评估护士使用透照装置建立静脉通路的知识和实践

Rubina NesalinRose. T.MSc, NashiMasnad Al Reshidi, Rana Mohammad Al Aseeri
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摘要

背景:外周静脉通路经常在各种卫生保健机构进行。然而,与成人患者的静脉相比,婴儿的静脉较小,周围软组织套管的支撑较差,进一步增加了静脉插入的困难。对于周围静脉置入困难的患者,建议使用透照装置。护理实践应适应不断发展的卫生保健进步,因此护士需要发展他们的知识和态度,以新的技能和实践。目的:了解护士使用透照装置建立静脉通路的知识和实践水平。方法:采用描述性研究设计,对20名在沙特阿拉伯海尔综合医院工作的护士进行调查。研究工具包括一份由两部分组成的调查问卷作为人口学变量,然后是关于使用透照装置建立静脉通路的知识和实践。选定的护士被要求填写调查表。结果:年龄在31岁及以上的护士占50%以上。95%的护士以本科学历居多,硕士学历仅占5%。护士工作年限以7-9年为主,占35%。护士的职称表明,近50%的护士担任主管护士,45%的护士担任护士长,只有5%的护士担任护士长。显然,100%的护士会在第一次尝试时进行插管。在此之前,65%的护士不知道使用静脉注射剂。100%的护士使用26G大小的套管。此外,85%的人保证他们可以将透光装置应用到实践中。65%的护士认为该装置使用方便。结论:研究表明,65%的NICU护士中,大部分护士对透视装置建立静脉通路的使用知识和实践较好,35%的护士对透视装置建立静脉通路的知识和实践较好。护理人员对透视装置的使用有兴趣,且效果好,省时。为保证质量护理服务的有效性,需要定期提供合适的介入包。
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Assessment of nurses’ knowledge and practice regarding the use of transillumination device for establishing venous access
Background: Peripheral venous access is frequently performed in various health care settings. However, babies’ veins are smaller and poorly supported by surrounding soft tissue casing further difficulty of insertion compared to adult patients’vein. Transillumination device is recommended for difficult insertion of peripheral veins. Nursing practice should accommodate with evolving health care advancement, and therefore the nurses’ are required to develop their knowledge and attitude towards new skill and practice.Objectives: To assess the level of nurses’ knowledge and practice regarding the use of transillumination device for establishing venous access.Methods: A descriptive study design that was conducted among a sample of 20 Nurses working at Hail General Hospital, KSA. The study tool included a questionnaire sheet of 2 parts as demographic variables and then knowledge and practice regarding use of transillumination device for establishing venous access. Selected nurses were asked to fill up the questionnaire sheet.Results: The majority 50% of the nurses were under the age group of 31yrs and above. Most of the 95% nurses were bachelor’s degree and only 5% was master’s degree. The year of experience were majority of nurses 35% had 7-9 yrs. Designation of nurses indicates, almost 50% of the nurses were working as a Charge Nurse, among 45% as staff Nurse and only 5% as Head Nurse.Obviously, 100% of the nurses perform cannulation in first attempt. Before, 65% of the nurses had no awareness of using veinlite. 100% of the nurses used 26G size cannula.Furtherly, 85% assures that they could incorporate transillumination device into practice. The opinion of 65% nurses feel, this device was easy to use.Conclusion: The study says that, most of the 65% NICU nurses has only average and 35% has good knowledge and practice regarding use of transillumination device for establishing venous access. The nurses have interest in practicing transillumination device and seems to be time saving and effective. Suitable interventional packages need to be given periodically for the effectiveness of qualitative nursing service.  
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