National practice of Nursing professionals in the insertion of peripheral vascular access devices.

IF 1.5 4区医学 Q3 NURSING Revista Latino-Americana De Enfermagem Pub Date : 2024-09-23 eCollection Date: 2024-01-01 DOI:10.1590/1518-8345.6673.4314

Bianka Sousa Martins Silva, Luciano Marques Dos Santos, Patrícia Kuerten Rocha, Aline Nair Biaggio Mota, Ariane Ferreira Machado Avelar, Denise Miyuki Kusahara

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Abstract

Objective: to identify and compare the practice of Nursing professionals regarding the insertion of peripheral vascular access devices, according to professional category.

Method: descriptive sectional study carried out between July 2021 and May 2022 with 2,584 Nursing professionals, using a questionnaire validated by three judges with expertise in intravenous therapy, containing variables related to catheterization and the vascular access device. Descriptive and inferential analysis was carried out.

Results: most professionals do not prepare the patient or perform some essential care before attempting peripheral intravenous catheterization. Regarding the preferred catheterization site, hands, arm and forearm stand out. There is no control over the tourniquet time, and the patient is punctured more than three times. The most used device materials are polyurethane and Teflon ® , more than one criterion is adopted for device selection, and Micropore ® type adhesive tape was the covering most cited by Nursing professionals. The identification of catheterization was not adequate.

Conclusion: Nursing technicians and assistants are the professionals who least comply with what is recommended in recognized guidelines. Nurses' practice also presents deviations from scientific evidence.

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全国护理专业人员在插入外周血管接入装置方面的实践。

方法：在 2021 年 7 月至 2022 年 5 月期间对 2,584 名护理专业人员进行了描述性分段研究，使用的问卷由三名具有静脉治疗专业知识的评委验证，其中包含与导管插入和血管通路装置相关的变量。结果表明：大多数专业人员在尝试外周静脉导管插入术前没有为患者做好准备或进行一些必要的护理。关于首选的导管插入部位，手、手臂和前臂最为突出。止血带时间无法控制，患者被穿刺超过三次。使用最多的器械材料是聚氨酯和特氟龙 ® ，选择器械的标准不止一个，护理专业人员提到最多的是微孔 ® 型胶带。结论：护理技术人员和助理对导管的识别不够充分：结论：护理技术人员和助理是最不遵守公认准则建议的专业人员。护士的实践也与科学证据存在偏差。

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来源期刊

Revista Latino-Americana De Enfermagem NURSING-

自引率

11.10%

发文量

142

期刊介绍： A Revista Latino-Americana de Enfermagem constitui-se no órgão oficial de divulgação científica da Escola de Enfermagem de Ribeirão Preto da Universidade de São Paulo e do Centro Colaborador da OMS para o Desenvolvimento da Pesquisa em Enfermagem. Foi criada em abril de 1992 sendo sua primeira edição publicada em janeiro de 1993. No período de 1993 a 1997 tinha periodicidade semestral, de 1997 a 2000 trimestral e, a partir de janeiro de 2001, tem periodicidade bimestral. Caracteriza-se como periódico de circulação internacional, abrangendo predominantemente os países da América Latina e Caribe, embora seja também divulgado para assinantes dos Estados Unidos, Portugal e Espanha.