Abstract:
Aim: To assess nursing staff’ knowledge and self-efficacy in vascular access device management before and after a Field Training Course, aligned to the recent Standard of Infusion Therapy Guidelines.
Design: Quasi-experimental study.
Method: Nursing staff from a healthcare company in Rome, Italy, participated in a 25-h Field Training Course, focusing on vascular access management, promoting collaborative learning, reflection and research. Participants filled in the Nurses’ knowledge and self-efficacy on vascular access devices questionnaire pre and post-course. The course’s impact on knowledge and self-efficacy was assessed using ANOVA or T-test.
Results: A total of 472 nurses completed both questionnaires. Baseline knowledge scores significantly varied by gender, work setting and previous attendance at courses on vascular accesses, reflecting a positive influence from the healthcare facility’s vascular team and the culture around PICC/Midline. Male gender and hospital setting were associated with higher self-efficacy scores, often linked to prior course attendance. Knowledge scores were lowest for short peripheral catheters and ports, intermediate for general knowledge and long peripheral catheters/midline and highest for peripherally inserted central catheter. Self-efficacy was higher for short peripheral catheters and lower for long peripheral catheters/midline, PICC and Ports. After the course, both knowledge and self-efficacy significantly improved, except for short peripheral catheter self-efficacy, which was already high at baseline.
Relevance to clinical practice: In the constantly evolving healthcare landscape, updated knowledge and strong self-efficacy in managing vascular access devices are crucial for nurses to deliver high-quality care. This enables professionals to navigate complexities, make informed decisions and promote a culture of safety.
Reporting method: SQUIRE (Standards for quality improvement reporting excellence) reporting method (EQUATOR guidelines).
Patient or public contribution: None.
Reference:Lommi M, Tolentino Diaz MY, Piredda M, Raffaele B, Ricci S, Montini G, Guarente L, Leonardo M, Petrucci G, Fiorini J, Porcelli B. Nurses’ Knowledge and Self-Efficacy in the Management of Vascular Access Devices Before and After Field Training Course: A Quasi-Experimental Study. Nurs Open. 2025 Apr;12(4):e70090. doi: 10.1002/nop2.70090. PMID: 40259444; PMCID: PMC12011547.