Vía IntraóseaAnálisis del conocimiento en Enfermería

  1. RAQUEL VALLEJO DE LA PAZ 1
  2. ÁNGELES PEINADO VALERIANO 1
  3. JESÚS DE LA PAZ JIMÉNEZ 2
  1. 1 Enfermera Complejo Hospitalario de Jaén. Servicio Andaluz de Salud
  2. 2 Enfermero ZBS Mancha Real. Distrito Sanitario de Jaén. Servicio Andaluz de Salud.
Revista:
Páginasenferurg.com: revista digital de enfermería

ISSN: 1989-2829

Ano de publicación: 2012

Volume: 4

Número: 13

Páxinas: 17-22

Tipo: Artigo

Outras publicacións en: Páginasenferurg.com: revista digital de enfermería

Resumo

Because of the role that the intraosseous line takes in the new American Heart Association (AHA) and European Resuscitation Council (ERC) recommendations in 2010 as the Nursing Interventions Classification (NIC), we evaluated the knowledge of this pathway among nurses of Jaén. We conducted a cross sectional study in different health centres of the province through multiple choice closed polls and further analysis with SPSS, between August and September 2011. Variables analyzed included age, availability, theoretical knowledge and interest in renewing it. As sample we used 174 randomly selected nurses whose average age was 37.94 years (SD ± 8.14). We found no notable statistical significance between age and knowledge (U. of Mann-Whitney and T-Student independent samples). Only 53.4% recognized the intervention as belonging to nursing practice. Out of 52.9% who declared having a set, 69.56% have received training and 73.91% said that their knowledge of this pathway is mediocre or poor. 96% would like to receive training on second routes in emergencies since 69% acknowledge that they have had situations where it has not been possible to channel a peripheral pathway. In these situations, 40.8% recognized the intraosseous route as an alternative. The two most controversial points are the extraction of analysis and verification of the placement of this route. We conclude that the professionals surveyed are calling for more training on this pathway which they consider a weak point in interventions typical to the nursing practice as reflected in their own self-assessment.

Referencias bibliográficas

  • McCloskey JC, Bulecheck GM. Clasificación de intervenciones de enfermería (CIE/NIC). 3ª ed. Madrid: Harcourt; 2010
  • Calkins, M. D., Fitzgerald, G., Bentley, T. B., & Burris, D. (2000). Intraosseous infusión devices: A comparison for potential use in special operations. The Journal of Trauma: Injury, Infection, and Critical Care, 48(6), 1068-1074
  • Dubick, M. A., & Holcomb, J. B. (2000). A review of intraosseous vascular access: Current status and military application. Military Medicine, 165,552-559
  • Miccolo, M. (1990). Intraosseous infusión. Critical Care Nurse, 10(10), 35-47
  • Naegle, M. A. (1999). Medication management. In G. M. Bulechek & J. C. McCloskey (Eds.), Nursing interventíons: Effective nursing treatments (3rd ed.) (pp. 234-242). Philadelphia: W. B. Saunders
  • Guías 2010 para la resucitación cardiopulmonar (RCP) del Consejo Europeo de Resucitación – European Resuscitation Council (ERC). Semicyuc.
  • Hurren, J. S. (2000). Can blood taken from intraosseous cannulations be used for blood analysis? Burns, 26,727-730.
  • Horton M. A. & Beamer C. (2008). Perfusion Intra-Osseuse en pediatrie: Intérêt d’un outil motorisé. Urgence pratique, 91, 27-29.
  • Frascone, R.J. & Jensen, R.N. (2007). Consecutive field trials using two different Intraosseous Devices. Prehospital Emergency Care, 11:2, 164-171.
  • Shavit, I. (2009). Comparison of two mechanical intraosseous infusion devices: A pilot, randomized crossover trial. Resuscitation, doi:10.1016/j.resuscitation.2009.05.026
  • DeBoer, S., Russell, T. & Vardi, A. (2008). Infusión intraósea en niños. Neonatal Network, 27(1):25-32.
  • Wayne, M. (2007). Acceso vascular intraoseo: dispositivos, entornos y fundamentos en el uso de vías intraóseas. JEMS, 32:s23-25.
  • Beamer, C. & Horton, M. (2007). La inserción de agujas con ayuda de motores proporciona un acceso vascular efectivo y seguro en pacientes infantiles de emergencias. Annals of Emergency Medicine, 50(3):40.
  • Davidoff, J. & Fowler, R. (2005). Evaluación clínica de dispositivos novedosos para adultos: prospección, estudio multicéntrico con 250 pacientes. JEMS, 30(10):s20-23.
  • DeBoer, S. & Seaver, M. (2005). Infusión intraósea: ya no solo para niños. Emergency Medical Services, March 2005.
  • EZ-IO by Vidacare. Consultado en Septiembre 2011.[Disponible en] http://www.vidacare.com/EZ-IO/Index.aspx.