Universität zu Köln

Meyer, Annika, Schreiber, Jakob, Brinkmann, Julian, Klatt, Andreas R., Stosch, Christoph and Streichert, Thomas (2021). Deterioration in hygiene behavior among fifth-year medical students during the placement of intravenous catheters: a prospective cohort comparison of practical skills. BMC Med. Educ., 21 (1). LONDON: BMC. ISSN 1472-6920

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Abstract

Background The American Association of Medical Colleges has defined peripheral intravenous cannulation as one of the eight practical skills that a medical student should possess upon graduation. Since following a standard hygiene protocol can reduce the rate of complications such as bloodstream infections, the medical student's compliance to hygienic standards is highly relevant. Methods This unicentric longitudinal cohort study included 177 medical students undergoing OSCE 1 in the winter semesters 2016/2017 and 2017/2018 as well as OSCE 2 during the winter semesters 2018/2019 and 2019/2020 at the University of Cologne. Their performance in peripheral intravenous cannulation was rated by trained student supervisors using a scaled 13-item questionnaire and compared between OSCE 1 and OSCE 2. Results Overall, a decline in the correct placement of peripheral intravenous catheters was observed among advanced medical students during OSCE 2 (mean total score: 6.27 +/- 1.84) in comparison to their results in OSCE 1 (mean total score: 7.67 +/- 1.7). During OSCE 2, the students were more negligent in regard to hygienic behavior, such as disinfection of the puncture site as well as hand disinfection before and after venipuncture. Their patients were also less likely to be informed about the procedure as compared to OSCE 1. Conclusions An unsatisfying performance in regard to peripheral intravenous cannulation was observed in medical students with hygiene compliance deteriorating between the third and fifth year of their study. Thus, we promote an extension of practical hygiene and stress management training in medical school to reduce complications associated with intravenous catheters, such as bloodstream infections.

Item Type:	Journal Article
Creators:	Creators Email ORCID ORCID Put Code Meyer, Annika UNSPECIFIED UNSPECIFIED UNSPECIFIED Schreiber, Jakob UNSPECIFIED UNSPECIFIED UNSPECIFIED Brinkmann, Julian UNSPECIFIED UNSPECIFIED UNSPECIFIED Klatt, Andreas R. UNSPECIFIED UNSPECIFIED UNSPECIFIED Stosch, Christoph UNSPECIFIED UNSPECIFIED UNSPECIFIED Streichert, Thomas UNSPECIFIED UNSPECIFIED UNSPECIFIED
URN:	urn:nbn:de:hbz:38-568974
DOI:	10.1186/s12909-021-02868-5
Journal or Publication Title:	BMC Med. Educ.
Volume:	21
Number:	1
Date:	2021
Publisher:	BMC
Place of Publication:	LONDON
ISSN:	1472-6920
Language:	English
Faculty:	Unspecified
Divisions:	Unspecified
Subjects:	no entry
Uncontrolled Keywords:	Keywords Language BLOOD-STREAM INFECTION; HAND HYGIENE; INTERPRETIVE SKILLS; ATTITUDES; EXPERIENCES; DIFFICULTY; QUALITY; EMPATHY; RISK Multiple languages Education & Educational Research; Education, Scientific Disciplines Multiple languages
URI:	http://kups.ub.uni-koeln.de/id/eprint/56897