ABSTRACT
Background: Arm choice for peripherally inserted central catheter (PICC) insertion is often determined by PICC nurses. Objectives: To explore the impact of arm choice (dominant or non-dominant) on the rate of catheter-related complications and degree of comfort in patients with PICCs. Design: A cross-sectional study. Methods: We used questionnaires and scales to collect 255 patients' general information, catheter-related complications and comfort degree. They were divided into two groups (PICC inserted in the dominant or non-dominant arm). Results: There were significant differences in the rate of PICC occlusion and insertion site bleeding (χ 2 = 9.829, P < 0.05; χ 2 = 6.502, P < 0.05), both were lower in the non-dominant group than in the dominant group. Patients in the non-dominant group had a higher degree of comfort (Z = -10.166, P < 0.01). Conclusion: Inserting into non-dominant arms is related to the lower rate of catheter-related complications and higher degree of comfort for patients. Impact statement: These findings provide practical evidence for nurses to make a better choice.
Subject(s)
Arm , Catheterization, Peripheral/psychology , Catheterization, Peripheral/statistics & numerical data , Functional Laterality , Patient Preference/psychology , Patient Preference/statistics & numerical data , Adolescent , Adult , Aged , China , Cross-Sectional Studies , Female , Humans , Male , Middle Aged , Young AdultABSTRACT
Objective To construct the core competence evaluation index system for intravenous therapy specialized nurses.Methods Using literature research,group discussion,and two-round Delphi expert consultation,the core competence evaluation index system for intravenous therapy specialized nurses was constructed.Results The response rates for two rounds of expert consultation were both 100%,authority coefficients were 0.93 and 0.94,and coordination coefficients at all levels ranged from 0.252 to 0.418.The core competence evaluation index system for intravenous therapy specialized nurses consisted of 8 first-class indexes,35 second-class indexes and 93 third-class indexes.Conclusion The enthusiasm,authority,concentration degree and coordination degree of experts were comparatively high.It can provide references for training,assessment,certification,utilization and management of intravenous therapy specialized nurses.