Determinants of Nursing Students’ Confidence in Peripheral Intravenous Catheter Insertion and Management

Ferika Indarwati; Yanuar Primanda

doi:10.3889/oamjms.2021.5775

Authors

Ferika Indarwati Department of Pediatric Nursing, School of Nursing, Faculty of Medicines and Health Sciences, Universitas Muhammadiyah Yogyakarta, Yogyakarta, Indonesia
Yanuar Primanda Department of Adult Nursing, School of Nursing, Faculty of Medicines and Health Sciences, Universitas Muhammadiyah Yogyakarta, Yogyakarta, Indonesia

DOI:

https://doi.org/10.3889/oamjms.2021.5775

Keywords:

Confidence, Insertion, Nursing, Management, Peripheral intravenous catheter

Abstract

BACKGROUND: Peripheral intravenous catheter (PIVC) is one of the medical devices commonly inserted in hospitalized patients, both adults and pediatrics. PIVC has crucial functions for delivering drugs, fluids, blood transfusions, and diagnostic tests for patients. Thus, nursing students must be confident in terms of insertion and management of this device. However, studies assessing nursing students’ confidence and its determinants are still limited.

AIM: This study aims to examine the internship nursing student’s confidence in PIVC insertion and management in adult patients and its contributing factors.

METHODS: A cross-sectional study was conducted to measure internship nursing students’ confidence in PIVC cannulation and management in adult patients as well as its contributing factors. Purposive samples of 100 nursing students in Yogyakarta were recruited, and a 5-point Likert scale questionnaire consisting of 19 questions was used. Kruskal–Wallis test was utilized to investigate the association of the internship nursing student confidence on PIVC insertion and maintenance with the factors. A general linear regression analysis was performed to obtain adjusted estimates of the potential factors with students’ confidence.

RESULTS: Results indicated that the internship nursing student’s confidence score ranged from 57 to 95, with a mean value of 75 (±8.1). Among determinants of the student’s confidence investigated in this study, t-test analysis showed that the students’ confidence was associated with their participation in expert lecture, bedside teaching, and direct observation of procedural skill assessment of PIVC insertion and care (p < 0.05). The general linear analysis showed that only bedside teaching and interaction of bedside teaching and direct observation procedural skill assessment were significant predictors of the internship nursing student’s confidence on PIVC insertion and care (β = 10.99, 95% confidence interval [CI] 2.00–20.00 and β = 13.15, 95% CI 1.20–25.15, p < 0.05, respectively).

CONCLUSION: This result indicated that nursing students need direct simulation and assessment of PIVC insertion and care to the patients to improve their confidence in PIVC insertion and management in adult patients.

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References

Aexandrou E, Ray-Barruel G, Carr PJ, Frost S, Inwood S, Higgins N, et al. Use of short peripheral intravenous catheters: Characteristics, management, and outcomes worldwide. J Hosp Med. 2018;13(5):1-7. https://doi.org/10.12788/jhm.3039 PMid:29813140 DOI: https://doi.org/10.12788/jhm.3039

Marsh N, Webster J, Larson E, Cooke M, Mihala G, Rickard CM. Observational study of peripheral intravenous catheter outcomes in adult hospitalized patients: A multivariable analysis of peripheral intravenous catheter failure. J Hosp Med. 2018;13(2):83-9. https://doi.org/10.12788/jhm.2867 PMid:29073316 DOI: https://doi.org/10.12788/jhm.2867

Kokotis K. Cost containment and infusion services. J Infus Nurs. 2005;28(3S):S22-32. PMid:15965377 DOI: https://doi.org/10.1097/00129804-200505001-00005

Pierce CA, Baker JJ. A nursing process model: Quantifying infusion therapy resource consumption. J Infus Nurs. 2004;27(4):232- 44. https://doi.org/10.1097/00129804-200407000-00008 PMid:15273630 DOI: https://doi.org/10.1097/00129804-200407000-00008

Goff DA, Larsen P, Brinkley J, Eldridge D, Newton D, Hartzog T, et al. Resource utilization and cost of inserting peripheral intravenous catheters in hospitalized children. Hosp Pediatr. 2013;3(3):185-91. https://doi.org/10.1542/hpeds.2012-0089 PMid:24313085 DOI: https://doi.org/10.1542/hpeds.2012-0089

Scott-Warren V, Morley R. Paediatric vascular access. BJA Educ. 2015;15(4):199-206. https://doi.org/10.1093/bjaceaccp/mku050 DOI: https://doi.org/10.1093/bjaceaccp/mku050

Kennedy RM, Luhmann J, Zempsky WT. Clinical implications of unmanaged needle-insertion pain and distress in children. Pediatrics. 2008;122 Suppl 3:S130-3. https://doi.org/10.1542/peds.2008-1055e PMid:18978006 DOI: https://doi.org/10.1542/peds.2008-1055e

