Application of electrocardiograph positioning technology training based on PDCA cycle model in improving PICC tip positioning rate

Abstract

Objective To investigate the effect of PDCA cycle management combing with ECG guidance in improving the rate of catheter tip in right place when is conducting the PICC catheterization. Methods A total of 36 intravenous treatment specialist nurses from Jiangsu Tumor Hospital were trained with PDCA cycle management method from 1st June to 31st September, 2016. The training knowledge and skills included catheter tip positioning under intracardiac electrocardiogram. The knowledge and skills were analyzed and compared before and after training finally. Results The training not only could help to improve the score of knowledge and skill of PICC specialist nurses with knowledge before (88.28±3.10) and after (96.10±1.25) (P<0.05) and skill before (83.55±5.11) and after (98.81±2.50) (P<0.05) ; but also increased the rate of catheter tip in right place in the process of PICC catheterization (χ2=12.35, P <0.05) . Meanwhile, the results showed that patient satisfaction with nurses could also be improved from 88.7% to 96.8% (χ2=10.79, P <0.05) and the operating time could be shorted [before (40.23±3.56) min, after (28.76±4.34) min] (P<0.05) . Conclusions The use of PDCA circulatory method to train nurses can improve the ability to deal with puzzling questions of nurses in the process of PICC catheterization, and increase the rate of PICC catheter tip in right place. Key words: PDCA cycle; ECG positioning technique; Peripherally inserted central catheter