International Emergency Nursing Vol. 69 July 2023
Nurses’ knowledge and self-assessment of their clinical experiences of
intraosseous access: A multicentre cross-sectional study
Dublin Core
Title
International Emergency Nursing Vol. 69 July 2023
Nurses’ knowledge and self-assessment of their clinical experiences of
intraosseous access: A multicentre cross-sectional study
Nurses’ knowledge and self-assessment of their clinical experiences of
intraosseous access: A multicentre cross-sectional study
Subject
Nurses, Intraosseous access, Knowledge, Clinical experiences, Evidence-based guidelines, Cross-sectional
Description
Background: Intraosseous access is an effective and safe option when difficult vascular access occurs. The knowledge, competence, and clinical experience of nurses are collectively essential for the successful implementation of this approach in clinical practice. Education and clinical learning are the main pillars supporting
this new practice to ensure patient safety. The aim of this study was to identify the nurses’ knowledge and clinical experience of intraosseous access and the factors associated with the adoption of this procedure.
Methods: A cross-sectional study was carried out from October to December 2020. A convenience sample of 432 nurses from four Italian hospitals were involved. A structured questionnaire was used to assess the nurses’knowledge of the intraosseous access guidelines and their clinical experience.
Results: Most participants were female (71.5%) with more than 10 years of experience (63.7%) working in an emergency (38.9%) and medical (37.7%) setting. Most of the participants demonstrated their knowledge of the use of a device e.g., it is used if vascular access is not rapidly achieved in a child (83.1%) and the boluses of liquids required in the intraosseous procedure (72.7%). A few participants reported having placed intraosseous access (3.5%). A higher level of educational preparation and working in emergency and paediatric settings were associated with increased knowledge.
Conclusions: Our findings highlighted a sub-optimal level of knowledge of the IO procedure, little experience of this practice in clinical contexts, also associated with a lack of adequate protocols and devices available to nurses.Nurses need to develop their knowledge and practice the skill clinically to embed this practice. University and nurse educators should emphasise the relevance of this practice in nursing education and training, so as to improve the nursing care practice and level of patient safety.
this new practice to ensure patient safety. The aim of this study was to identify the nurses’ knowledge and clinical experience of intraosseous access and the factors associated with the adoption of this procedure.
Methods: A cross-sectional study was carried out from October to December 2020. A convenience sample of 432 nurses from four Italian hospitals were involved. A structured questionnaire was used to assess the nurses’knowledge of the intraosseous access guidelines and their clinical experience.
Results: Most participants were female (71.5%) with more than 10 years of experience (63.7%) working in an emergency (38.9%) and medical (37.7%) setting. Most of the participants demonstrated their knowledge of the use of a device e.g., it is used if vascular access is not rapidly achieved in a child (83.1%) and the boluses of liquids required in the intraosseous procedure (72.7%). A few participants reported having placed intraosseous access (3.5%). A higher level of educational preparation and working in emergency and paediatric settings were associated with increased knowledge.
Conclusions: Our findings highlighted a sub-optimal level of knowledge of the IO procedure, little experience of this practice in clinical contexts, also associated with a lack of adequate protocols and devices available to nurses.Nurses need to develop their knowledge and practice the skill clinically to embed this practice. University and nurse educators should emphasise the relevance of this practice in nursing education and training, so as to improve the nursing care practice and level of patient safety.
Creator
Giancarlo Cicolini, Dania Comparcini, Valentina Simonetti, Cinzia Anna Maria Papappicco, John Unsworth, Marco Tomietto
Publisher
Elsevier Ltd.
Date
July 2023
Contributor
Sri Wahyuni
Rights
1755-599X
Format
PDF
Language
English
Type
Text
Coverage
International Emergency Nursing Vol. 69 July 2023
Files
Citation
Giancarlo Cicolini, Dania Comparcini, Valentina Simonetti, Cinzia Anna Maria Papappicco, John Unsworth, Marco Tomietto, “International Emergency Nursing Vol. 69 July 2023
Nurses’ knowledge and self-assessment of their clinical experiences of
intraosseous access: A multicentre cross-sectional study,” Repository Horizon University Indonesia, accessed November 21, 2024, https://repository.horizon.ac.id/items/show/1808.
Nurses’ knowledge and self-assessment of their clinical experiences of
intraosseous access: A multicentre cross-sectional study,” Repository Horizon University Indonesia, accessed November 21, 2024, https://repository.horizon.ac.id/items/show/1808.