Jones T, DeMore M, Cohen LL, O’Connell C, Jones D. Childhood healthcare experience, healthcare attitudes, and optimism as predictors of adolescents’ healthcare behavior. J Clin Psychol Med Settings. 2008;15(3):234-40. https://doi.org/10.1007/ s10880-008-9126-7 PMid:19104968 DOI: https://doi.org/10.1007/s10880-008-9126-7

Gorski L, Hadaway L, Hagle ME, McGoldrick M, Orr M. Doellman D. for Infusion Nurses Society. Infusion therapy standards of practice. J Infus Nurs. 2016;39(Suppl 1):S1-59. DOI: https://doi.org/10.1097/NAN.0000000000000396

Sabri A, Szalas J, Holmes KS, Labib L, Mussivand T. Failed attempts and improvement strategies in peripheral intravenous catheterization. Biomed Mater Eng. 2013;23(1-2):93-108. https://doi.org/10.3233/bme-120735 PMid:23442240 DOI: https://doi.org/10.3233/BME-120735

Hagbaghery MA, Salsali M, Ahmadi F. The factors facilitating and inhibiting effective clinical decision-making in nursing: A qualitative study. BMC Nurs. 2004;3(1):2. https://doi.org/10.1186/1472-6955-3-2 PMid:15068484 DOI: https://doi.org/10.1186/1472-6955-3-2

Farrell C, McCulloch E, Bellhouse S, Delahoyde MK, Hill S, Rickard C, et al. Peripheral cannulae in oncology: Nurses’ confidence and patients’ experiences. Cancer Nurs Pract. 2017;16(3):32-8. https://doi.org/10.7748/cnp.2017.e1408 DOI: https://doi.org/10.7748/cnp.2017.e1408

Valizadeh L, Amini A, Fathi-Azar E, Ghiasvandian S, Akbarzadeh B. The effect of simulation teaching on baccalaureate nursing students’ self-confidence related to peripheral venous catheterization in children: A randomized trial. J Caring Sci. 2013;l2(2):157-64. PMid:25276722

Hartman JH, Baker J, Bena JF, Morrison SL, Albert NM. Pediatric vascular access peripheral IV algorithm success rate. J Pediatr Nurs. 2018;39:1-6. https://doi.org/10.1016/j.pedn.2017.12.002 PMid:29525210 DOI: https://doi.org/10.1016/j.pedn.2017.12.002

Rickard CM, Webster J, Wallis MC, Marsh N, McGrail MR, French V, et al. Routine versus clinically indicated replacement of peripheral intravenous catheters: A randomised controlled equivalence trial. Lancet. 2012;380(9847):1066-74. https://doi.org/10.1016/s0140-6736(12)61082-4 PMid:22998716 DOI: https://doi.org/10.1016/S0140-6736(12)61082-4

Arbaee I, Mohd Ghazali A. Nurses knowledge and practice towards care and maintenance of. Qualitative Research. 2016 [Cited 2020 Sept 22];1(3):385-405. Available from: https:// www.researchgate.net/profile/Ahmad-Nizal-Mohd-Ghazali/ publication/236982617_Nurses_Knowledge_and_Practice_ Towards_Care_and_Maintenance_of_Peripheral_Intravenous_ Cannulation_in_Pantai_Hospital_Batu_Pahat_Johor_Malaysia/ links/0deec51aaccac0ffe7000000/Nurses-Knowledge-and Practice-Towards-Care-and-Maintenance-of-Peripheral Intravenous-Cannulation-in-Pantai-Hospital-Batu-Pahat-Johor Malaysia.pdf

Smith SJ, Roehrs CJ. High-fidelity simulation: Factors correlated with nursing student satisfaction and self-confidence. Nurs Educ Perspect. 2009;30(2):74-8. PMid:19476068

Jones P, Rai BP. The status of bedside teaching in the United Kingdom: The student perspective. Adv Med Educ Pract. 2015;6:421-9. PMid:26082672 DOI: https://doi.org/10.2147/AMEP.S83407

McGee S. A piece of my mind. Bedside teaching rounds reconsidered. JAMA. 2014;311(19):1971-2. https://doi.org/10.1001/jama.2013.286201 PMid:24846031 DOI: https://doi.org/10.1001/jama.2013.286201

Mohamadirizi S, Mardanian F, Torabi F. The effect of direct observation of procedural skills method on learning clinical skills of midwifery students of medical sciences. J Educ Health Promot. 2020;9:91. https://doi.org/10.4103/jehp.jehp_672_19 PMid:32509899 DOI: https://doi.org/10.4103/jehp.jehp_672_19

