<p>Nurses’ Attitudes and Knowledge of Peripherally Inserted Central Catheter Maintenance in Primary Hospitals in China: A Cross-Sectional Survey</p>

Abstract

Background and Aim: The promotion of peripherally inserted central catheter (PICC) maintenance in primary hospitals can benefit discharged patients with PICCs living in remote areas a lot. Yet, no primary hospitals had introduced PICC maintenance technology in Hunan province, China. The present study aimed to evaluate nurses' attitudes and knowledge of PICC maintenance in primary hospitals in Hunan province, China. Materials and Methods: From November 2018 to January 2019, a total of 560 nurses from 28 community hospitals and 28 township hospitals in 14 cities across Hunan were recruited in the present study. All nurses were registered nurses engaged in clinical work related to intravenous infusion, and their attitudes and knowledge of PICC maintenance were measured by a self-designed questionnaire that was based on literature review and expert consultation. Results: The response rate was 93.6% (560 of 598). Almost all participants could realize the importance and necessity of PICC maintenance. More than 90% of the participants expressed interest in PICC maintenance and showed strong demands for relevant training. However, the nurses' correct response rate of most knowledge items was at a low level (7.14-57.68%), with only three items exhibiting the correct response rate of 90% or higher. The factors influencing the nurses' PICC maintenance knowledge included their nursing experience, professional title, work setting, and department. Conclusion: Although nurses in primary hospitals had a positive attitude toward PICC maintenance, their knowledge level was unsatisfactory, which might be a barrier to the promotion of PICC maintenance technology in primary hospitals in Hunan province, China. Multiple parties should get involved and take measures to improve the nurses' PICC maintenance knowledge, including the government, nursing associations, large-scale hospitals, and primary hospitals themselves. Besides, new training models and dynamic assessment methods should be explored to improve training effectiveness in the future.

Nurses’ Willingness and Demand for Internet +home Care Services and Its Influencing Factors in Different Levels of Hospitals in China – A Nationwide Survey

“… 12 Besides, our previous study found that hospitals with a higher level usually provide more professional nursing skills training so that nurses’ professional operation skills and confidence in specialized nursing operations can be improved. 16 It is recommended that government unify the Internet +home care service platform and rationally allocate service contents according to the willingness of nurses at different levels of hospitals to optimize the allocation of medical and nursing resources. At the same time, hospitals and nursing colleges should strengthen home-based nursing operation skills training and enhance operation ability.…”

Clinical Nurses’ Knowledge, Attitude and Practice of Catheter-Related Thrombosis and Its Influencing Factors: A Cross-Sectional Survey

“…It is suggested that give more material, financial, and policy support to secondary and lower-level hospitals from the government level. 8 On the other hand, due to the large gap in medical resources and technical levels between different cities and regions, it is suggested that tertiary hospitals can play a leading role, and “Internet + care” be used to set up online and offline training mechanisms. 38 We can communicate and exchange experiences with each other, improving clinical nurses’ cognitive rate of CRT and narrowing the gap in understanding CRT in regional medical institutions.…”

“… 28 , 29 The higher the professional title and more training times, the higher the score of nurses on CRT knowledge, attitude, and practice, which is similar to the previous study. 8 , 39 Research shows that nurses with more training times have higher scores on cognition and nursing of thrombus around indwelling venous catheter than nurses with fewer training times. 29 And The better you understand the importance of CRT prevention and treatment through CRT training, your corresponding CRT practice is more active.…”

“…Research shows that nurses' catheter maintenance knowledge and skills are closely related to the occurrence of CRT. [7][8][9] However, although some experts formulated relevant practice guidelines and pointed out the importance of preventing complications of central venous catheterization at home and abroad, 10 clinical nurses' cognitive level of CRT is still uneven. 11 At the same time, studies have found that central venous catheterization without professional nursing team maintenance is more likely to form venous thrombosis.…”

Peripherally Inserted Central Catheter Placement in a Cardiology Ward: A Focus Group Study of Nurses’ Perspectives

“…The topic of specific skills for PICC handling, insertion, and maintenance was much discussed. Nurses considered that training was fundamental for the adoption of this medical device, as addressed in previous studies with nurses [ 29 ]. As fewer patients needed a PICC than those needing a PVC in the study setting, its incorporation into nursing practices was a limitation.…”