scholarly journals Current practices of peripheral intravenous catheter fixation in pediatric patients and factors influencing pediatric nurses’ knowledge, attitude and practice concerning peripheral intravenous catheter fixation: a cross-sectional study

BMC Nursing ◽  
2021 ◽  
Vol 20 (1) ◽  
Author(s):  
Li-Sha Huang ◽  
Yan Huang ◽  
Juan Hu

Abstract Background Peripheral intravenous catheters (PIVCs) are the most widely used intravenous treatment tools for hospitalized patients. Compared to adult patients, PIVC fixation issues are more likely to occur in pediatric patients and can be more complex. However, research on PIVC fixation in pediatric patients is rare. This study aimed to investigate the pass rate for PIVC fixation in pediatric patients and the factors that influence pediatric nurses’ knowledge, attitude, and practice (KAP) concerning PIVC fixation. Methods An on-site investigation using a self-designed PIVC fixation standard inspection checklist for first insertion and routine maintenance in pediatric patients and a follow-up questionnaire survey investigating pediatric nurses’ KAP concerning PIVC fixation was conducted in a hospital in China between November 1 and December 31, 2019. Data were analyzed using SPSS 21.0. Results The pass rate for PIVC fixation in pediatric patients was 52.02%. The pediatric nurses’ knowledge, attitude and practice scores on PIVC fixation were 7.2 ± 1.36, 28.03 ± 2.42, and 31.73 ± 2.94, respectively. The multivariate linear regression analysis results show that department (where nurses are working in) and job position are the factors that influence knowledge score (B > 0, P < 0.05); department is also a factor that influences attitude score (B > 0, P < 0.05); and department and nursing hierarchy are the factors that influence practice score (B > 0, P < 0.05). Conclusion PIVC fixation in pediatric patients is affected by multiple factors. The level of pediatric nurses’ KAP on PIVC fixation needs to be improved. It is suggested that guidelines for PIVC fixation in pediatric patients be formulated and that training on PIVC fixation in pediatric patients be provided for pediatric nurses in an effort to raise the pass rate in terms of PIVC fixation in pediatric patients.

F1000Research ◽  
2019 ◽  
Vol 8 ◽  
pp. 239
Author(s):  
Mohammed Alvis Zibran ◽  
Masoud Mohammadnezhad

Background:In Fiji, Type 2 diabetes mellitus (T2DM) and Chronic kidney disease (CKD) are amongst the top four causes of premature mortality, disability and death. This study aims to identify the determinants of knowledge, attitude and practice (KAP) in T2DM patients with CKD in Fiji in 2018.Methods:A cross-sectional study was conducted at Sigatoka Sub-divisional Hospital (SSH) in Fiji in July-August, 2018 using a self-structured questionnaire to test KAP of 225 patients. The inclusion criteria were confirmed T2DM patients (Fijian citizens) with CKD, aged 30 years or above and attending Special Out-Patient's Department (SOPD) at SSH. Independent t-test and ANOVA was used to test differences between demographic variable and practice score while non-parametric tests were used for knowledge and attitude. Spearman correlation and multiple linear regressions were also done. All the tests were set at 5% level of significance.Results: From 249 questionnaires distributed, 225 responded thus response rate was 95%. The mean KAP level was high: knowledge, 23.3/30 (SD±3.25); attitude, 23.1/30 (SD±2.73) and practice, 7.1/10 (SD±2.04). A high level of knowledge was seen in those with university-level education (p<0.001), unemployed (p=0.05) and high average monthly income (p=0.03). Those aged 61-70 years had a 0.53-point lower attitude score (p=0.05) than other age categories, while those >70 years had a 1.78-point lower attitude score (p=0.01) than other age categories. Fijians of Indian descent (FID) had lower attitude (p=0.002) and higher practice (p=0.001) scores.Conclusion:Patients with both T2DM and CKD at SSH have high levels of KAP. The determinants of KAP have been shown and thus, this study identified high-risk groups for low KAP, which can become the focus of future public health intervention.


2021 ◽  
Vol 18 (38) ◽  
pp. 176-187
Author(s):  
Marzieh MOHAMADIMOGHADAM ◽  
Seyed Hojat SHAKIB ◽  
Fatemeh SALMANI

Background: Periodontal infection leads to adverse pregnancy outcomes such as preterm delivery, low birth weight, preeclampsia, miscarriage, or early pregnancy loss. Aim: The aim of this study was to investigate the knowledge, attitude, and practice of pregnant women about periodontal health and oral health and their effect on the fetus. Methods: The present study is a descriptive-analytical study on 210 pregnant women in the first and second trimesters referring to health centers in Birjand in 2019. The tool used in this study was a researchermade questionnaire with four parts: women's demographic information, and women's knowledge, attitude, and practice, the validity, and reliability of which were confirmed. After data collection, it was entered into SPSS software version 22 and then analyzed using descriptive statistics, independent t-test, and one-way analysis of variance. The significance level was considered 0.05 in all tests. Results and Discussion: In this study, the mean scores of knowledge, attitude, and practice of pregnant women were 5.6 ±1.92, 55.9 ± 5.1, and 25.9± 3.7, respectively. There was a significant difference between the mean attitude score and mothers' age. There was also a significant difference between the mean scores of knowledge, attitude, and practice of women and significant difference in knowledge, attitude, and practice of employee and housewife pregnant women; In terms practice, there were significant differences between pregnant housewives and self-employed women. There was a significant relationship between the mean of these scores and mothers' jobs so that the mean scores were higher in employed women than others. Conclusions: The results of our study showed that the average score of knowledge, attitude, and practice of pregnant women in Birjand regarding oral hygiene during pregnancy is not satisfactory and appropriate.


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