Application of electrocardiograph positioning technology training based on PDCA cycle model in improving PICC tip positioning rate
10.3760/cma.j.issn.1674-2907.2017.36.005
- VernacularTitle:基于PDCA循环法的心电定位技术培训在提高PICC置管尖端到位率中的应用
- Author:
Xiaoxu ZHI
1
;
Chuanying CHEN
;
Aifeng MENG
;
Ruchun SHI
;
Mengting PAN
;
Changmin MAO
;
Chunli LIU
;
Ping ZHU
Author Information
1. 江苏省肿瘤医院 南京医科大学附属肿瘤医院门诊专科护理组
- Keywords:
PDCA cycle;
ECG positioning technique;
Peripherally inserted central catheter
- From:
Chinese Journal of Modern Nursing
2017;23(36):4578-4582
- CountryChina
- Language:Chinese
-
Abstract:
Objective To investigate the effect of PDCA cycle management combing with ECG guidance in improving the rate of catheter tip in right place when is conducting the PICC catheterization. Methods A total of 36 intravenous treatment specialist nurses from Jiangsu Tumor Hospital were trained with PDCA cycle management method from 1st June to 31st September,2016. The training knowledge and skills included catheter tip positioning under intracardiac electrocardiogram. The knowledge and skills were analyzed and compared before and after training finally. Results The training not only could help to improve the score of knowledge and skill of PICC specialist nurses with knowledge before (88.28±3.10) and after (96.10±1.25) (P< 0.05) and skill before (83.55±5.11) and after (98.81±2.50) (P< 0.05); but also increased the rate of catheter tip in right place in the process of PICC catheterization (χ2=12.35,P <0.05). Meanwhile, the results showed that patient satisfaction with nurses could also be improved from 88.7% to 96.8% (χ2=10.79,P <0.05) and the operating time could be shorted [before (40.23±3.56)min,after (28.76±4.34)min](P< 0.05). Conclusions The use of PDCA circulatory method to train nurses can improve the ability to deal with puzzling questions of nurses in the process of PICC catheterization,and increase the rate of PICC catheter tip in right place.