Mughal Z, Noory S: Increasing medical students’ confidence in procedural skills using a junior doctor-delivered bedside supervision program. Teach Learn Med. 2015;27:417-21. https://doi.org/10.1080/10401334.2015.1077130 PMid:26508000 DOI: https://doi.org/10.1080/10401334.2015.1077130

Salah AB, El Mhamdi S, Bouanene I, Sriha A, Soltani M. Patients’ attitude towards bedside teaching in Tunisia. Int J Med Educ. 2015;6:201-7. https://doi.org/10.5116/ijme.5669.ea24 PMid:26706313 DOI: https://doi.org/10.5116/ijme.5669.ea24

McGaghie WC, Issenberg SB, Cohen ME, Barsuk JH, Wayne DB. Does simulation-based medical education with deliberate practice yield better results than traditional clinical education? A meta-analytic comparative review of the evidence. Acad Med 2011;86(6):706-11. https://doi.org/10.1097/acm.0b013e318217e119 PMid:21512370 DOI: https://doi.org/10.1097/ACM.0b013e318217e119

Kaddoura MA. New graduate nurses’ perceptions of the effects of clinical simulation on their critical thinking, learning, and confidence. J Contin Educ Nurs. 2010;41(11):506-16. https://doi.org/10.3928/00220124-20100701-02 PMid:20672760 DOI: https://doi.org/10.3928/00220124-20100701-02

Thomas C, Mackey E. Influence of a clinical simulation elective on baccalaureate nursing student clinical confidence. J Nurs Educ. 2012;51(4):236-9. https://doi.org/10.3928/01484834-20120224-03 PMid:22356359 DOI: https://doi.org/10.3928/01484834-20120224-03

Tiffen J, Graf N, Corbridge S. Effectiveness of a low fidelity simulation experience in building confidence among advanced practice nursing graduate students. Clin Simul Nurs. 2009;5(3):e113-7. https://doi.org/10.1016/j.ecns.2009.01.009 DOI: https://doi.org/10.1016/j.ecns.2009.01.009

Brown D, Chronister C. The effect of simulation learning on critical thinking and self-confidence when incorporated into an electrocardiogram nursing course. Clin Simul Nurs. 2009;5(1):e45-52. https://doi.org/10.1016/j.ecns.2008.11.001 DOI: https://doi.org/10.1016/j.ecns.2008.11.001

Lilly ML, Hermanns M, Crawley B. Clinical simulation in psychiatric-mental health nursing: Post-graduation follow up. J Psychosoc Nurs Ment Health Serv. 2016;54:40-6. https://doi.org/10.3928/02793695-20160920-07 PMid:27699425 DOI: https://doi.org/10.3928/02793695-20160920-07

Bland AJ, Topping A, Wood B. A concept analysis of simulation as a learning strategy in the education of undergraduate nursing students. Nurse Educ Today. 2011;31(7):664-70. https://doi.org/10.1016/j.nedt.2010.10.013 PMid:21056920 DOI: https://doi.org/10.1016/j.nedt.2010.10.013

Berragan L. Learning nursing through simulation: A case study approach towards an expansive model of learning. Nurse Educ Today. 2014;34(8):1143-8. https://doi.org/10.1016/j.nedt.2014.03.005 PMid:24713128 DOI: https://doi.org/10.1016/j.nedt.2014.03.005

Jones T. Outcome measurement in nursing: Imperatives, ideals, history, and challenges. Online J Issues Nurs. 2016;21(2):1. PMid:27854419 DOI: https://doi.org/10.3912/OJIN.Vol21No02Man01

Khanghahi ME, Azar FEF: Direct observation of procedural skills (DOPS) evaluation method: Systematic review of evidence. Med J Islam Repub Iran. 2018;32:45. https://doi.org/10.14196/mjiri.32.45 PMid:30159296 DOI: https://doi.org/10.14196/mjiri.32.45

Barr J, Graffeo CS. Procedural experience and confidence among graduating medical students. J Surg Educ. 2016;73(3):466-73. https://doi.org/10.1016/j.jsurg.2015.11.014 PMid:26778743 DOI: https://doi.org/10.1016/j.jsurg.2015.11.014

Karim JA, Marwan YA, Dawas AM, Akhtar S. Self-confidence of medical students in performing clinical skills acquired during their surgical rotation. Saudi Med J. 2012;33(12):1310-6. PMid:23232679

Kumar N, Singh Nk, Rudra S, Pathak S. Effect of formative evaluation using direct observation of procedural skills in assessment of postgraduate students of obstetrics and gynecology: Prospective study. J Adv Med Educ Prof. 2017;5(1):1-5. PMid:28124015