The development of a teaching resource manual for novice registered nurses: cannulation of arteriovenous fistulas

Keats, Yvonne (2016) The development of a teaching resource manual for novice registered nurses: cannulation of arteriovenous fistulas. Practicum Report. Memorial University of Newfoundland. (Unpublished)

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Abstract

Background: Patients with End Stage Renal Disease (ESRD) will require lifesaving hemodialysis treatments. As a result, patients will need a vascular access such as, an arteriovenous fistula (AVF) for the successful delivery of these treatments. Therefore, it is crucial for novice nurses to acquire the skill acquisition needed to cannulate this complex access. Purpose: The purpose of this practicum project was to develop a teaching resource manual designed for novice registered nurses in relation to cannulation of the AVF. The teaching resource manual can be utilized for cannulation skill acquisition during orientation to assist in increasing overall knowledge while also enhancing patient outcomes. Methods: An integrated literature review and consultations with key stakeholders were conducted to gather pertinent information on the novice nurse and cannulation of the AVF. Results: Based on the results of the consultations and integrative literature review, a manual was created using the theoretical frameworks of Morrison’s Instructional Design Model (2004), Benner’s Novice to Expert Model (1984) and Knowles Adult Learning Theory (1984). The manual was divided into chapters covering anatomy of the kidney, AVF cannulation skills and techniques, assessment and nursing interventions. Conclusion: The teaching resource manual was not implemented due to time constraints. A plan for next steps pertaining to the manual is discussed in the final report. The manual will need to be evaluated to determine if learning and skill acquisition was increased by novice registered nurses through the use of the teaching resource manual.

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