Use of Medical breakthrough series technique to decrease port-A-related bloodstream infections

Zhuang, Yu-Shan; Lee, Sai Cheong; Kao, Ya Lin; Huang, Hsieh Hsien; Li, Chia Ling

doi:10.1016/j.jmii.2015.02.487

Cited by 2 publications

(2 citation statements)

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“…However, complications such as puncture failure, infection, catheter fracture, and extravasation can occur, potentially resulting in patient death. Good puncture technique and care are critical for catheter maintenance [ 5 , 6 , 7 , 8 ]. Injection through a Port-A catheter is an invasive procedure, and a good puncture greatly eliminates the damage to the catheter path [ 9 , 10 ].…”

Section: Introductionmentioning

confidence: 99%

Effects of Digital Learning and Virtual Reality in Port-A Catheter Training Course for Oncology Nurses: A Mixed-Methods Study

2023

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In-service education for oncology nurses usually adopts didactic teaching. This study investigated the effects of virtual reality (VR) and a digital learning-based Port-A-catheter educational course for oncology nurses. A mixed-methods research design was employed, with a convenience sample of 43 nurses from a regional teaching hospital in Taiwan participating. Measurements were taken at three time points: pre-test, 1st post-test, and 2nd post-test. The data was analyzed using descriptive statistics and repeated ANOVA tests. Results showed significant improvement in Port-A-catheter knowledge and skill levels (p < 0.0001) and high learning attitude and satisfaction scores of 4.29 ± 0.46 and 4.31 ± 0.58 points, respectively. Five qualitative themes emerged, highlighting the realistic VR scenarios, VR practice’s usefulness, willingness to learn with VR, VR system limitations, and the potential for future courses. The study concluded that a VR-based educational course effectively enhanced nurses’ knowledge, skills, learning attitude, and satisfaction, recommending the inclusion of diverse clinical scenarios for practical learning.

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Section: Introductionmentioning

confidence: 99%

Effects of Digital Learning and Virtual Reality in Port-A Catheter Training Course for Oncology Nurses: A Mixed-Methods Study

2023

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“…Previous studies have found that insu cient knowledge and care behavior for CVCs by healthcare staff is the critical factor associated with catheter-related bloodstream infections [2,10,11]. Given the mix of old and new knowledge about Port-A-Cath application and related patient care among nursing staff, many hospitals now offer a variety of educational programs to enhance nurses' care knowledge for patients who have placement of a Port-A-Cath [12,13]. Although there are already several guidelines and education programs for the application and care of CVCs, there is still no uni ed standard tool which can be used to evaluate application and care knowledge of Port-A-Cath among clinical caregivers.…”

Section: Introductionmentioning

confidence: 99%

The Port-A-Cath Application and Care Knowledge Scale (PACKS) for nurses: Development and initial validation with Rasch analysis

Li,

Hu,

Hsieh

et al. 2024

Preprint

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Purpose: This study aimed to develop a Port-A-Cath Application and Care Knowledge Scale (PACKS) for nurses and examine its initial psychometric properties. Method: This was a methodological study. The initial 30 items of the PACKS included two subscales with items generated from a literature review, expert validity, and face validation. A questionnaire survey was then completed by clinical nurses (n =377) from three hospitals in Taiwan. Rasch analysis was used to test whether each PACKS subscale was unidimensional and whether all items in the same subscale fit with their constructs. Results: The application knowledge PACKS subscale demonstrated evidence of unidimensionality with acceptable item fit according to the Rasch model (infit mean square [MnSq] = 0.91-1.08; outfit MnSq = 0.66-1.15). Similarly, the care knowledge PACKS subscale demonstrated evidence of unidimensionality with acceptable item fit except (infit MnSq = 0.87-1.16; outfit MnSq = 0.77-1.28) for the fifth item (outfit MnSq = 1.77). After removing the fifth item, all the remaining items had acceptable infit and outfit MnSq. However, several items displayed differential item functioning (DIF) across gender, which could have been caused by the imbalanced gender distribution in this study. Conclusions: The PACKS is a reliable and valid instrument which clinical staff and researchers can use to evaluate nurses’ knowledge on Port-A-Cath application and care.

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Use of Medical breakthrough series technique to decrease port-A-related bloodstream infections

Cited by 2 publications

References 0 publications

Effects of Digital Learning and Virtual Reality in Port-A Catheter Training Course for Oncology Nurses: A Mixed-Methods Study

Effects of Digital Learning and Virtual Reality in Port-A Catheter Training Course for Oncology Nurses: A Mixed-Methods Study

The Port-A-Cath Application and Care Knowledge Scale (PACKS) for nurses: Development and initial validation with Rasch analysis

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