Ihrig M, Cookson S T, Campbell K, Hartstein A I, Jarvis W R
Hospital Infections Program, Centers for Disease Control and Prevention, Atlanta, GA 30333, USA.
Am J Infect Control. 1997 Oct;25(5):434-8. doi: 10.1016/s0196-6553(97)90095-x.
Needleless intravenous-access devices have been introduced in an effort to reduce needlestick injuries and possible transmission of blood-borne pathogens to health care workers. However, there are no data on the acceptance of these devices by nursing personnel.
A survey of nursing personnel was taken at Indiana University Medical Center after introduction of a needleless intravenous device to determine their opinion after use of the needleless device.
The majority of the nurses (72 of 94, 70%) had a favorable overall opinion of the device. Among those with a favorable opinion, 76% (55/72) responded that reduced risk of needlestick injury was the most important reason. Among those who had a negative opinion about the needleless-device system, 32% (7/22) reported that contamination risk was their major concern. Those who were trained before device use were more likely to properly use and maintain the needleless intravenous-access system. Of 89 respondents, 75.3% (67/89) believed that the initial training was adequate; however, 43% (29/67) thought that additional training after using the device for some time would have been beneficial.
Comprehensive education programs that include training before and after device use are necessary if new needleless intravenous-access systems are to be successfully introduced and accepted by nursing personnel.
无针静脉输液装置已被引入，旨在减少针刺伤以及血源性病原体向医护人员的潜在传播。然而，目前尚无关于护理人员对这些装置接受程度的数据。
在印第安纳大学医学中心引入无针静脉输液装置后，对护理人员进行了一项调查，以确定他们在使用该无针装置后的看法。
大多数护士（94名中的72名，占70%）对该装置总体评价良好。在持肯定意见的人中，76%（55/72）表示针刺伤风险降低是最重要的原因。在对无针装置系统持否定意见的人中，32%（7/22）报告说污染风险是他们主要关注的问题。在装置使用前接受过培训的人更有可能正确使用和维护无针静脉输液系统。在89名受访者中，75.3%（67/89）认为初始培训是足够的；然而，43%（29/67）认为在使用该装置一段时间后进行额外培训可能会有帮助。
如果要成功引入并被护理人员接受新的无针静脉输液系统，就需要开展包括装置使用前后培训的综合教育项目。
