School of Nursing and Midwifery, Institute of Health Sciences, Wollega University, Nekemte, Ethiopia.
College of Natural and Computational Science, Wollega University, Nekemte, Ethiopia.
PLoS One. 2020 Sep 17;15(9):e0238881. doi: 10.1371/journal.pone.0238881. eCollection 2020.
Adherence to the best standards of nursing practice is the fundamental principle to improve patient outcome and prevent nursing procedure related-infections. A peripheral venous catheter (PVC) is the most common invasive procedure performed in nursing care. Its poor performance could expose patients to bloodstream-related infections. The present study aimed to assess post-basic nursing students' knowledge of evidence-based guidelines on the management of peripheral venous catheters.
A cross-sectional study design was conducted on May 01-03, 2019, using a convenient sample 239 among post-basic nursing students in Wollega University.
The study result showed that nursing students' had a low mean (4.1±1.52) of knowledge about PVC procedure management. Only 41% of the respondents have adhered to recommendations of CDC guidelines. Among the provided options of the items, none achieved 100% correct answers. The majority of nursing students (77%) responded that antiseptic handwashing is always performed before insertion of PVCs. Meanwhile, few students (5%) correctly answered that the infusion set is recommended to be removed after 96 hours when neither lipids nor blood products are administered. In multivariable regression analysis, nursing students who had received training (AOR = 2.9, 95% CI (1.6, 5.1)) and who were younger (AOR = 2.4, 95% CI (1.3, 4.3)) significantly associated with a higher score of knowledge.
This study finding shows that an overall level of knowledge of post-basic nursing students is inadequate. Measurements such as an increase in the provision of adequate training by nurses educators based on evidence-based guidelines could improve the post-basic nursing students' knowledge.
遵守最佳护理实践标准是改善患者预后和预防护理程序相关感染的基本原则。外周静脉导管（PVC）是护理中最常见的侵入性操作。其性能不佳可能使患者暴露于血流感染。本研究旨在评估基础后护理学生对管理外周静脉导管的循证指南的了解。
2019 年 5 月 1 日至 3 日，采用便利抽样法，对沃尔加大学的 239 名基础后护理学生进行了横断面研究。
研究结果表明，护理学生对 PVC 程序管理的知识平均水平较低（4.1±1.52）。只有 41%的受访者遵守了 CDC 指南的建议。在所提供的项目选项中，没有一项达到 100%的正确答案。大多数护理学生（77%）回答说，在插入 PVC 之前总是进行消毒手卫生。同时，很少有学生（5%）正确回答说，当不给予脂肪乳或血液制品时，建议在 96 小时后将输液装置取下。在多变量回归分析中，接受过培训的护理学生（AOR=2.9，95%CI（1.6，5.1））和年龄较小的学生（AOR=2.4，95%CI（1.3，4.3））与较高的知识得分显著相关。
本研究结果表明，基础后护理学生的整体知识水平不足。通过护士教育者根据循证指南增加提供足够的培训等措施，可以提高基础后护理学生的知识。
