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Performance evaluation of arterial femoral sheath removal by registered nurses after PCI

Performance evaluation of arterial femoral sheath removal by registered nurses after PCI
Performance evaluation of arterial femoral sheath removal by registered nurses after PCI
Background: Sheath removal after PCI by registered nurses can improve patients' comfort and shorten immobilisation time. As sheath removal is not without risk, it is important to assure the quality of performance.

Aims: The aim was (a) to check if nurses' performance in 1999 and 2005 was in accordance with the protocol for arterial sheath removal and (b) to compare both measurements to explore differences in performance over time.

Methods: We trained registered nurses in sheath removal and observed them during sheath removal in elective uncomplicated PCI-patients. We developed and used a checklist, including 10 elements and 65 items.

Results: Both in 1999 (n = 43 observations with 13 nurses) and 2005 (n = 42 observations with 16 nurses) the norm of more than 90% for the total score was not achieved: we found 82% and 80%, respectively. Four elements scored more than 90%, and three elements scored less than 80% at both points in time. The results on the other three elements differed significantly over time.

Conclusion: Registered nurses achieved the norm for good performance (80–89%) of removing arterial sheaths according to protocol after a training programme and this is stable in time. Since the norm for excellent performance (? 90%) was not achieved, current performance could be improved, e.g. by yearly repetition of training and observation of skills. More research is needed, and could focus on the validation of the instrument. Also multi-centre studies with this checklist could test the association between the quality of arterial femoral sheath removal and the occurrence of vascular complications.
arterial sheath removal, vascular complications, percutaneous coronary interventions, nursing, instrument development
1474-5151
172-177
Schiks, Ingrid
ff1da9df-b3e4-4b7e-a024-ace395920674
Schoonhoven, Lisette
46a2705b-c657-409b-b9da-329d5b1b02de
Verheugt, Freek
28e78c29-31b5-4924-84c0-478be862505e
Aengevaeren, Wim
70881dc9-ab4f-495b-965f-6f8867f88553
van Achterberg, Theo
eb49404e-62c6-427d-bb94-580254177a30
Schiks, Ingrid
ff1da9df-b3e4-4b7e-a024-ace395920674
Schoonhoven, Lisette
46a2705b-c657-409b-b9da-329d5b1b02de
Verheugt, Freek
28e78c29-31b5-4924-84c0-478be862505e
Aengevaeren, Wim
70881dc9-ab4f-495b-965f-6f8867f88553
van Achterberg, Theo
eb49404e-62c6-427d-bb94-580254177a30

Schiks, Ingrid, Schoonhoven, Lisette, Verheugt, Freek, Aengevaeren, Wim and van Achterberg, Theo (2007) Performance evaluation of arterial femoral sheath removal by registered nurses after PCI. European Journal of Cardiovascular Nursing, 6 (3), 172-177. (doi:10.1016/j.ejcnurse.2006.08.001). (PMID:16997633)

Record type: Article

Abstract

Background: Sheath removal after PCI by registered nurses can improve patients' comfort and shorten immobilisation time. As sheath removal is not without risk, it is important to assure the quality of performance.

Aims: The aim was (a) to check if nurses' performance in 1999 and 2005 was in accordance with the protocol for arterial sheath removal and (b) to compare both measurements to explore differences in performance over time.

Methods: We trained registered nurses in sheath removal and observed them during sheath removal in elective uncomplicated PCI-patients. We developed and used a checklist, including 10 elements and 65 items.

Results: Both in 1999 (n = 43 observations with 13 nurses) and 2005 (n = 42 observations with 16 nurses) the norm of more than 90% for the total score was not achieved: we found 82% and 80%, respectively. Four elements scored more than 90%, and three elements scored less than 80% at both points in time. The results on the other three elements differed significantly over time.

Conclusion: Registered nurses achieved the norm for good performance (80–89%) of removing arterial sheaths according to protocol after a training programme and this is stable in time. Since the norm for excellent performance (? 90%) was not achieved, current performance could be improved, e.g. by yearly repetition of training and observation of skills. More research is needed, and could focus on the validation of the instrument. Also multi-centre studies with this checklist could test the association between the quality of arterial femoral sheath removal and the occurrence of vascular complications.

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More information

Accepted/In Press date: 14 August 2006
e-pub ahead of print date: 25 September 2006
Published date: September 2007
Keywords: arterial sheath removal, vascular complications, percutaneous coronary interventions, nursing, instrument development
Organisations: Faculty of Health Sciences

Identifiers

Local EPrints ID: 386277
URI: http://eprints.soton.ac.uk/id/eprint/386277
ISSN: 1474-5151
PURE UUID: d8ff0f70-3420-4c21-9f46-6ba7bb050c7f
ORCID for Lisette Schoonhoven: ORCID iD orcid.org/0000-0002-7129-3766

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Date deposited: 29 Jan 2016 12:28
Last modified: 03 Dec 2019 01:39

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