Application of a three-level management model based on the national regional medical center in qualification training for central venous catheter maintenance
NIU Qiong
ZHANG Yuting
LI Min
GUO Jun
Abstract：Objective:To explore the application effect of a three-level management model under the framework of the national regional medical center in qualification training for central venous catheter(CVC)maintenance.Methods:A total of 68 nurses participating in CVC maintenance qualification training at a tertiary Grade A hospital in North China from July to September 2022 were enrolled.Data on general demographics,training feedback,work status,and pre-and post-training work effectiveness were collected and analyzed.Results:The total training feedback score was 109 points.Six months post-training,55.88％of the nurses became core members of venous therapy nursing in their departments,while 2.94％reported changes in their job responsibilities.Post-training theoretical and operational scores were significantly higher than pre-training scores(P＜0.05).The post-training CVC maintenance compliance rate significantly increased(P＜0.05),and the incidence of catheter-related bloodstream infections significantly decreased(P＜0.05).Conclusions:The three-level management model based on the national regional medical center demonstrated significant effectiveness in CVC maintenance qualification training.It improved compliance rates for catheter maintenance,reduced catheter-related bloodstream infections incidence,and facilitated the development of specialized venous therapy nursing in North China.This study provides valuable insights for enhancing the training and management of nurses qualified in CVC maintenance.
Keywords：three-level management modelintravenous therapycentral venousregional healthcare
Publication Date：2025-03-25
Online Publishing Date：2025-08-15(First online date of this platform, not the publication date of the document)
Pages：5( 1117-1121 )