Abstract
Abstract
Objective
To explore the application effect of a self-made arteriovenous fistula (AVF)physical examination curriculum led by vascular access coordinators in standardized training for hemodialysis nurses.
Methods
To construct a training course on physical examination of AVF. In April 2025, Sixty nurses from 30 hemodialysis units across our province were recruited as research subjects. The developed training course was delivered to these nurses. A self-controlled before-and-after design was adopted. Theoretical test scores, positive detection rate of AVF-related complications, nurses’ self-directed learning ability and critical thinking ability were observed and compared before and after training, and statistical analyses were performed to evaluate training effectiveness. Questionnaires were administered to collect hemodialysis nurses’ feedback on the course and training outcomes upon course completion. Semi-structured interviews were conducted after training to investigate hemodialysis nurses’ attitudes toward physical examination of AVF.
Results
After training, hemodialysis nurses achieved significantly higher theoretical scores and a higher positive detection rate of AVF complications than baseline (P < 0.01).Additionally, nurses’ self-directed learning ability and critical thinking ability were remarkably improved after training (P < 0.05). All pre-post comparisons showed statistically significant differences. The overall training satisfaction rate of participants reached 100%. All nurses recognized the clinical importance of AVF physical examination and affirmed the necessity of its standardized clinical implementation.
Conclusion
The standardized training curriculum for AVF physical examination led by vascular access coordinators can effectively improve hemodialysis nurses’ professional knowledge and physical examination skills, as well as enhance their self-directed learning and critical thinking abilities. It is worthy of clinical promotion and application.