Hospital Universitario Clínico San Cecilio, 18016 Granada, Spain.
Research Group CTS1068, Andalusia Research Plan, Junta de Andalucía, 18071 Granada, Spain.
Int J Environ Res Public Health. 2023 Jan 25;20(3):2175. doi: 10.3390/ijerph20032175.
In healthcare practice, there may be critically injured patients in whom catheterisation of a peripheral venous access is not possible. In these cases, intraosseous access may be the preferred technique, using an intraosseous vascular access device (IOVA). Such devices can be used for infusion or administration of drugs in the same way as other catheterisations, which improves emergency care times, as it is a procedure that can be performed in seconds to a minute. The aim of this study was to analyse the level of knowledge of nursing staff working in emergency departments regarding the management of the intraosseous vascular access devices. To this end, a cross-sectional online study was carried out using an anonymous questionnaire administered to all professionals working in emergency and critical care units (ECCUs) in Granada district (Spain). The results show that 60% of the participants believe that with the knowledge they have, they would not be able to perform intraosseous vascular access, and 74% of the participants believe that the low use of this device is due to insufficient training. The obtained results suggest that the intraosseous access route, although it is a safe and quick way of achieving venous access in critical situations, is considered a secondary form of access because the knowledge of emergency and critical care professionals is insufficient, given the totality of the participants demanding more training in the management of intraosseous access devices. Therefore, the implementation of theoretical/practical training programmes related to intraosseous access (IO) could promote the continuous training of nurses working in ECCUs, in addition to improving the quality of care in emergency and critical care situations.
在医疗保健实践中，可能会有危重伤病患者无法进行外周静脉置管。在这些情况下，骨髓腔内通路可能是首选技术，可以使用骨髓腔内血管通路装置（IOVA）。这些设备可以像其他导管一样用于输液或给药，从而提高急救护理时间，因为这是一项可以在几秒钟到一分钟内完成的程序。本研究旨在分析在急诊部门工作的护理人员对骨髓腔内血管通路装置管理的知识水平。为此，进行了一项横断面在线研究，使用匿名问卷对格拉纳达地区（西班牙）所有急诊和重症监护单位（ECCU）的专业人员进行了调查。结果表明，60%的参与者认为，以他们现有的知识，他们无法进行骨髓腔内血管通路，74%的参与者认为，这种设备使用不足是由于培训不足。研究结果表明，虽然骨髓腔内通路是在危急情况下实现静脉通路的安全、快速方法，但由于紧急和重症护理专业人员的知识不足，将其视为次要的通路形式，因为所有参与者中都有超过半数要求更多关于骨髓腔内通路设备管理的培训。因此，实施与骨髓腔内通路（IO）相关的理论/实践培训计划可以促进在 ECCU 工作的护士的持续培训，同时提高紧急和重症护理情况下的护理质量。
