Kim Jung Hee, Hwang Inju, Kim Eun Man
Department of Nursing Science, Shinsung University, Chungnam, South Korea, 1 Daehak-ro, Jeongmi-myeon, Dangjin-si, Chungnam, 31801, South Korea.
Department of Nursing Science, Sun Moon University, 70 Sunmoonro 221beongil, Tangjeongmyeon, Asansi, Chungnam, 31460, South Korea.
BMC Nurs. 2024 May 22;23(1):347. doi: 10.1186/s12912-024-02026-4.
The importance of the peripheral intravenous catheter (PIVC) practices on patient safety is increasing. Small and medium-sized hospitals play a central role in the provision of healthcare services in South Korea, but lack a system for quality improvement, leaving patient safety at risk. This study aimed to identify the extent to which the PIVC practice knowledge of nurses, the nursing working environment, and the patient safety-culture perception affect PIVC practices and thereby provide basic data for improving the PIVC practices in small and medium-sized hospitals.
This study had a cross-sectional descriptive design to identify the factors affecting PIVC nursing practices in small and medium-sized hospitals. Questionnaires returned by 149 nurses collected data on general characteristics, practical knowledge of PIVC nursing, nursing working environment, patient safety-culture perception, and PIVC practices. The questionnaire data were analysed using descriptive statistics, the independent t-test, one-way ANOVA, Scheffé's test, Pearson correlation, and hierarchical regression analysis.
The mean score of PIVC practices was 4.60 out of 5. Length of clinical experience, practical knowledge of PIVC nursing and patient safety-culture perception were significant factors affecting the PIVC nursing practices, with these variables explaining 26.2% of the variance therein.
The PIVC practices of nurses in small and medium-sized hospitals can be improved by providing education and training based on the latest standard or guideline to facilitate the acquisition of knowledge and skills. And campaigns and programs to strengthen patient safety culture perception specific to small and medium-sized hospital should be implemented. to ensure the safety of PIVC practice.
外周静脉导管（PIVC）操作对患者安全的重要性日益增加。中小型医院在韩国医疗服务提供中发挥着核心作用，但缺乏质量改进体系，使患者安全面临风险。本研究旨在确定护士的PIVC操作知识、护理工作环境和患者安全文化认知对PIVC操作的影响程度，从而为改善中小型医院的PIVC操作提供基础数据。
本研究采用横断面描述性设计，以确定影响中小型医院PIVC护理操作的因素。149名护士返回的问卷收集了关于一般特征、PIVC护理实践知识、护理工作环境、患者安全文化认知和PIVC操作的数据。问卷数据采用描述性统计、独立t检验、单因素方差分析、谢弗检验、皮尔逊相关性分析和分层回归分析。
PIVC操作的平均得分为4.60（满分5分）。临床经验时长、PIVC护理实践知识和患者安全文化认知是影响PIVC护理操作的重要因素，这些变量解释了其中26.2%的方差。
通过基于最新标准或指南提供教育和培训，以促进知识和技能的获取，可以改善中小型医院护士的PIVC操作。并且应开展针对中小型医院加强患者安全文化认知的活动和项目，以确保PIVC操作的安全。
