INTRODUCTION: The management of Central Venous Catheters (CVC) is now a nursing competency that requires proper care and monitoring by professionals to prevent potential complications that could compromise patient health. This is achieved through standardized, consistent practices and continuous scientific updates. Evidence-Based Practice (EBP) is a healthcare approach that integrates the best available scientific evidence with the clinical expertise of professionals and patient preferences. The primary goal of EBP is to ensure effective, safe, and personalized care, reducing variability in treatments and improving clinical outcomes. EBP is not just a theoretical concept but a philosophy centered on patient well-being, ensuring that every intervention is supported by the best available scientific evidence, integrating clinical expertise, and respecting individual patient values and preferences. This approach has a direct impact on the quality of care by improving clinical outcomes, reducing the risk of errors, and promoting a more efficient and safer healthcare system. The objective is to provide high-quality, safe, and effective care, contributing to better clinical outcomes and optimizing healthcare resources. CVCs are medical devices used in clinical practice for administering pharmacological therapies, blood products, parenteral nutrition, and hemodynamic monitoring. Their management requires utmost attention and specific competencies from nursing staff to prevent complications such as infections, thrombosis, or catheter dislocation. Adequate training of nursing professionals is essential to ensure patient safety. KEYWORDS: evidence-based practice (EBP), central venous catheter, nurse, guidelines OBJECTIVE: To assess the level of knowledge and awareness among third-year nursing students from channels A and B regarding the nursing management of central venous access, in order to identify potential educational gaps and suggest improvements in study programs. MATERIALS AND METHODS: A quantitative method was adopted for this study, involving the administration of a specially designed questionnaire based on the updated Gavacelt 2024 guidelines. The questionnaire was created using Microsoft Forms and distributed to a sample of third-year nursing students at the Ancona campus who had already been certified in the laboratory skill "collaborating in the management of a central venous catheter" (skill no. 65: exit site dressing). The questionnaire was sent via institutional university email: s1105424@studenti.univpm.it, to 111 students, of whom 59 responded. The collected data were statistically analyzed to determine the level of student knowledge and awareness and to identify any critical areas. DATA ANALYSIS: The data analysis highlighted the level of student preparedness, revealing both strengths and potential areas for improvement in their training regarding the nursing management of central venous access. RESULTS/CONCLUSIONS: The collected data showed that although students possess knowledge of basic procedures, there are still some gaps in practical knowledge, particularly regarding complication management and guideline application. These findings underscore the importance of integrating structured practical training into educational activities so that students can consolidate theoretical knowledge with direct field experience.
INTRODUZIONE: La gestione dei Cateteri Venosi Centrali (CVC) rappresenta oggi una competenza infermieristica che deve garantire una corretta cura e controllo da parte del professionista al fine di prevenire possibili complicanze che possono compromettere la salute del paziente. Tutto questo si ottiene grazie ad comportamenti uniformi, omogenei e un continuo aggiornamento scientifico. L’Evidence-Based Practice (EBP) è un approccio all’assistenza sanitaria che integra le migliori evidenze scientifiche disponibili con l’esperienza clinica del professionista e le preferenze del paziente. L’obiettivo principale dell’EBP è garantire un’assistenza efficace, sicura e personalizzata, riducendo la variabilità nelle cure e migliorando gli esiti clinici. L’EBP non è solo un concetto teorico, ma una filosofia che mette al centro il benessere del paziente, garantendo che ogni intervento sia supportato dalle migliori evidenze scientifiche disponibili, integrando l’esperienza clinica del professionista e rispettando i valori e le preferenze individuali del paziente. Questo approccio ha un impatto diretto sulla qualità dell’assistenza, migliorando gli esiti clinici, riducendo il rischio di errori e promuovendo una sanità più efficiente e sicura. Questo approccio mira a garantire un’assistenza di qualità, sicura ed efficace, contribuendo a migliorare gli esiti clinici e a ottimizzare le risorse sanitarie. I CVC sono presidi utilizzati nella pratica clinica per la somministrazione di terapie farmacologiche, emoderivati, nutrizione parenterale, monitoraggio emodinamico. La loro gestione richiede massima attenzione e competenze specifiche da parte del personale infermieristico, al fine di prevenire complicanze come infezioni, trombosi o dislocazioni del catetere. Una preparazione adeguata da parte del professionista infermiere è fondamentale per garantire la sicurezza del paziente. PAROLE CHIAVE: evidence based practice (EBP), catetere venoso centrale, infermiere, guidelines SCOPO: valutare il livello di conoscenza e consapevolezza degli studenti di infermieristica del terzo anno