title: Comparison of complications and procedural activities of pulmonary artery catheter removal by critical care nurses versus medical doctors.
abstract: BACKGROUND
  None of the nursing studies on PA catheter removal pointed out any differences in complications after removal and procedural activities for removal of PA catheter by CCNs vs MDs in Turkey.
  
  
  OBJECTIVE
  This quasi-experimental study was conducted to determine the occurrence and type of complications and to indicate the differences between CCNs and medical doctors' (MDs) activities for removal of PA catheter.
  
  
  METHODS
  Totally, 60 critical care unit patients were scheduled as a sample, and they were assigned randomly to the CCN (n = 30) or to the MD (n = 30) groups. For the comparison purposes of the different activities and complications of PA catheter removal procedure between the two groups, 'Instruction Form' was followed step by step. The differences in the prevalence of variables were tested using Student's t statistics. For categorical data, Fisher's exact test was used. Significance was declared by P value of <0.05.
  
  
  RESULTS
  Preprocedural activities like patient positioning (P < 0.001) and instructing the patient for breathing (P = 0.001) demonstrated statistically significant differences between the two groups. The PA catheters were removed properly in both groups (P > 0.05). The majority of postprocedural activities were completed successfully. The complications of the catheter removal were documented more carefully by nurses compared with doctors (P < 0.01). Additionally, singular premature ventricular complexes were observed on electrocardiogram in both groups (P > 0.05).
  
  
  CONCLUSIONS
  Instructing CCNs to remove a PA catheter has been highlighted in keeping the number of complications associated with removal procedure of PA catheter.
authors.affiliation: Surgical Nursing Department, Istanbul University, Florence Nightingale School of Nursing, Istanbul, Turkey. dnzoztekin@hotmail.com
authors.forename: Deniz S
authors.initials: DS
authors.lastname: Oztekin
authors.forename: Neriman
authors.initials: N
authors.lastname: Akyolcu
authors.forename: Ilhan
authors.initials: I
authors.lastname: Oztekin
authors.forename: Nevin
authors.initials: N
authors.lastname: Kanan
authors.forename: Onur
authors.initials: O
authors.lastname: Göksel
mesh_terms: D000328:Adult; D000368:Aged; D002407:Catheterization, Swan-Ganz / Q000451:nursing*; D002408:Catheters, Indwelling; D002983:Clinical Competence; D020878:Device Removal / Q000009:adverse effects / Q000451:nursing*; D005260:Female; D006801:Humans; D007318:Inservice Training; D008297:Male; D008875:Middle Aged; D009741:Nursing Staff, Hospital / Q000193:education; D010820:Physicians; D011446:Prospective Studies; D013647:Task Performance and Analysis