Impact of simulation-based training in addition to theoretical training versus theoretical training of nurses alone in the occurrence of adverse events related to arteriovenous fistula puncture in chronic hemodialysis patients: study for a cluster randomized controlled trial (SIMFAV2).
Adverse events
Arteriovenous fistula
Nurse
Simulation
Simulation-based training
Journal
Trials
ISSN: 1745-6215
Titre abrégé: Trials
Pays: England
ID NLM: 101263253
Informations de publication
Date de publication:
07 Aug 2023
07 Aug 2023
Historique:
received:
31
05
2023
accepted:
12
07
2023
medline:
9
8
2023
pubmed:
8
8
2023
entrez:
7
8
2023
Statut:
epublish
Résumé
The technique of arteriovenous fistula (AVF) puncture is currently taught by colleagues within hemodialysis units. Even if the main principles of the technique are well known and common to all hemodialysis units, strong rationales are still missing to standardize fine practices such as the relative position of the needles, the angle of the needle at puncture, and the position of the bevel at the time of puncture and after the needle is in the vascular lumen. We are conducting a prospective, comparative, center-randomized, multicenter study involving 8 hemodialysis centers. The primary objective is to compare the number of adverse events related to AVF puncture between a group receiving theoretical training plus simulation-based training (4 centers) and a group receiving only theoretical training (4 centers). The study will include all adult patients who are scheduled to have an AVF puncture performed by a hemodialysis-trained nurse during a scheduled chronic dialysis session. We hypothesize that a training program for nurses on the AVF approach in procedural simulation versus theoretical input alone would decrease the adverse events related to AVF punctures and would be beneficial for the patient. This study is innovative for several reasons. First, simulation-based training in continuing education among professionals is not widely used. Furthermore, training allows for the standardization of practices within the team, both technically and relationally. ClinicalTrials.gov NCT05302505 . Registered on March 17, 2022.
Sections du résumé
BACKGROUND
BACKGROUND
The technique of arteriovenous fistula (AVF) puncture is currently taught by colleagues within hemodialysis units. Even if the main principles of the technique are well known and common to all hemodialysis units, strong rationales are still missing to standardize fine practices such as the relative position of the needles, the angle of the needle at puncture, and the position of the bevel at the time of puncture and after the needle is in the vascular lumen.
METHODS
METHODS
We are conducting a prospective, comparative, center-randomized, multicenter study involving 8 hemodialysis centers. The primary objective is to compare the number of adverse events related to AVF puncture between a group receiving theoretical training plus simulation-based training (4 centers) and a group receiving only theoretical training (4 centers). The study will include all adult patients who are scheduled to have an AVF puncture performed by a hemodialysis-trained nurse during a scheduled chronic dialysis session.
DISCUSSION
CONCLUSIONS
We hypothesize that a training program for nurses on the AVF approach in procedural simulation versus theoretical input alone would decrease the adverse events related to AVF punctures and would be beneficial for the patient. This study is innovative for several reasons. First, simulation-based training in continuing education among professionals is not widely used. Furthermore, training allows for the standardization of practices within the team, both technically and relationally.
TRIAL REGISTRATION
BACKGROUND
ClinicalTrials.gov NCT05302505 . Registered on March 17, 2022.
Identifiants
pubmed: 37550740
doi: 10.1186/s13063-023-07513-8
pii: 10.1186/s13063-023-07513-8
pmc: PMC10405400
doi:
Banques de données
ClinicalTrials.gov
['NCT05302505']
Types de publication
Randomized Controlled Trial
Multicenter Study
Journal Article
Langues
eng
Sous-ensembles de citation
IM
Pagination
500Subventions
Organisme : Direction Générale de l'Offre de Soins
ID : PHRIP-20-0175
Informations de copyright
© 2023. BioMed Central Ltd., part of Springer Nature.
Références
Nephrol Nurs J. 2011 Nov-Dec;38(6):463-72; quiz 473
pubmed: 22338939
Hemodial Int. 2009 Oct;13(4):498-504
pubmed: 19840142
Semin Dial. 2013 May-Jun;26(3):315-22
pubmed: 23458148
Clin J Am Soc Nephrol. 2016 Dec 7;11(12):2244-2249
pubmed: 27269612
Forensic Sci Med Pathol. 2012 Sep;8(3):259-62
pubmed: 22160736
Kidney Int. 2014 Oct;86(4):790-7
pubmed: 24717298
Anesthesiology. 2010 Apr;112(4):985-92
pubmed: 20234305
Hemodial Int. 2018 Jan;22(1):45-49
pubmed: 28263032
BMJ Qual Saf. 2019 Nov;28(11):939-948
pubmed: 31256015
Nephrol Ther. 2022 Sep 1;18(S2):19-24
pubmed: 37638503
Cureus. 2017 Apr 19;9(4):e1180
pubmed: 28540142
Wilderness Environ Med. 2014 Dec;25(4):416-24
pubmed: 25282182
Crit Care Med. 2006 Jan;34(1):151-7
pubmed: 16374169