City, University of London, London, UK.
Cardiff University, Cardiff, UK.
Nurse Educ Today. 2021 Mar;98:104749. doi: 10.1016/j.nedt.2021.104749. Epub 2021 Jan 13.
Aseptic technique is a key skill undertaken every day by large numbers of nurses. However, there is relatively little empirical evidence to underpin practice. Furthermore, it is not clear to what extent it should be considered a single task or a set of principles to be applied differentially depending upon the situation and how individual nurses make this decision.
This study explored nurses' experiences of continuing professional education (CPE) in relation to aseptic technique.
A national survey was undertaken throughout the United Kingdom. Responses were subjected to inductive quantitative content analysis.
Participants were recruited via an electronic link placed on the website of a major nursing organisation.
941 nurses responded. 253 (26.9%) were satisfied with arrangements for continuing professional education. Satisfaction was associated with a perception of good support from employers, sound preparation before qualifying and practising aseptic technique regularly. 311 (33%) were dissatisfied. Reasons included witnessing unwarranted variations in practice (n = 55, 5.8%), witnessing suboptimal practice requiring correction (65, 6.9%), a perception that standards had fallen through a decline in pre-registration preparation (n = 109, 11.6%) and opportunities for updating (n = 124, 13.2%). Some employers had introduced training in conjunction with organisation-wide change in practice. In other cases participants reported receiving updates when required to perform a new procedure, when moving between clinical specialities or changing employer. Train-the-trainer (cascade) teaching was used in formal and informal arrangements for updating.
This study provides a springboard for exploring arrangements for updating and assessing nurses' competence to undertake aseptic technique. Health providers need to evaluate what is currently provided and address gaps in provision. There is clear evidence that the current system does not meet the needs of many nurses.
无菌技术是大量护士每天都要进行的一项关键技能。然而，实践的基础相对较少。此外，尚不清楚它在多大程度上应被视为一项单一任务，或根据情况应用的一套原则，以及护士个体如何做出这一决定。
本研究探讨了护士在继续专业教育（CPE）方面的经验，涉及无菌技术。
在整个英国进行了一项全国性调查。对回复进行了归纳定量内容分析。
通过主要护理组织网站上的电子链接招募参与者。
941 名护士做出了回应。253 名（26.9%）对继续专业教育的安排感到满意。满意度与雇主提供良好支持、在获得资格前做好充分准备以及定期练习无菌技术的看法有关。311 名（33%）不满意。原因包括观察到实践中不必要的变化（n=55，5.8%）、观察到需要纠正的次优实践（n=65，6.9%）、认为标准因注册前准备下降而下降（n=109，11.6%）和更新机会（n=124，13.2%）。一些雇主在组织范围内的实践改变的同时引入了培训。在其他情况下，参与者报告在需要执行新程序、在临床专业之间移动或更换雇主时收到更新。培训师培训（级联）教学用于正式和非正式的更新安排。
本研究为探索更新安排和评估护士进行无菌技术的能力提供了一个起点。卫生提供者需要评估当前提供的内容，并解决提供方面的差距。有明确的证据表明，当前的系统不能满足许多护士的需求。
