Journal of Vascular Nursing最新文献

{"title":"Early identification of vascular access site complications and frequent heart rate and blood pressure monitoring after cardiac catheterization: A scoping review","authors":"Janelle Beaudry Clark BSN, RN-BC ,&nbsp;Kristiina Hyrkas PhD, RN","doi":"10.1016/j.jvn.2024.08.001","DOIUrl":"10.1016/j.jvn.2024.08.001","url":null,"abstract":"<div><h3>Background</h3><div>Nurses perform frequent heart rate (HR) and blood pressure (BP) monitoring, a widespread and longstanding practice, after cardiac catheterization (CC) to identify vascular access site complications for femoral and radial arterial approach in adult patients.</div></div><div><h3>Objective</h3><div>The objective of this scoping review was to answer two questions: (1) how does the available evidence support frequent HR and BP monitoring after CC via femoral and radial approach in adult patients and (2) how does this practice prompt bedside nurses in identifying the procedure's major vascular access site complications, including bleeding, hematoma, and pseudoanurysm?</div></div><div><h3>Method</h3><div>Following the scoping review approach, literature search was conducted (PubMed, CINAHL, Google Scholar) by two co-authors and medical librarian. We reviewed, evaluated, and analyzed the evidence from twenty articles.</div></div><div><h3>Results</h3><div>The reviewed medical and nursing literature revealed findings challenging the present practice. Out of fifteen research studies, five found frequent HR and BP monitoring after CC to be uninformative while the remaining ten did not report frequent vital signs. Two research articles reported that vascular complications after CC were discovered by RNs directly assessing the access site or by the patients themselves, unrelated to HR and BP. Five non-research articles were included, which all recommended frequent HR and BP monitoring.</div></div><div><h3>Conclusions</h3><div>Frequent HR and BP assessment during the recovery period is not supported by empirical research despite being consistently recommended by nursing guidelines and expert opinion articles. Current evidence supports frequent vascular access site assessments and patient education.</div></div>","PeriodicalId":45419,"journal":{"name":"Journal of Vascular Nursing","volume":"42 4","pages":"Pages 228-239"},"PeriodicalIF":1.1,"publicationDate":"2024-12-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142792623","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Patients with chronic limb-threatening ischemia: Experiences of their disease, treatment, and care in a cross-sectoral setting. A scoping review","authors":"Susanne Friis Soendergaard RN. Ph.D. Post.doc. ,&nbsp;Ane Simony MD, PhD., Associate professor ,&nbsp;Johanne Louise Christiansen PhD, Associate Professor ,&nbsp;Henrik Sehested Laursen Cand.Scient.bibl ,&nbsp;Marie Dahl RN. PhD. Associate Professor","doi":"10.1016/j.jvn.2024.08.002","DOIUrl":"10.1016/j.jvn.2024.08.002","url":null,"abstract":"<div><h3>Introduction</h3><div>Patients facing chronic limb-threatening ischemia (CLTI) experience significant burdens, impacting their physical, emotional, and social well-being. They require extensive care from multidisciplinary healthcare professionals across primary and secondary settings. Managing CLTI necessitates strict patient adherence to treatment protocols to prevent severe complications. Surprisingly, previous studies have overlooked these patients' unique perspectives, highlighting the need to explore their experiences and challenges.</div></div><div><h3>Objective</h3><div>The objective of this review was to systematically identify, examine, and conceptually map extant literature on patients with CLTI in the context of living with the condition, and explore their experiences of receiving treatment and care within a cross-sectoral setting.</div></div><div><h3>Methods</h3><div>A systematic search was completed on 18 September 2023 with no methodological or format restrictions. We identified the population, concept, and context to pinpoint the delineate the focus of this review process. The JBI methodology for scoping reviews and the PRISMA-ScR checklist were followed.</div></div><div><h3>Results</h3><div>Based on our search, we found ten relevant scientific qualitative and/or quantitative sources and one non-scientific source. We identified four main maps: 1) <em>Dependency on others is my new life condition,</em> 2) <em>I'm more than the sum of my conditions</em>, 3) <em>I'm lost in chaos, be alert to all of me</em>, and 4) <em>Give me more time, my body and mind are under attack</em>.</div></div><div><h3>Conclusion</h3><div>This scoping review describes how patients’ lives are affected by CLTI and provides insights into their perception of shared decision-making, treatment, and care. The review reveals the need for a more person-centered approach to care. To nuance person-centred care further, it is necessary to consider the impact of patients’ cultural values and preferences. However, this area is marked by a notable research gap.</div></div>","PeriodicalId":45419,"journal":{"name":"Journal of Vascular Nursing","volume":"42 4","pages":"Pages 240-250"},"PeriodicalIF":1.1,"publicationDate":"2024-12-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142792629","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Ambulatory care of patients with arteriopathies: Overview for vascular medicine advanced practice providers","authors":"Alexandra Moran Baird DNP, AGACNP-BC ,&nbsp;Aaron W. Aday MD, MSc ,&nbsp;Esther S.H. Kim MD, MPH","doi":"10.1016/j.jvn.2024.05.001","DOIUrl":"10.1016/j.jvn.2024.05.001","url":null,"abstract":"<div><div>Arteriopathies are a group of vascular disorders that encompass arterial dissection, aneurysm, and tortuosity that may or may not have an identifiable cause. Given the varied clinical presentations and underlying disorders of patients with arteriopathies, clinicians must develop a wide range of tools to care for these patients, including a focused history, physical examination, diagnostic imaging, medical and surgical therapies, genetic testing, and education. The vascular medicine clinic is one setting that can provide comprehensive care for this patient population, and vascular medicine advanced practice providers (APPs) are essential in this setting. In this article, we summarize a clinical framework for vascular medicine APPs caring for this patient population and provide clinical pearls for a variety of arteriopathies.