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  • 1.
    Ahlin, Catharina
    et al.
    Red Cross University College of Nursing. Department of Medicine, Karolinska Institutet, Stockholm.
    Löfmark, Anna
    Department of Health and Caring Sciences, Gävle.
    Klang-Söderkvist, Birgitta
    Department of Neurobiology, Care Sciences and Society, Division of Nursing Karolinska Institutet, Stockholm .
    Johansson, Eva
    Department of Medicine, Karolinska Institutet, Stockholm.
    Development of instruments for assessment of knowledge and skills in performing venepuncture and inserting peripheral venous catheters2013In: Journal of Vascular Access, ISSN 1129-7298, E-ISSN 1724-6032, Vol. 14, no 4, p. 364-372Article in journal (Refereed)
    Abstract [en]

    Purpose: Performing venepuncture is one of the most routinely performed invasive procedures in nursing care. The aim of this study was to develop instruments for the assessment of nursing students’ knowledge and skills when performing venepuncture and inserting a peripheral venous catheter. 
Methods: Two instruments were developed using the following steps. 1) Assessment items of importance for the procedures (venepuncture 48 items and peripheral venous catheter 51 items) were collected from focus groups including nurses, lecturers and patients. 2) The number of items was reduced using a method based on the Delphi method. Experts (n=51) reviewed the instruments in two rounds. The revised versions included 31 items for venepuncture and 33 items for peripheral venous catheter insertion. 3) Usability tests were conducted by nurses who tested the instruments to confirm that items were possible to assess. 4) Inter-rater reliability was assessed by twelve lecturers who in pairs, but independently of each other, used the instruments to assess 50 nursing students. 
Results: Proportion of agreement and Cohen’s kappa coefficient were calculated for each item to determine inter-rater reliability. Among the tested items for both instruments, the median proportion of agreement was 1 (range 0.66-1) and the median kappa was 0.52 (range 0.22-1). 
Conclusions: The instruments developed for assessing nursing students’ knowledge and skills of venepuncture and peripheral venous catheter insertion showed satisfactory inter-rater reliability.

  • 2.
    Göransson, K. E.
    et al.
    Karolinska University Hospital Solna / Karolinska Institute.
    Johansson, Eva
    Red Cross University College of Nursing. Karolinska Institute.
    Indication and usage of peripheral venous catheters inserted in adult patients during emergency care2011In: Journal of Vascular Access, ISSN 1129-7298, E-ISSN 1724-6032, Vol. 12, no 3, p. 193-199Article in journal (Refereed)
  • 3.
    Göransson, Katarina E.
    et al.
    Karolinska Univ, Hosp Solna /Karolinska Institute.
    Johansson, Eva
    Red Cross University College of Nursing. Karolinska Institute.
    Prehospital peripheral venous catheters: a prospective study of patient complications2012In: Journal of Vascular Access, ISSN 1129-7298, E-ISSN 1724-6032, Vol. 13, no 1, p. 16-21Article in journal (Refereed)
    Abstract [en]

    Purpose: To investigate prehospital peripheral venous catheters (PVCs) in relation to the frequency of thrombophlebitis. Method: Data in this prospective study were collected using three types of data source: a study-specific questionnaire, a PVC observation instrument (PVC ASSESS), and electronic patient records. The questionnaire was distributed to ambulance crews who had inserted a PVC before bringing the patient to an emergency department at a level one trauma centre in Sweden during 10 weeks in 2008-2009. Patients admitted to hospital ward were followed-up daily by registered nurses using the PVC ASSESS until the PVC was removed. Patient record data were collected by means of auditing. Results: Of the 83 patients available for follow-up, 45 (54%) developed thrombophlebitis. Quick PVC removal was performed in 32 (71%) of these patients while 13 (29%) PVCs were left in situ for 1-8 days. No association was found between the occurrence of thrombophlebitis and potential risk factors. Conclusions: Although thrombophlebitis frequently occurred in PVCs inserted in a prehospital setting, early removal of the device with complication was common. Further studies are warranted to identify the optimal in situ time for PVCs inserted by prehospital emergency teams.

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