Implementation of an Internet + Workshop Model for Standardized Puncture Training in Arteriovenous Fistula Management

实施基于互联网+研讨会模式的动静脉瘘管理标准化穿刺培训

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Abstract

OBJECTIVE: This study aims to evaluate the implementation and outcomes of an internet + workshop model for standardized training in arteriovenous fistula (AVF) puncture among nurses. METHODS: A self-controlled design was employed and 81 hemodialysis nurses were selected from the Jilin Province. The training program was developed based on the 2023 publication "Best Evidence Summary for the Management of Vascular Access Puncture in Maintenance Hemodialysis Patients" incorporating the internet + workshop model. Participants underwent both theoretical and practical assessments before and after the training intervention. The Chinese version of the Jeffries Simulation Design Scale was utilized to assess training outcomes. RESULTS: Post-training, the nurses were evaluated using the Chinese version of the Jeffries Simulation Design Scale. The agreement rates ranged from 93.7% to 100% across five assessed dimensions. Comparative analysis demonstrated statistically significant improvements in both theoretical and practical assessment scores following the training (theoretical: t = -17.83, p < 0.01; practical: t = 116.08, p < 0.05). CONCLUSION: The internet + workshop model constitutes an effective method for delivering standardized AVF puncture training to nursing staff, enhancing both theoretical knowledge and practical skills.

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