Yuan Man, Li Jing, Shao Weiwei, Xu Chunlan, Luo Nan, Wang Hui
Department of Nursing, Beijing Tiantan Hospital, Capital Medical University, No. 119 Nan Sihuan West Road, Fengtai District, Beijing, 110106, China.
BMC Med Educ. 2025 Mar 17;25(1):389. doi: 10.1186/s12909-025-06975-5.
China is adopting and promoting the mini-midline catheter insertion technique, which requires professional training to ensure its application and patient safety. This study aims to explore the effectiveness of the Train-the-Trainer model in nurse training for Mini-Midline Catheter Insertion.
A medical center selected venous therapy specialist nurses for mini-midline catheter procedure training, after which these nurses became trainers and guided other nurses. The research utilized a mixed-methods design, incorporating puncture condition surveys and open-ended questions. Over the following six months, outcomes such as catheter insertion success rates were monitored, and nurses' interviews were analyzed using the Kawakita Jiro method.
A total of 675 mini-midline catheters were inserted in the study, with a success rate of 97.54%. The success rate for first-attempt punctures was 86.51%, with 584 successful cases and no catheterization-related complications. After training, expert consultations for catheter issues decreased from 28.46 to 9.25%. Additionally, three key themes of the training were identified: (1) enhancing nurses' professional sense of achievement and job satisfaction through skill mastery; (2) familiar groups and environments are more conducive to improving training effectiveness; and (3) the multifaceted role opens up a brand new path for the professional development of nurses.
The mini-midline catheter insertion training program based on the "train-the-trainer" model effectively ensures the standardization of nurses' techniques and the safety of punctures while also cultivating educators and thus deserves widespread promotion.
Not applicable.
中国正在采用并推广迷你中线导管插入技术，这需要专业培训以确保其应用和患者安全。本研究旨在探讨培训培训师模式在迷你中线导管插入护士培训中的有效性。
一家医疗中心挑选静脉治疗专科护士进行迷你中线导管操作培训，之后这些护士成为培训师并指导其他护士。该研究采用混合方法设计，纳入穿刺情况调查和开放式问题。在接下来的六个月里，监测导管插入成功率等结果，并使用河合次郎法分析护士访谈。
研究共插入675根迷你中线导管，成功率为97.54%。首次穿刺成功率为86.51%，成功584例，无导管相关并发症。培训后，导管问题的专家会诊从28.46%降至9.25%。此外，确定了培训的三个关键主题：（1）通过技能掌握增强护士的职业成就感和工作满意度；（2）熟悉的群体和环境更有利于提高培训效果；（3）多面角色为护士的职业发展开辟了全新道路。
基于“培训培训师”模式的迷你中线导管插入培训计划有效确保了护士技术的标准化和穿刺安全，同时培养了教育者，因此值得广泛推广。
不适用。
