Authors: Pamela Andreatta Yifang Chen Michael Marsh Kyung Cho
Publish Date: 2010/03/20
Volume: 19, Issue: 4, Pages: 539-543
Abstract
Skilled placement of peripherally inserted central catheters PICC has a profound impact on patient wellbeing and costs of care The use of ultrasoundguided methods and prescribed training for cannulation skills are evidencebased practice recommendations The purpose of this study was to compare two methods of PICC instruction on the acquisition of applied skillsResidents were randomly assigned to one of two groups N = 16/16 of this blindrater study and were trained to perform ultrasoundguided PICC cannulation using either simulation or apprenticeship methods All residents were assessed placing a PICC in applied clinical patient careResidents who completed simulation training had significantly better transfer of skills to applied clinical practice than residents who received apprenticeship training having better performance ratings on eight of nine procedurespecific task measures p 005 and higher success rates in endpoint PICC placementThese results support the use of prescribed simulationbased training for the acquisition of requisite skills associated with PICC placement and expand on similar studies that suggest the advantages of simulationbased training for central line placement Additionally the data suggest that training using a single simulation model may support the acquisition of both central venous catheterization and PICC skills
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