IMEMR
66.92
Volume 6, Issue 2 (2025)                   J Clinic Care Skill 2025, 6(2): 89-95 | Back to browse issues page
Article Type:
Descriptive Study |
Subject:

Print XML PDF HTML Full-Text (HTML)

Ethics code: IR.KAUMS.NUHEPM.REC.1403.015


History

How to cite this article
Mousavi S, Hosseinian M, Rezaei M. Nurses’ Venipuncture Skills and Related Factors in Kashan University of Medical Sciences’ Hospitals. J Clinic Care Skill 2025; 6 (2) :89-95
URL: http://jccs.yums.ac.ir/article-1-419-en.html
Download citation:
BibTeX | RIS | EndNote | Medlars | ProCite | Reference Manager | RefWorks
Send citation to:

Rights and permissions
1- Medical Surgical Nursing Department, Faculty of Nursing and Midwifery, Kashan University of Medical Sciences, Kashan, Iran
2- Department of Pediatric Nursing, Faculty of Nursing and Midwifery, Kashan University of Medical Sciences, Kashan, Iran
3- Trauma Nursing Research Center, Kashan University of Medical Sciences, Kashan, Iran
* Corresponding Author Address: Kashan University of Medical Sciences, Pezashk Boulevard, Qotb Ravandi Boulevard, Kashan, Iran. Postal Code: 8715988141 (m4.rezaei@gmail.com)
Abstract   (175 Views)
Aims: Intravenous cannulation is a common invasive procedure that causes pain, anxiety and technical challenges in both adults and children. This study evaluated nurses’ Intravenous cannulation skills and related influencing factors at Kashan University of Medical Sciences hospitals.
Instrument & Methods: In this descriptive observational study, which is conducted in 2024 in Kashan, 253 nurses working in hospitals affiliated with Kashan University of Medical Sciences  were investigated. A non-probability quota sampling method was used. Data were collected using questionnaires on the demographic information of nurses and patients, along with a researcher-made checklist for evaluating the nurses’ clinical Intravenous cannulation skills. Data analysis was performed using SPSS version 26, employing statistical tests such as the independent t-test, analysis of variance (ANOVA), Pearson correlation, and multiple regression.
Findings: The mean total score for the nurses’ Intravenous cannulation skills was 33.73±8.33, which corresponded to 84.2% of the maximum score (40 points). Over 90% of the nurses rated their Intravenous cannulation skills as good to excellent. The average duration of the cannulation process was 85.4±13.6 minutes. Moreover, the mean Intravenous cannulation skill score for nurses in the emergency department was significantly lower than that in other departments (p<0.05).
Conclusion: About 90% of nurses met Intravenous cannulation standards; targeted training to address gaps could further boost their skills, improve patient outcomes, and cut hospital stays and costs.
Keywords:

