Impact of Simulation-based Training in Addition to Theoretical Training Versus Theoretical Training Alone for Nurses on the Occurring of Adverse Events Related to Arteriovenous Fistula Puncture in Chronic Hemodialysis Patients.
试验速览
- 阶段
- 不适用
- 状态
- 已完成
- 入组人数
- 9,600
- 试验地点
- 18
- 主要终点
- Number of adverse events occurring during arteriovenous fistula puncture (comparison of the percentages of event occurrence)
研究概览
简要总结
Currently, the technique of arteriovenous fistula puncture is transmitted by companionship within hemodialysis units. Although the main principles of the technique are well known and common to all hemodialysis units, strong rationales are still lacking to standardize fine practices such as the relative position of the needles, the angle of attack of the needle at puncture, the position of the bevel at the time of puncture and once the needle is in the vascular lumen.
The training of professionals using a simulation-based training program on the approach to arteriovenous fistula puncture, in a process of optimizing practices and continuous improvement of care, while respecting the principles of andragogy, seems to be a suitable tool. This program is built in a multi-professional team from nephrology, nursing and health simulation.
详细描述
Currently, the technique of arteriovenous fistula puncture is transmitted by companionship within hemodialysis units. Although the main principles of the technique are well known and common to all hemodialysis units, strong rationales are still lacking to standardize fine practices such as the relative position of the needles, the angle of attack of the needle at puncture, the position of the bevel at the time of puncture and once the needle is in the vascular lumen.
The training of professionals using a simulation-based training program on the approach to arteriovenous fistula puncture, in a process of optimizing practices and continuous improvement of care, while respecting the principles of andragogy, seems to be a suitable tool. This program is built in a multi-professional team from nephrology, nursing and health simulation.
The aim of this study is to evaluate whether a simulation-based training program for nurses, concerning arteriovenous fistula puncture puncture, would allow to decrease the adverse events related to punctures.
The investigators propose a prospective, comparative, randomized, multicenter study involving 8 hemodialysis centers. The primary objective is to compare the number of arteriovenous fistula puncture-related adverse events between:
- A group receiving theoretical training + simulation-based training (4 centers)
- A group receiving theoretical training only (4 centers)
研究设计
- 研究类型
- Interventional
- 分配方式
- Randomized
- 干预模型
- Parallel
- 主要目的
- Other
- 盲法
- None
入排标准
- 年龄范围
- 18 Years 至 —（Adult, Older Adult）
- 性别
- All
- 接受健康志愿者
- 否
入选标准
- •Adult patients
- •Arteriovenous fistula puncture in the hemodialysis unit of the nephrology, dialysis, transplantation department
- •Nurses trained in hemodialysis
排除标准
- •arteriovenous fistula puncture in the emergency area/foldout of the unit
- •Refuse of data collection
- •Not speak French
- •Under guardianship or unable to give informed consent
- •Not enrolled in a social security plan
- •Pregnant or breastfeeding women
研究组 & 干预措施
Simulation
Theoretical training in e-learning for nurses on :
- arteriovenous fistula puncture
- use of ultrasound with echoreferencing and ultrasound guidance
- therapeutic communication
And simulation-based training (procedural) on :
- arteriovenous fistula puncture
- use of ultrasound with echoreferencing and ultrasound guidance
- therapeutic communication
干预措施: simulation-based training (Other)
Control
Theoretical training for nurses in e-learning on :
- arteriovenous fistula puncture
- use of ultrasound with echoreferencing and ultrasound guidance
- therapeutic communication
结局指标
主要结局
Number of adverse events occurring during arteriovenous fistula puncture (comparison of the percentages of event occurrence)
时间窗: 45 days
defined by one of the following events: * Unipuncture failure * Bipuncture failure * Simple hematoma * Hematoma not allowing continued dialysis
次要结局
未报告次要终点