Nursing Care Regarding Post Intraosseous Access Insertion in Critical Care Units

Abstract

Background: Critical care nurses have an important role in care of vascular access difficulties' patients. Intraosseous is parenteral vascular access through the bone marrow. Aim of the study: to assess nursing care regarding post intraosseous access insertion in critical care units. Design: A descriptive exploratory design was utilized in this study. Research questions: What are the nursing care regarding intraosseous (IO) access insertion in critical care units? Setting: The study was carried out at different Critical Care units at Tanta University Hospitals, in Egypt. Sample: A sample of purposive of 40 nurses from different critical care units. The minimum 6 months of experience were included in the present study. Tools of data collection: Two tools were used to collect data; the first tool has two parts; part one is characteristics data that included gender, age, years of experience, educational level and area of work. Part two was intraosseous access knowledge questionnaire to assess knowledge regarding indication, contraindication, and nursing measures towards intraosseous access. The second tool was intraosseous observational checklist that was designed to assess nurses' practices while preparing patient and equipment, handling the physician during insertion, administering fluids and medication and removing of intraosseous access. Results: The current study findings revealed that 65% of studied nurses had unsatisfactory level of knowledge regarding intraosseous access care. While, 35% of studied nurses had satisfactory level of knowledge. Regarding nurses' level of practice, it was found that, 55% of nurses had unsatisfactory practical level. While, 45% of studied nurses had satisfactory practical level regarding intraosseous access care. Regarding intraosseous insertion. A significant correlation were existed between age and practice also between their level of knowledge and practice regarding caring of theintraosseous access. Conclusion: it can be concluded that critical care nurses have unsatisfactory level of knowledge and practice regarding nursing care post intraosseous access insertion in critical care units. Recommendations: Carrying out educational programs about nursing management of patients with vascular access difficulties especially intraosseous access. Replication of the study on a large probability of sample from different ICUs concentrated on emergency departments for benefits of emergency situations is required