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Nurses’ practice of peripherally inserted central catheter maintenance and its influencing factors in Guizhou province, China: a cross-sectional study

OBJECTIVES: The aim of this study was to investigate the level of practice of peripherally inserted central catheter (PICC) maintenance among nurses in Guizhou province, China, and to explore its influencing factors. DESIGN: Cross-sectional study. SETTING: 11 tertiary and 26 secondary hospitals of G...

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Autores principales: Hu, Li, Li, Yaling, Li, Hong, Ling, Wenjing, Zheng, Chaoting, Ran, Mingfei, Xu, Binbin
Formato: Online Artículo Texto
Lenguaje:English
Publicado: BMJ Publishing Group 2023
Materias:
Acceso en línea:https://www.ncbi.nlm.nih.gov/pmc/articles/PMC10069491/
https://www.ncbi.nlm.nih.gov/pubmed/36997249
http://dx.doi.org/10.1136/bmjopen-2022-068656
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author Hu, Li
Li, Yaling
Li, Hong
Ling, Wenjing
Zheng, Chaoting
Ran, Mingfei
Xu, Binbin
author_facet Hu, Li
Li, Yaling
Li, Hong
Ling, Wenjing
Zheng, Chaoting
Ran, Mingfei
Xu, Binbin
author_sort Hu, Li
collection PubMed
description OBJECTIVES: The aim of this study was to investigate the level of practice of peripherally inserted central catheter (PICC) maintenance among nurses in Guizhou province, China, and to explore its influencing factors. DESIGN: Cross-sectional study. SETTING: 11 tertiary and 26 secondary hospitals of Guizhou province, China. PARTICIPANTS: A total of 832 nurses engaged in clinical work of PICC maintenance participated in the present study. PRIMARY OUTCOME MEASURES: PICC maintenance knowledge questionnaire, PICC maintenance attitude questionnaire and PICC maintenance practice questionnaire were administrated online for measuring participants’ knowledge, attitude and practice of PICC maintenance, respectively. RESULTS: The mean score of nurses’ practice of PICC maintenance was 79.77±12.13 and 60.8% of participants reported acceptable practices of PICC maintenance. The availability of PICC guidelines (β=0.10, p=0.002), previous training on PICC maintenance (β=0.18, p<0.001) and attitudes toward PICC maintenance (β=0.48, p<0.001) were significant factors predicting nurses’ practices of PICC maintenance. These factors account for 33% of the variance in the practice of PICC maintenance. CONCLUSION: Nurses’ practice of PICC maintenance in Guizhou province was unsatisfactory. Their practice was influenced by the availability of PICC guidelines, whether or not they received training and their attitudes toward PICC maintenance. A province-level PICC maintenance alliance is recommended to be established to improve the quality of PICC maintenance in Guizhou, which can develop or update PICC guidelines, and provide training on PICC maintenance regularly for nurses engaging in PICC maintenance.
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spelling pubmed-100694912023-04-04 Nurses’ practice of peripherally inserted central catheter maintenance and its influencing factors in Guizhou province, China: a cross-sectional study Hu, Li Li, Yaling Li, Hong Ling, Wenjing Zheng, Chaoting Ran, Mingfei Xu, Binbin BMJ Open Nursing OBJECTIVES: The aim of this study was to investigate the level of practice of peripherally inserted central catheter (PICC) maintenance among nurses in Guizhou province, China, and to explore its influencing factors. DESIGN: Cross-sectional study. SETTING: 11 tertiary and 26 secondary hospitals of Guizhou province, China. PARTICIPANTS: A total of 832 nurses engaged in clinical work of PICC maintenance participated in the present study. PRIMARY OUTCOME MEASURES: PICC maintenance knowledge questionnaire, PICC maintenance attitude questionnaire and PICC maintenance practice questionnaire were administrated online for measuring participants’ knowledge, attitude and practice of PICC maintenance, respectively. RESULTS: The mean score of nurses’ practice of PICC maintenance was 79.77±12.13 and 60.8% of participants reported acceptable practices of PICC maintenance. The availability of PICC guidelines (β=0.10, p=0.002), previous training on PICC maintenance (β=0.18, p<0.001) and attitudes toward PICC maintenance (β=0.48, p<0.001) were significant factors predicting nurses’ practices of PICC maintenance. These factors account for 33% of the variance in the practice of PICC maintenance. CONCLUSION: Nurses’ practice of PICC maintenance in Guizhou province was unsatisfactory. Their practice was influenced by the availability of PICC guidelines, whether or not they received training and their attitudes toward PICC maintenance. A province-level PICC maintenance alliance is recommended to be established to improve the quality of PICC maintenance in Guizhou, which can develop or update PICC guidelines, and provide training on PICC maintenance regularly for nurses engaging in PICC maintenance. BMJ Publishing Group 2023-03-30 /pmc/articles/PMC10069491/ /pubmed/36997249 http://dx.doi.org/10.1136/bmjopen-2022-068656 Text en © Author(s) (or their employer(s)) 2023. Re-use permitted under CC BY-NC. No commercial re-use. See rights and permissions. Published by BMJ. https://creativecommons.org/licenses/by-nc/4.0/This is an open access article distributed in accordance with the Creative Commons Attribution Non Commercial (CC BY-NC 4.0) license, which permits others to distribute, remix, adapt, build upon this work non-commercially, and license their derivative works on different terms, provided the original work is properly cited, appropriate credit is given, any changes made indicated, and the use is non-commercial. See: http://creativecommons.org/licenses/by-nc/4.0/ (https://creativecommons.org/licenses/by-nc/4.0/) .
spellingShingle Nursing
Hu, Li
Li, Yaling
Li, Hong
Ling, Wenjing
Zheng, Chaoting
Ran, Mingfei
Xu, Binbin
Nurses’ practice of peripherally inserted central catheter maintenance and its influencing factors in Guizhou province, China: a cross-sectional study
title Nurses’ practice of peripherally inserted central catheter maintenance and its influencing factors in Guizhou province, China: a cross-sectional study
title_full Nurses’ practice of peripherally inserted central catheter maintenance and its influencing factors in Guizhou province, China: a cross-sectional study
title_fullStr Nurses’ practice of peripherally inserted central catheter maintenance and its influencing factors in Guizhou province, China: a cross-sectional study
title_full_unstemmed Nurses’ practice of peripherally inserted central catheter maintenance and its influencing factors in Guizhou province, China: a cross-sectional study
title_short Nurses’ practice of peripherally inserted central catheter maintenance and its influencing factors in Guizhou province, China: a cross-sectional study
title_sort nurses’ practice of peripherally inserted central catheter maintenance and its influencing factors in guizhou province, china: a cross-sectional study
topic Nursing
url https://www.ncbi.nlm.nih.gov/pmc/articles/PMC10069491/
https://www.ncbi.nlm.nih.gov/pubmed/36997249
http://dx.doi.org/10.1136/bmjopen-2022-068656
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