Effectiveness of a Peripheral Intravenous Access Training Program on Nurses’ Self Efficacy and First Insertion Success

Abstract

BACKGROUND: The first insertion success of peripheral intravenous access is a vital role of nurses. A training program on peripheral intravenous catheterization for new undergraduate nurses must be provided to enhance their self-efficacy and skills for this complex procedure.

OBJECTIVES: To explore the effectiveness of a Peripheral Intravenous Access Training Program on new undergraduate nurses’ peripheral intravenous catheterization self-efficacy and first insertion success rate.

METHODS: This one group quasi-experiment used 3-time point measurement over the 1^st, 3^rd, and 6^th months after receiving the program was carried out from June to December 2023. The purposive sampling of 39 new undergraduate nurses were given the program developed based on the relevant literature, which comprised 1) a peripheral intraveous catheterization workshop for 2 days, and 2) on-the-job training at obstetrics, surgery, medical, and pediatric wards for 6 months. New undergraduate nurses’ peripheral intravenous catheterization self- efficacy and the first attempt success rate at the 1^st, 3^rd, and 6^th months were measured. The measurement of 95% confidence interval for the relative rate of the first attempt failure rate at the 1^st and 6^th months and the attributable fraction were also assessed.

RESULTS: The results showed statistical significance in terms of the increasing of new undergraduate nurses’ self-efficacy scores for peripheral intravenous catheterization (p<0.001). The first attempt insertion success rates at the 1^st, 3^rd, and 6^th months were 87.7% 93.7% and 97.0% respectively. The first attempt insertion failure rate at the 1^st month was significantly higher than at the 6^th month (12.3% and 3.0%, respectively), and the relative rate of the first attempt failure was 4.1 times (95%CI 1.86-8.85). The attributable fraction was 75.6%.

CONCLUSIONS: The Peripheral Intravenous Access Training Program can enhance new undergraduate nurses’ peripheral intravenous catheterization self-efficacy and effectively increase the first attempt success rate.