Nurses’ knowledge and attitudes toward intraosseous access: preliminary data

Smereka, Adam; Stawicka, Iwona; Czyżewski, Łukasz

doi:10.1016/j.ajem.2016.06.031

Cited by 4 publications

(3 citation statements)

References 6 publications

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“…In a series including 322 patients with critical illness or injury and failed IV access, IO access was used in only 14 patients. Similarly, Smereka et al reported that only 7.1% of nurses have performed an IO access, and only 10.9% have taken part in any training regarding IO access [7]. Ingrained habits, lack of knowledge and experience, lack of equipment and skills, and ignorance of the benefits have been cited as reasons for low uptake [8,13,22].…”

Section: Discussionmentioning

confidence: 99%

“…In recent years IO access has emerged as a rapid, safe, and effective means of obtaining intravascular access and an effective alternative to IV access [6]. However, the uptake of IO access by providers of prehospital and emergency department care has been slow [7]. The aim of our paper is to report on the attitudes towards the use of IO access of nursing staff serving in a prehospital unit and an emergency department in an area where IO access has been rarely used.…”

Section: Introductionmentioning

confidence: 99%

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Attitudes towards the Utilization of Intraosseous Access in Prehospital and Emergency Medicine Nursing Personnel

Žunkovič¹,

Markota

Lešnik

2022

Medicina

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Background and Objectives: Insertion of an intraosseous access device enables intravascular access for critically ill patients in a prehospital and emergency department setting even when intravenous access is not possible. The aim of our study was to assess the attitudes of prehospital and emergency department nursing staff towards the utilization of intraosseous access devices. Materials and Methods: We performed quantitative research using a closed-ended structured questionnaire distributed to prehospital unit and associated emergency department nursing staff serving a population of around 200,000 inhabitants. Results: We distributed 140 questionnaires, and 106 were returned and completed. Of these, 69 (65.1%) respondents needed more than three attempts to achieve peripheral intravenous access at least once in the last year and 29 (27.4%) required central venous access because of impossible intravenous access. In the last five years, 8 (7.5%) respondents used endotracheal route for administration of medications. Despite this, only 48 (45.3%) of respondents have ever used the intraosseous route. Also, 79 (74.5%) respondents received at least some training in obtaining IO access; however, 46 (43.4%) answered that education regarding intraosseous access is not sufficient, and 92 (86.8%) answered that they wanted additional training regarding intraosseous access. Conclusions: Prehospital and emergency department nursing staff are aware of the importance of intraosseous access and understand the need for additional education and certification in this field.

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Section: Discussionmentioning

confidence: 99%

Section: Introductionmentioning

confidence: 99%

Attitudes towards the Utilization of Intraosseous Access in Prehospital and Emergency Medicine Nursing Personnel

Žunkovič¹,

Markota

Lešnik

2022

Medicina

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“…Para inserir e manter um AIO, o enfermeiro deve demonstrar conhecimento, competência e habilidade psicomotora na realização da técnica 15 . Uma vez que um dispositivo foi selecionado, políticas institucionais e os protocolos relacionados com o dispositivo, indicações, contraindicações, inserção, processos de remoção e avaliação da qualidade, deve ser desenvolvido pelos enfermeiros 16 .…”

Section: é Recomendado Pela Americanunclassified

Limitação Da Utilização Do Acesso Intraósseo: Aspectos Da Enfermagem E Da Instituição De Saúde

Schumaher

Jara

Bóbbo

et al. 2018

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Objetivo: Verificar a realização do acesso intraósseo por enfermeiros. Método: Estudo analítico transversal, realizado por meio da aplicação de um questionário. Resultados: Demonstrou-se que 97,0% dos profissionais nunca realizaram o acesso (p<0,001), e 48,5% tiveram um treinamento adequado. Apenas 9,1% relatou se sentir seguro para executar a técnica (p<0,001) e 69,7% responderam que não possuem apoio técnico, e não possuem material apropriado. Conclusão: Demonstrou-se que existe uma limitação do uso do acesso intraósseo. A falta de autonomia para realizar a técnica pode se explicar pela falta de habilidade prática e conhecimento teórico dos enfermeiros, e pela falta de protocolos e acesso à informações institucionais, treinamentos e insumos.Descritores: Infusões Intraósseas; Enfermagem; Desenvolvimento de pessoal. LIMITATION OF THE USE OF INTRAÓSSEO ACCESS: ASPECTS OF NURSING AND HEALTH INSTITUTIONAim: To verify the achievement of intraosseous access by nurses. Method: Cross-sectional analytical study, carried out through the application of a questionnaire. Results: It was demonstrated that 97,0% of the professionals never performed access (p <0.001), and 48,5% had adequate training. Only 9,1% reported feeling safe to perform the technique (p <0.001) and 69,7% answered that they do not have technical support, and do not have appropriate material. Conclusion: It has been demonstrated that there is a limitation of the use of intraosseous access. The lack of autonomy to perform the technique can be explained by the lack of practical skills and theoretical knowledge of nurses, and the lack of protocols and access to institutional information, training and inputs. Descriptors: Intraosseous infusions; Nursing; Development of personnel. ACCESO LIMITACIÓN DE USO INTRAÓSEA: ASPECTOS DE LA ENFERMERÍA Y INSTITUCIÓN DE SALUD.Objetivo: Verificar la realización del acceso intraóseo para las enfermeras. Método: Estudio transversal analítico realizado mediante la aplicación de un cuestionario. Resultados: Se demostró que 97,0% de los encuestados nunca hizo de acceso (p <0,001), y 48,5% tenía una formación adecuada. Sólo 9.1% reportó sentirse seguro para llevar a cabo la técnica (p <0,001) y 69,7% dijeron que no tienen soporte, y no tienen ningún material adecuado. Conclusión: Se ha demostrado que existe una limitación del uso de la vía intraósea. La falta de autonomía para llevar a cabo la técnica puede explicarse por la falta de habilidades prácticas y conocimientos teóricos de las enfermeras, y la falta de protocolos y el acceso a la información institucional, la capacitación y los insumos. Descriptores: Infusiones intraóseas; enfermería; desarrollo del personal. Enferm. Foco 2018; 9 (2): 44-50

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Endotracheal intubation during manual inline cervical stabilization performed by nurses

Madziała

2016

The American Journal of Emergency Medicine

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Nurses’ knowledge and attitudes toward intraosseous access: preliminary data

Cited by 4 publications

References 6 publications

Attitudes towards the Utilization of Intraosseous Access in Prehospital and Emergency Medicine Nursing Personnel

Attitudes towards the Utilization of Intraosseous Access in Prehospital and Emergency Medicine Nursing Personnel

Limitação Da Utilização Do Acesso Intraósseo: Aspectos Da Enfermagem E Da Instituição De Saúde

Endotracheal intubation during manual inline cervical stabilization performed by nurses

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