Impacto de un curso simulado de acceso vascular periférico ecoguiado para equipo de enfermería de urgencia
Loading...
Files
Date
2025
Journal Title
Journal ISSN
Volume Title
Publisher
Abstract
Introducción: en pacientes con acceso venoso difícil se realiza la instalación de un acceso vascular periférico (AVP) guiado con ecografía. En centros internacionales, es parte del estándar de cuidado y puede ser realizado por el equipo de enfermería capacitado. En nuestra realidad, este equipo no está preparado y solicita ayuda a otros profesionales, lo que retrasa la atención. Objetivo: implementar un curso basado en simulación clínica de instalación de AVP ecoguiada para el equipo de enfermería de urgencias y evaluar el cambio en su desempeño previo y posterior. Método: se llevó a cabo un estudio cuasi experimental para el equipo de enfermería. Se diseñó un curso teórico-práctico con clases videograbadas y sesiones presenciales basadas en simulación, con modelos de punción venosa. Se realizaron evaluaciones antes y después de realizada la fase práctica simulada, donde dos evaluadoras midieron la escala Objective Structured As-sessment of Technical Skills (OSATS) para habilidades técnicas, checklist de desempeño, tiempo de canulación y éxito del procedimiento. Al finalizar el curso se realizó una encuesta de satisfacción a los participantes. Resultados: se reclutaron 30 enfermeras(os), quienes tras realizar el curso mostraron una mejoría significativa en el desempeño de instalación AVP ecoguiada. Todos los participantes estuvieron de acuerdo con que el curso sería útil en su práctica clínica, y un 100% lo recomendaría. Conclusión: el curso de AVP ecoguiado mejoró el desempeño y mostró un alto nivel de satisfacción en los participantes. La adquisición de esta nueva competencia técnica podría mejorar la atención de los pacientes en el servicio de urgencia
Introduction: Ultrasound-guided peripheral venous access (PVA) is commonly used for patients with difficult venous access. In interna-tional settings, this technique is considered standard care and is often performed by trained nursing staff. In our country, however, nurses lack the necessary training and must rely on other professionals, which delays treatment. Objective: To implement a simulation-based training course on ultrasound-guided PVA for emergency nurses and assess the change in their performance before and after the course. Methods: We conducted a quasi-experimental study with emergency nurses. The training included pre-recorded theoretical sessions and hands-on simulation workshops using venipuncture models. Two evaluators assessed participants before and after the practical simulation phase, using the Objective Structured Assessment of Technical Skills (OSATS) scale, a performance checklist, cannulation time, and procedure success rate. A satisfaction survey was also conducted after course completion. Results: Thirty nurses completed the training. Post-training assessments showed a significant improvement in their ability to perform ultrasound-guided PVA. All participants agreed that the course was helpful in their clinical practice, and 100% would recommend it. Conclusion: The ultrasound-guided PVA course improved performance and was well received by all participants. Acquiring this new technical skill may lead to improved patient care in emergency departments
Introduction: Ultrasound-guided peripheral venous access (PVA) is commonly used for patients with difficult venous access. In interna-tional settings, this technique is considered standard care and is often performed by trained nursing staff. In our country, however, nurses lack the necessary training and must rely on other professionals, which delays treatment. Objective: To implement a simulation-based training course on ultrasound-guided PVA for emergency nurses and assess the change in their performance before and after the course. Methods: We conducted a quasi-experimental study with emergency nurses. The training included pre-recorded theoretical sessions and hands-on simulation workshops using venipuncture models. Two evaluators assessed participants before and after the practical simulation phase, using the Objective Structured Assessment of Technical Skills (OSATS) scale, a performance checklist, cannulation time, and procedure success rate. A satisfaction survey was also conducted after course completion. Results: Thirty nurses completed the training. Post-training assessments showed a significant improvement in their ability to perform ultrasound-guided PVA. All participants agreed that the course was helpful in their clinical practice, and 100% would recommend it. Conclusion: The ultrasound-guided PVA course improved performance and was well received by all participants. Acquiring this new technical skill may lead to improved patient care in emergency departments
Description
Keywords
Enfermería, Ultrasonido, Acceso vascular, Entrenamiento simulado, Nurses, Ultrasonography, Vascular access, Vimulation training