canale A e B sulla gestione infermieristica degli accessi venosi centrali, al fine di individuare eventuali lacune formative e suggerire miglioramenti nei programmi di studio. MATERIALI E METODI: per l’esecuzione dello studio è stato adottato un metodo quantitativo, attraverso la somministrazione di un questionario ad hoc costruito in base alle linee guida aggiornate Gavacelt 2024, progettato tramite Microsoft Forms, e somministrato a un campione di studenti del terzo anno di infermieristica sede di Ancona già certificati sul laboratorio relativo a “collaborare nella gestione di un catetere venoso centrale” skill n.65 (la medicazione dell’exite site). Il questionario è stato inviato tramite mail istituzionale universitaria: s1105424@studenti.univpm.it, a 111 studenti, di cui hanno risposto 59 persone. I dati ottenuti sono stati analizzati statisticamente per determinare il livello di conoscenza e consapevolezza degli studenti e individuare eventuali aree critiche. ANALISI DEI DATI: L’analisi dei dati ha evidenziato il livello di preparazione degli studenti, mettendo in luce sia punti di forza che possibili aree di miglioramento nella loro formazione sulla gestione infermieristica dell’accesso venoso centrale. RISULTATI/CONCLUSIONI: I dati raccolti hanno dimostrato che, sebbene gli studenti abbiano conoscenze riguardo le procedure di base, esistono ancora alcune lacune nella conoscenza pratica, specialmente per quanto riguarda la gestione delle complicanze e l’applicazione delle linee guida. Questi risultati indicano l’importanza di integrare una formazione pratica strutturata nelle attività didattiche, in modo che gli studenti possano consolidare le conoscenze teoriche con esperienze dirette sul campo.
EVIDENCE BASE PRACTICE: VALUTAZIONE, CONOSCENZE E CONSAPEVOLEZZA SULLA GESTIONE INFERMIERISTICA DEGLI ACCESSI VENOSI CENTRALI NEGLI STUDENTI DEL CORSO DI LAUREA IN INFERMIERISTICA. STUDIO OSSERVAZIONALE.
RIGNANESE, FEDERICO
2023/2024
Abstract
INTRODUCTION: The management of Central Venous Catheters (CVC) is now a nursing competency that requires proper care and monitoring by professionals to prevent potential complications that could compromise patient health. This is achieved through standardized, consistent practices and continuous scientific updates. Evidence-Based Practice (EBP) is a healthcare approach that integrates the best available scientific evidence with the clinical expertise of professionals and patient preferences. The primary goal of EBP is to ensure effective, safe, and personalized care, reducing variability in treatments and improving clinical outcomes. EBP is not just a theoretical concept but a philosophy centered on patient well-being, ensuring that every intervention is supported by the best available scientific evidence, integrating clinical expertise, and respecting individual patient values and preferences. This approach has a direct impact on the quality of care by improving clinical outcomes, reducing the risk of errors, and promoting a more efficient and safer healthcare system. The objective is to provide high-quality, safe, and effective care, contributing to better clinical outcomes and optimizing healthcare resources. CVCs are medical devices used in clinical practice for administering pharmacological therapies, blood products, parenteral nutrition, and hemodynamic monitoring. Their management requires utmost attention and specific competencies from nursing staff to prevent complications such as infections, thrombosis, or catheter dislocation. Adequate training of nursing professionals is essential to ensure patient safety. KEYWORDS: evidence-based practice (EBP), central venous catheter, nurse, guidelines OBJECTIVE: To assess the level of knowledge and awareness among third-year nursing students from channels A and B regarding the nursing management of central venous access, in order to identify potential educational gaps and suggest improvements in study programs. MATERIALS AND METHODS: A quantitative method was adopted for this study, involving the administration of a specially designed questionnaire based on the updated Gavacelt 2024 guidelines. The questionnaire was created using Microsoft Forms and distributed to a sample of third-year nursing students at the Ancona campus who had already been certified in the laboratory skill "collaborating in the management of a central venous catheter" (skill no. 65: exit site dressing). The questionnaire was sent via institutional university email: s1105424@studenti.univpm.it, to 111 students, of whom 59 responded. The collected data were statistically analyzed to determine the level of student knowledge and awareness and to identify any critical areas. DATA ANALYSIS: The data analysis highlighted the level of student preparedness, revealing both strengths and potential areas for improvement in their training regarding the nursing management of central venous access. RESULTS/CONCLUSIONS: The collected data showed that although students possess knowledge of basic procedures, there are still some gaps in practical knowledge, particularly regarding complication management and guideline application. These findings underscore the importance of integrating structured practical training into educational activities so that students can consolidate theoretical knowledge with direct field experience.File | Dimensione | Formato | |
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https://hdl.handle.net/20.500.12075/21651