A high proportion of admitted patients require a VAD to enable administration of intravenous treatments or diagnostic modalities. As the primary caregivers for these patients, nurses are responsible for ongoing care and maintenance of these devices. Objective: This scoping review examines the current state of practicing nurses knowledge around routine care and maintenance of adult VADs. Methods: In the fall of 2018, the following databases were searched: Medline-Ovid 1946 to current, Embase-Ovid 1947 to current, Ebsco CINAHL Plus with full text and ProQuest Nursing & Allied Health database, and articles were selected according to the PRISMA-ScR checklist. Inclusion criteria: original research published in peerreviewed journals; in English or French; and focused on practising nurses' knowledge about the routine care and maintenance of adult VADs. Results: Of the 4,099 abstracts identified, 36 full-text articles were included. Study characteristics are reportedin addition to themes found in the literature: the relationship between demographic data and CVAD/PIV knowledge, the state of nurses' CVAD/PIV knowledge and nurses' CVAD/PIV knowledge scores. Overall, significant gaps in nurses' knowledge on the care and maintenance of VADs are noted. Conclusion: The variability in nurses' knowledge around both CVAD and PIV led the authors to conclude that there is room for improvement in the educational preparation of nurses and a need for workplace training. Relevance to Clinical Practice: This scoping review intends to highlight the knowledge gap of nurses with regard to best practices for VAD routine care and maintenance and demonstrate the need for education, both in educational and healthcare institutions, to ensure high-quality care and improved patient outcomes.

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Section: Discussionmentioning

confidence: 98%

Section: Cvads—themes In the Literaturementioning

confidence: 99%

Section: Cvads—themes In the Literaturementioning

confidence: 99%

Section: Cvads—themes In the Literaturementioning

confidence: 99%

Section: Cvads—themes In the Literaturementioning

confidence: 99%

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Nurses' knowledge on routine care and maintenance of adult vascular access devices: A scoping review

Raynak

Marchionni

Lok

et al. 2020

Journal of Clinical Nursing

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Nurses' evidence‐based knowledge and self‐efficacy in venous access device insertion and management: Development and validation of a questionnaire

Piredda,

Sguanci,

De Maria

et al. 2024

Nursing Open

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AimTo develop and psychometrically test an instrument to assess nurses' evidence‐based knowledge and self‐efficacy regarding insertion and management of venous access devices (short peripheral catheter (SPC), long peripheral catheter/midline (LPC) and PICC) and the management of totally implantable central venous catheter (Port) in adult patients.DesignMulticenter cross‐sectional observational study with questionnaire development and psychometric testing (validity and reliability).MethodsAn evidence‐based instrument was developed including a 34‐item knowledge section and an 81‐item self‐efficacy section including four device‐specific parts. Nineteen experts evaluated content validity. A pilot study was conducted with 86 nurses. Difficulty and discrimination indices were calculated for knowledge items. Confirmatory factor analyses tested the dimensionality of the self‐efficacy section according to the development model. Construct validity was tested through known group validity. Reliability was evaluated through Cronbach's alpha coefficient for unidimensional scales and omega coefficients for multidimensional scales.ResultsContent validity indices and results from the pilot study were excellent with all the item‐content validity indices >0.78 and scale‐content validity index ranging from 0.96 to 0.99. The survey was completed by 425 nurses. Difficulty and discrimination indices for knowledge items were acceptable with most items (58.8%) showing desirable difficulty and most items (58.8%) with excellent (35.3%) or good (23.5%) discrimination power, and appropriate to the content. The dimensionality of the model posited for self‐efficacy was confirmed with adequate fit indices (e.g., comparative fit index range 0.984–0.996, root mean square error of approximation range 0.054–0.073). Construct validity was determined and reliability was excellent with alpha values ranging from 0.843 to 0.946 and omega coefficients ranging from 0.833 to 0.933. Therefore, a valid and reliable tool based on updated guidelines is made available to evaluate nurses’ competencies for venous access insertion and management.

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Right Patient Selection

Curtis,

Gavin,

Duggan

2024

Vessel Health and Preservation: The Right Approach for Vascular Access

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Educating intensive care unit nurses to use central venous catheter infection prevention guidelines: effectiveness of an educational course

Cited by 14 publications

References 28 publications

Nurses' knowledge on routine care and maintenance of adult vascular access devices: A scoping review

Nurses' knowledge on routine care and maintenance of adult vascular access devices: A scoping review

Nurses' evidence‐based knowledge and self‐efficacy in venous access device insertion and management: Development and validation of a questionnaire

Right Patient Selection

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