References
1. Wherry FF, Schor JB. The SAGE encyclopedia of economics and society. London: Sage Publications; 2015. [Link] [DOI:10.4135/9781452206905]
2. Gholamnejad H, Ghofrani Kelishami F, Manoochehri H, Hoseini M. Efficacy of direct observation of procedural skills (DOPS) on practical learning of nursing students in intense care unit. Educ Strateg Med Sci. 2017;10(1):9-14. [Persian] [Link]
3. Babaei M, Jalali R, Jalali A, Rezaei M. The effect of valsalva maneuver on pain intensity and hemodynamic changes during intravenous (IV) cannulation. Iran J Nurs. 2017;30(108):52-9. [Persian] [Link] [DOI:10.29252/ijn.30.108.52]
4. Gorski LA, Hadaway L, Hagle ME, Broadhurst D, Clare S, Kleidon T, et al. Infusion therapy standards of practice, 8th edition. J Infus Nurs. 2021;44(1S Suppl 1):S1-224. [Link] [DOI:10.1097/NAN.0000000000000396]
5. Lai NM, Lai NA, O'Riordan E, Chaiyakunapruk N, Taylor JE, Tan K. Skin antisepsis for reducing central venous catheter-related infections. Cochrane Database Syst Rev. 2016;7(7):CD010140. [Link] [DOI:10.1002/14651858.CD010140.pub2]
6. Indarwati F, Mathew S, Munday J, Keogh S. Incidence of peripheral intravenous catheter failure and complications in paediatric patients: Systematic review and meta analysis. Int J Nurs Stud. 2020;102:103488. [Link] [DOI:10.1016/j.ijnurstu.2019.103488]
7. Indarwati F, Munday J, Keogh S. Nurse knowledge and confidence on peripheral intravenous catheter insertion and maintenance in pediatric patients: A multicentre cross-sectional study. J Pediatr Nurs. 2022;62:10-6. [Link] [DOI:10.1016/j.pedn.2021.11.007]
8. Whalen M, Maliszewski B, Baptiste DL. Establishing a dedicated difficult vascular access team in the emergency department: A needs assessment. J Infus Nurs. 2017;40(3):149-54. [Link] [DOI:10.1097/NAN.0000000000000218]
9. Hosseini A, Hossinizadeh Z, Abazari P. Evaluating the competencies of undergraduate nursing students in clinical skills. Iran J Med Educ. 2021;21(1):285-93. [Persian] [Link]
10. Brem BG, Schaffner N, Schlegel CA, Fritschi V, Schnabel KP. The conversion of a peer teaching course in the puncture of peripheral veins for medical students into an interprofessional course. GMS J Med Educ. 2016;33(2):Doc21. [Link]
11. Lund F, Schultz JH, Maatouk I, Krautter M, Möltner A, Werner A, et al. Effectiveness of IV cannulation skills laboratory training and its transfer into clinical practice: A randomized, controlled trial. PLoS One. 2012;7(3):e32831. [Link] [DOI:10.1371/journal.pone.0032831]
12. Chen YM, Fan XW, Liu MH, Wang J, Yang YQ, Su YF. Risk factors for peripheral venous catheter failure: A prospective cohort study of 5345 patients. J Vasc Access. 2022;23(6):911-21. [Link] [DOI:10.1177/11297298211015035]
13. Kache S, Patel S, Chen NW, Qu L, Bahl A. Doomed peripheral intravenous catheters: Bad Outcomes are similar for emergency department and inpatient placed catheters: A retrospective medical record review. J Vasc Access. 2022;23(1):50-6. [Link] [DOI:10.1177/1129729820974259]
14. Ahlin C, Klang-Söderkvist B, Johansson E, Björkholm M, Löfmark A. Assessing nursing students' knowledge and skills in performing venepuncture and inserting peripheral venous catheters. Nurse Educ Pract. 2017;23:8-14. [Link] [DOI:10.1016/j.nepr.2017.01.003]
15. Potter DL, Jefferies DC, Seddon L. Geeky medics OSCE revision guide: Clinical examination. Poole: Geeky Medics; 2023. [Link]
16. Zerati M, Alavi N. Designing and validity evaluation of quality of nursing care scale in intensive care units. J Nurs Meas. 2014;22(3):461-71. [Link] [DOI:10.1891/1061-3749.22.3.461]
17. Arunakumar SPK, Raghunandan BG, Lakshmipathy SR, Ramabhatta S, Rashmi K, Puli R, et al. Improving 'hand-hygiene compliance' among the health care personnel in the special newborn care unit. Indian J Pediatr. 2024;91(1):23-9. [Link] [DOI:10.1007/s12098-022-04466-9]
18. Etafa W, Wakuma B, Tsegaye R, Takele T. Nursing students' knowledge on the management of peripheral venous catheters at Wollega University. PLoS One. 2020;15(9):e0238881. [Link] [DOI:10.1371/journal.pone.0238881]
19. Hernon O, McSharry E, Simpkin AJ, MacLaren I, Carr PJ. Evaluating nursing students' venipuncture and peripheral intravenous cannulation knowledge, attitude, and performance: A two-phase evaluation study. J Infus Nurs. 2024;47(2):108-19. [Link] [DOI:10.1097/NAN.0000000000000539]
20. Jacobs L. Peripheral intravenous catheter insertion competence and confidence in medical/surgical nurses. J Infus Nurs. 2022;45(6):306-19. [Link] [DOI:10.1097/NAN.0000000000000487]
21. Tomás-Jiménez M, Díaz EF, Sánchez MJF, Pliego AN, Mir-Abellán R. Clinical holding in pediatric venipuncture: Caring by empowering the caregiver. Int J Environ Res Public Health. 2021;18(14):7403. [Link] [DOI:10.3390/ijerph18147403]
22. Jones K, Lemaire C, Naugler C. Phlebotomy cycle time related to phlebotomist experience and/or hospital location. Lab Med. 2016;47(1):83-6. [Link] [DOI:10.1093/labmed/lmv006]
23. Leung A, Li S, Tsang R, Tsao Y, Ma E. Audit of phlebotomy turnaround time in a private hospital setting. Clin Leadersh Manag Rev. 2006;20(3):E3. [Link]
24. Wong CL, Choi KC. Effects of an immersive virtual reality intervention on pain and anxiety among pediatric patients undergoing venipuncture: A randomized clinical trial. JAMA Netw Open. 2023;6(2):e230001. [Link] [DOI:10.1001/jamanetworkopen.2023.0001]