Abstract:

Objective To explore the application effect of rapid circulation deliberate practice in the skills training of arteriovenous fistula puncture under ultrasound guidance. Methods From December 2023 to June 2024，a total of 60 trainees from the ultrasound-guided arteriovenous fistula puncture training course were selected as the research participants，which 30 trainees recruited from April 2024 to June 2024 were selected as the experimental group. Skills training was conducted using the training method of rapid cyclic deliberate practice. Another 30 trainees who were trained from December 2023 to March 2024 served as the control group and received skills training of conventional methods. The assessment results of ultrasound-guided puncture skills after training，the mastery degree of arteriovenous fistula assessment，the satisfaction of training，and the clinical practice effect at three months after training were collected and compared between the two groups. Results The assessment scores of ultrasound-guided puncture skills，and the mastery rates of each item in the assessment of arteriovenous fistula skills in the experimental group were all higher than those in the control group（P<0.05）. Meanwhile，there was no statistically significant difference in training satisfaction between the two groups（P>0.05）. Conclusion The rapid cycle deliberate practice training program can enhance the ability of hemodialysis nurses to evaluate arteriovenous fistulas and improve their ultrasound-guided puncture skills in the ultrasound-guided puncture training.

Key words: Rapid cycling deliberate practice, In-service training, Ultrasound guidance, Arteriovenous endovascular fistula, Hemodialysis