School of Nursing and Midwifery, Edith Cowan University, 270 Joondalup Drive, Joondalup, 6027, WA, Australia.
Centre for Research in Aged Care, Edith Cowan University, Joondalup, Australia.
BMC Med Educ. 2023 Jun 19;23(1):451. doi: 10.1186/s12909-023-04428-5.
Point-of-care ultrasound (POCUS) is increasingly used as a non-invasive vascular access assessment method by clinicians from multiple disciplines worldwide, prior and during vascular access cannulations. While POCUS is a relatively new method to establish a vascular access in patients with complex vascular conditions, it is also essential to train and educate individuals who are novices in the techniques of cannulation so that they become proficient in performing this task subsequently on patients safely and successfully. A simulated environment may be a helpful tool to help healthcare providers establish skills in using POCUS safely and may also help them to successfully establish vascular access in patients. With this project, we sought to determine if participants of a simulated POCUS workshop for vascular access can use this technique successfully in their individual clinical environment after their attendance of a half-day workshop.
A mixed-methods longitudinal study design was chosen to evaluate a point-of-care ultrasound workshop for peripheral intravenous cannula insertion. The workshops used simulation models for cannulation in combination with multiple ultrasound devices from various manufacturers to expose participants to a broader variety of POCUS devices as they may also vary in different clinical areas. Participants self-assessed their cannulation skills using questionnaires on a 10-point rating scale prior to and directly after the workshop.
A total of 85 Individuals participated in eleven half-day workshops through 2021 and 2022. Workshop participants claimed that attending the workshop had significantly enhanced their clinical skill of using ultrasound for the purpose of cannulating a venous vessel. The level of confidence in using this technique had increased in all participants directly after conclusion of the workshop.
Globally, clinicians are increasingly using POCUS to establish vascular access in patients, and it is necessary that they receive sufficient and adequately structured and formal training to successfully apply this technique in their clinical practice. Offering a workshop which uses simulation models in combination with various POCUS devices to demonstrate this technique in a hands-on approach has proven to be useful to establish this newly learned skill in clinicians.
全球范围内，来自多个学科的临床医生在进行血管通路置管术之前和期间，越来越多地将即时超声（POCUS）用作非侵入性血管通路评估方法。虽然 POCUS 是一种在血管条件复杂的患者中建立血管通路的相对较新方法，但培训和教育那些在置管技术方面为新手的个人也至关重要，以便他们随后能够安全有效地在患者身上执行此任务。模拟环境可能是帮助医疗保健提供者安全使用 POCUS 建立技能的有用工具，也可以帮助他们在患者中成功建立血管通路。在这个项目中，我们试图确定参加半天的 POCUS 血管通路工作坊的参与者是否可以在参加工作坊后的个人临床环境中成功使用该技术。
我们选择了混合方法的纵向研究设计来评估用于外周静脉置管的即时超声工作坊。这些工作坊使用模拟模型进行置管，并结合来自不同制造商的多种超声设备，使参与者接触到更广泛的 POCUS 设备，因为它们在不同的临床领域也可能有所不同。参与者在参加工作坊之前和直接参加工作坊后使用 10 分制的问卷自我评估他们的置管技能。
2021 年和 2022 年，共有 85 人参加了 11 个半天的工作坊。工作坊参与者表示，参加工作坊显著提高了他们使用超声进行静脉血管置管的临床技能。所有参与者在工作坊结束后直接对使用该技术的信心水平有所提高。
全球范围内，临床医生越来越多地使用 POCUS 为患者建立血管通路，他们有必要接受足够且充分结构化和正式的培训，以在他们的临床实践中成功应用该技术。提供一个使用模拟模型结合各种 POCUS 设备的工作坊，以实际操作的方式展示该技术，已被证明对在临床医生中建立新学到的技能很有用。
