Proficiency in vascular access cannulation among nurses in selected hemodialysis units in Camarines Sur / Grace E. Triumfante

Masters Theses (MAN) - Nursing Camarines Sur Polytechnic Colleges, 2024

Includes bibliographic references.

Proficiency in vascular access cannulation should be inherent to hemodialysis nurses, as this critical skill substantially impacts patient safety and treatment outcomes. This study is designed to assess the proficiency in vascular access cannulation among nurses, determine this proficiency as perceived by clinic heads, identify factors influencing the proficiency, examine the relationship between nurse profiles and proficiency factors, and propose a plan to enhance proficiency in vascular access cannulation. Using a descriptive-correlational design, data were gathered from 69 hemodialysis nurses in Rinconada and Naga City. Respondents completed a questionnaire, while clinic heads used a checklist that was analyzed statistically using the percentage technique, weighted mean, and chi-square test of independence. Most participants were female, aged 31-40, held a BSN degree, and had varying levels of experience. Nurses demonstrated high proficiency in cannulation, particularly in preparation, technique, and patient care. However, clinic heads identified areas needing improvement, particularly the success rate of first-attempt cannulations. The study also highlights the role of clinical experience, mentorship, and ongoing professional development in enhancing proficiency levels. A statistically significant relationship was found between sex and proficiency, with female nurses showing higher proficiency, while age, education, and years of experience did not show significant correlations.

The findings underscore the need for targeted training programs and continuous professional development to address skill gaps. The proposed enhancement plan aims to standardize care practices, improve patient outcomes, reduce complications, and increase patient satisfaction in hemodialysis care. By focusing on areas needing improvement, the plan seeks to elevate the overall quality of vascular access management, ensuring safer and more effective patient treatment. This study provides insights into current practices, laying the groundwork for future interventions and policy developments in vascular access management.