Table 1.
Results of the placed PIV in OSCE 1 and 2
N = 177 | OSCE 1 | OSCE 2 | P-value |
---|---|---|---|
Score (Maximum = 10) | 7.67 ± 1.707 | 6.27 ± 1.844 | < 0.001** |
Informing the patient | |||
The patient is not informed about the procedure | 17 (9.6) | 113 (63.8) | < 0.001* |
The patient is informed about the procedure | 160 (90.4) | 64 (36.2) | |
Preparation of the material | |||
More than one material or the sharp-safe is missing | 49 (27.7) | 50 (28.2) | < 0.001* |
At least one material is missing | 23 (13.0) | 68 (38.4) | |
Complete and correct preparation of the material | 105 (59.3) | 59 (33.3) | |
Hygienic hand disinfection prior to patient contact | |||
No hand disinfection was performed before patient contact | 13 (7.3) | 111 (62.7) | < 0.001* |
Hygienic hand disinfection prior to putting on the medical gloves | 164 (92.7) | 66 (37.3) | |
Application and deposition of the tourniquet | |||
The tourniquet is not applied or disposed of correctly | 11 (6.2) | 20 (11.3) | < 0.001* |
The tourniquet is not applied, while the needle is pulled before disposing of the tourniquet | 88 (49.7) | 23 (13) | |
The tourniquet is applied and disposed in the correct manner | 78 (44.1) | 134 (75.7) | |
Disinfection of the puncture site | |||
The puncture site is not disinfected, or it is palpated after the disinfection and prior to the venipuncture | 16 (9) | 79 (44.6) | < 0.001* |
The puncture site is correctly disinfected | 161 (91) | 98 (55.4) | |
30 s application time for the disinfectant | |||
Disinfectant has not acted for 30 s | 6 (3.4) | 47 (26.6) | < 0.001* |
Disinfectant has acted for 30 s | 171 (96.6) | 130 (73.4) | |
Venipuncture | |||
The vein is not punctured | 9 (5.1) | 52 (29.4) | < 0.001* |
The vein is punctured the second time | 50 (28.2) | 27 (15.2) | |
The vein is punctured the first time | 118 (66.7) | 98 (55.4) | |
Needle safety while puncturing the vein | |||
The needle was touched or bent by the student | 24 (13.6) | 37 (20.9) | 0.079 |
The needle was neither touched nor bent by the student | 153 (86.4) | 140 (79.1) | |
Discarding of the puncture needle | |||
The needle is not discarded correctly | 47 (26.5) | 31 (17.5) | < 0.001* |
The needle is discarded immediately but not correctly | 41 (23.2) | 81 (45.8) | |
The needle is discarded immediately and correctly | 89 (50.3) | 65 (36.7) | |
Fixation of the PIV | |||
The PIV is not fixated correctly | 33 (18.6) | 31 (17,5) | 0.894 |
The PIV is fixated correctly | 144 (81.4) | 146 (82.5) | |
Controlling and connecting the NaCl-infusion | |||
The infusion is neither controlled, nor connected to the PIV | 44 (24.9) | 24 (13.6) | < 0.001* |
The infusion is connected to the PIV, without prior control | 44 (24.9) | 27 (15.2) | |
The infusion is controlled and connected correctly to the PIV | 89 (50.3) | 126 (71.2) | |
Structured work process | |||
The work process is not structured | 7 (3.9) | 22 (12.4) | 0.025* |
The work process is partly structured | 55 (31.1) | 42 (23.7) | |
The work process is structured | 115 (65) | 113 (63.8) | |
Hand disinfection after discarding the medical gloves | |||
Hands are not disinfected after discarding the medical gloves | 70 (39.5) | 159 (89.8) | < 0.001* |
Hands are disinfected after discarding the medical gloves | 107 (60.5) | 18 (10.2) |
*Statistically significant difference in this feature between OSCE 1 and 2 was determined using the McNemar-test.
**Statistically significant difference in this feature between OSCE 1 and 2 was determined using the t-test.