Venous blood sampling is an essential medical procedure that requires good technical skills. Evaluating students' capabilities before entering the clinical stage becomes a consideration and qualification for performing various medical procedures. This study aims to analyze the venous blood sampling procedure among nursing students before clinical practice using the Objective Structured Clinical Examination (OSCE) method. The study involved direct observation of 82 nursing students using a checklist comprising four stages: pre-interaction, orientation, procedure, and termination. The research findings indicate several challenges faced by the students while conducting the venous blood sampling procedure. In the pre-interaction stage, not all students consistently performed hand hygiene before commencing the procedure. Furthermore, in the orientation stage, not all students adequately explained the purpose and procedure of the action to the patients. During the procedure stage, it was observed that students need improvement in skills related to applying the tourniquet, disinfecting with alcohol, and inserting the needle at a 30-degree angle. Lastly, not all students effectively executed follow-up plans and documentation in the termination stage. This study has significant implications, suggesting the need for enhancing students' education regarding venous blood sampling skills. Intensive and repetitive training using simulations and mannequins can aid in improving students' skills during the procedure stage.
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2. William A, Vidal VL, John P. Traditional Instruction versus Virtual Reality Simulation: A Comparative Study of Phlebotomy Training among Nursing Students in Kuwait. Journal of Education and Practice. 2016;7(9):18-25.
3. Inan G, Inal S. The Impact of 3 Different Distraction Techniques on the Pain and Anxiety Levels of Children During Venipuncture. The Clinical Journal of Pain. 2019;35(2):140-147. doi:10.1097/AJP.0000000000000666
4. Majumder MAA, Kumar A, Krishnamurthy K, Ojeh N, Adams OP, Sa B. An evaluative study of objective structured clinical examination (OSCE): students and examiners perspectives. Advances in Medical Education and Practice. 2019;10:387-397. doi:10.2147/AMEP.S197275
5. Rn OD, Jones D, Martello M, Biron A, Lavoie-Tremblay M. A Systematic Review on the Effectiveness of Interventions to Improve Hand Hygiene Compliance of Nurses in the Hospital Setting. Journal of Nursing Scholarship. 2017;49(2):143-152. doi:10.1111/jnu.12274
6. Setyonugroho W, Kennedy KM, Kropmans TJB. Reliability and validity of OSCE checklists used to assess the communication skills of undergraduate medical students: A systematic review. Patient Education and Counseling. 2015;98(12):1482-1491. doi:10.1016/j.pec.2015.06.004
7. Tahir F, Hafiz B, Alnajjar T, et al. Comparison of performance of medical students between two teaching modalities "Flip the classroom" and traditional lectures: A single center educational interventional study. Pak J Med Sci. 2020;36(5):958-964. doi:10.12669/pjms.36.5.2730
8. Dymek J, Kowalski T, Gołda A, Wioletta P, Skowron A. The First Objective Structured Practical Examination (OSPE) in Pharmacy Teaching in Poland: Designing, Implementing and Assessing the Results. Indian journal of pharmaceutical education. 2020;54. doi:10.5530/ijper.54.3.106
9. Vincent SC, Arulappan J, Amirtharaj A, Matua GA, Al Hashmi I. Objective structured clinical examination vs traditional clinical examination to evaluate students' clinical competence: A systematic review of nursing faculty and students' perceptions and experiences. Nurse Education Today. 2022;108:105170. doi:10.1016/j.nedt.2021.105170
10. Zhang M ya, Cheng X, Xu A ding, Luo L ping, Yang X. Clinical simulation training improves the clinical performance of Chinese medical students. Medical Education Online. 2015;20(1):28796. doi:10.3402/meo.v20.28796
11. Di Muzio M, De Vito C, Tartaglini D, Villari P. Knowledge, behaviours, training and attitudes of nurses during preparation and administration of intravenous medications in intensive care units (ICU). A multicenter Italian study. Applied Nursing Research. 2017;38:129-133. doi:10.1016/j.apnr.2017.10.002
12. Armal HL, Khasanah HR, Marlina L. Pengaruh Waktu Pelepasan Tourniquet Terhadap Kadar Kalium Pada Pengambilan Darah Vena. Poltekita : Jurnal Ilmu Kesehatan. 2019;13(1):36-41. doi:10.33860/jik.v13i1.30
13. Lima-Oliveira G, Guidi GC, Salvagno GL, Danese E, Montagnana M, Lippi G. Patient posture for blood collection by venipuncture: recall for standardization after 28 years. Rev Bras Hematol Hemoter. 2017;39:127-132. doi:10.1016/j.bjhh.2017.01.004
14. Gauryliūtė L, Galdikienė N. Chirurgijos profilio skyriaus slaugytojų veikla, valdant hospitalines infekcijas. Slauga Mokslas ir praktika. 2020;1(9 (285)):1-7.
15. Abedini M, Eskandarnejad M. The effects of Pilates and neurofeedback exercises on balance of chronic stroke patients. Journal of Applied Health Studies in Sport Physiology. 2015;1(1):14-19. doi:10.22049/jahssp.2015.12561
16. Labrague L j., McEnroe-Petitte D m., van de Mortel T, Nasirudeen A m. a. A systematic review on hand hygiene knowledge and compliance in student nurses. International Nursing Review. 2018;65(3):336-348. doi:10.1111/inr.12410
17. Martos-Cabrera MB, Mota-Romero E, Martos-García R, et al. Hand Hygiene Teaching Strategies among Nursing Staff: A Systematic Review. International Journal of Environmental Research and Public Health. 2019;16(17):3039. doi:10.3390/ijerph16173039
18. Yildiz AK. Effective Communication Skills to manage the Library: Relations between Managers and Librarians. Qualitative and Quantitative Methods in Libraries. 2017;1(2):141-153.
19. Awan WA, Ameen K. What do the business employers want? A sequential mixed methods exploration of information professionals' competencies. Global Knowledge, Memory and Communication. 2020;69(8/9):665-680. doi:10.1108/GKMC-03-2020-0029
20. Mitta N, Basavanthappa RP, Ramswamy C, et al. Antegrade Access for Peripheral Vascular Interventions of the Lower Limb: Our Experience at a Tertiary Centre. European Journal of Vascular and Endovascular Surgery. 2022;63(1):e12-e13. doi:10.1016/j.ejvs.2021.11.011
21. Ahmed J, Malik F, Memon ZA, et al. Compliance and Knowledge of Healthcare Workers Regarding Hand Hygiene and Use of Disinfectants: A Study Based in Karachi. Cureus. 2020;12(2). doi:10.7759/cureus.7036
22. Carraro E, Trevisi E, Martinuzzi A. Safety profile of incobotulinum toxin A [Xeomin®] in gastrocnemius muscles injections in children with cerebral palsy: Randomized double-blind clinical trial. European Journal of Paediatric Neurology. 2016;20(4):532-537. doi:10.1016/j.ejpn.2016.04.008
23. Brimblecombe C, Crosbie D, Lim WK, Hayes B. The Goals of Patient Care project: implementing a proactive approach to patient-centered decision-making. Internal Medicine Journal. 2014;44(10):961-966. doi:10.1111/imj.12511