Abstrakt

Effect of specialty training on nursing staff's KAP on PICC and catheter maintenance

Chi Kun, Jiang Yan, Xin Suwen, Liu Yan, Xiao Li, Shan Min, Cui Qian, Fan Lulu

Objective: To explore the effect of specialty training on nurses’ knowledge, attitude, and practice (KAP) on peripherally inserted central catheter (PICC) and catheter maintenance.

Methods: 100 nurses were involved in specialty training, and the cases they cared before and after the training were collected to analyse the safety and availability of catheter maintenance through comparing the patients’ comfort level on it.

Results: Through statistical analysis on questionnaires, it was known that after specialty training, the scores of knowledge, attitude, and behaviour on PICC catheterization of the experimental group were much higher than that of the control group, and the difference was significant (P<0.05); compared the knowledge, attitude, and practice on PICC of nurses from various departments, there was statistical difference (P<0.05); there was statistical difference in the knowledge, attitude, and practice on PICC of nurses with different educational backgrounds after training (P<0.05), and the better the educational background was, the better the effect of specialty training was; compared the correlation of knowledge, attitude, and practice on PICC catheterization, the knowledge was mildly correlated with the attitude as well as practice (r=0.243, P<0.05; r=0.331, P<0.05), while the attitude was moderately related to the practice (r=0.594, P<0.001), which suggested that if the nurses had more knowledge about PICC catheterization, their attitude would be better, and if they had better attitude about it, they would be more active in learning, resulting in a better effect of PICC specialty training; the success rate of catheterization of the experimental group was 83.75%, much higher than 67.50% of the control group, with a statistical difference (P<0.05). The incidence of complications of the experimental group was 15.00%, much lower than 36.25% of the control group, whose difference was significant (P<0.05); the degree of comfort of the experimental group was 75.00%, much higher than 67.50% of the control group, with a statistical difference (P<0.05).

Conclusion: After specialty training, the nurses have got great improvement in knowledge, attitude, and practice on PICC, further promoting the nursing level and clinical application of PICC.