Effect of a Nurse Competency Assessment for Nursing Care in Cancer Patients on Port-A Cath Injection

Abstract

          A Quasi-experimental research was designed. The purpose of this study was to present the results of competency assessment for nursing care in cancer patients on Port-A Cath injection during May 1st - November 30th, 2018. There are 3 objectives: 1) Compare the level of knowledge before, post-training immediately and 1 year after the training. 2) Assess the skills of trained nurses on the knowledge to use in stabbing port. 3) Opinion survey between head nurses and their trained nurses after the training 1 year about skills, knowledge and practice the patients care for Port-A Cath. There were 2 sample groups; 20 surgical nurses who were trained to care the Port-A Cath and 3 their head nurses. Data were collected by 2 questionnaires consists of 1. For nurses: personal information, a test of knowledge and assessment of knowledge transfer in patients care with Port-A Cath. 2. For head trained nurses: personal information of the recipient, skills assessment in stabbing the Port-A Cath and follow-up of post training knowledge and practice the patients care for Port-A Cath. Data were analyzed by frequency, percentage, median, standard deviation and Paired samples t-test.
          The result showed that 1) The trained nurses had a higher post-training immediately knowledge score more than before training was significant (p < 0.01). Knowledge score between after 1 year training and the immediate training did not different. 2) The skills of trained nurses can be used to accurately put the port 100%. 3) Evaluation after 1 year, training on knowledge skills and practice the patients care for Port-A Cath by trainees found that the overall level was very high (X=4.38, SD = 0.49) and evaluation by their head nurses found that the overall level was very highest (X=4.67, SD = 0.39).