</div></div>","PeriodicalId":45419,"journal":{"name":"Journal of Vascular Nursing","volume":"42 4","pages":"Pages 219-227"},"PeriodicalIF":1.1,"publicationDate":"2024-12-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142792618","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"“It's put a routine and regimen in my life” – Participant experiences with a programme of community walking and home-based circuit training for intermittent claudication","authors":"Alexander Waddell ,&nbsp;Francesca Denton ,&nbsp;Richard Powell ,&nbsp;David R. Broom ,&nbsp;Stefan T. Birkett ,&nbsp;Gordon McGregor ,&nbsp;Amy E. Harwood","doi":"10.1016/j.jvn.2024.09.003","DOIUrl":"10.1016/j.jvn.2024.09.003","url":null,"abstract":"<div><h3>Introduction</h3><div>The WALKSTRONG trial includes a programme of community walking and home-based circuit training which has been developed for people with intermittent claudication (IC). The aim of the present study was to determine the acceptability of the programme for those who took part, by gleaning their opinions and experiences.</div></div><div><h3>Methods</h3><div>All participants eligible for the WALKSTRONG trial were approached regarding completing a semi-structured interview, selected from three groups: A) programme completers, B) programme withdrawers and C) programme decliners. Interviewers were interested in participants’ views on the programme structure, willingness to participate, and the experiences of those who did take part. Interviews were audio recorded, transcribed verbatim and thematic analysis was undertaken.</div></div><div><h3>Results</h3><div>Five of the 14 participants in the intervention group and four of the 20 programme decliners agreed to an interview. The one who withdrew from the exercise programme did not consent to be interviewed. The three themes that emerged from the interviews were: 1) ‘overall positive experiences with the programme, 2) ‘importance of guidance and pain management’, and 3) ‘barriers are both similar to supervised exercise and unique to home-based programmes’. The programme was well received by programme completers, with some aspects preferred over others. Some participants reported improvements in both physical activity behaviour and IC symptoms, and would recommend the programme to others.</div></div><div><h3>Conclusion</h3><div>The home-based circuit programme received several recommendations for further improvement. Along with the feasibility findings, a fully powered, randomised controlled trial of this intervention is warranted.</div></div><div><h3>Trial registration</h3><div>NCT05059899.</div></div>","PeriodicalId":45419,"journal":{"name":"Journal of Vascular Nursing","volume":"42 4","pages":"Pages 276-281"},"PeriodicalIF":1.1,"publicationDate":"2024-12-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142792615","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Information for authors","authors":"","doi":"10.1016/S1062-0303(24)00077-3","DOIUrl":"10.1016/S1062-0303(24)00077-3","url":null,"abstract":"","PeriodicalId":45419,"journal":{"name":"Journal of Vascular Nursing","volume":"42 4","pages":"Page A2"},"PeriodicalIF":1.1,"publicationDate":"2024-12-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143162759","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Information for readers","authors":"","doi":"10.1016/S1062-0303(24)00078-5","DOIUrl":"10.1016/S1062-0303(24)00078-5","url":null,"abstract":"","PeriodicalId":45419,"journal":{"name":"Journal of Vascular Nursing","volume":"42 4","pages":"Page A3"},"PeriodicalIF":1.1,"publicationDate":"2024-12-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143162758","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Prevalence of thrombosis in patients undergoing dialysis treatment: A systematic review and meta-analysis","authors":"Parisa Shiri ,&nbsp;Shabab Rezaeian ,&nbsp;Alireza Abdi ,&nbsp;Alireza Khatony","doi":"10.1016/j.jvn.2024.08.003","DOIUrl":"10.1016/j.jvn.2024.08.003","url":null,"abstract":"<div><h3>Aim</h3><div>to determine the prevalence of thrombosis in dialysis patients.</div></div><div><h3>Background</h3><div>Thrombosis is the most common cause of vascular access dysfunction in dialysis patients. Various studies have reported different prevalence rates of thrombosis, and no systematic study provides a comprehensive result on this subject.</div></div><div><h3>Methods</h3><div>In this systematic review and meta-analysis, a search of available texts was conducted until the end of December 2023, using keywords such as Thrombosis, end-stage renal disease, end-stage kidney disease, hemodialysis, and dialysis in databases including Web of Science, PubMed, Scopus, ProQuest, Ovid, Science Direct, Clinical Key, EMBASE, CINAHL, SID, and MagIran. The random-effects model was used, and the heterogeneity of the studies was assessed using the I² index. The quality of the selected studies was evaluated using the STROBE checklist. Meta-analysis was performed using CMA version 2 and STATA version 14 software. The study adhered to the guidelines stated in the PRISMA statement.</div></div><div><h3>Results</h3><div>Out of 12,604 articles found, after removing duplicates and conducting evaluations, the full text of 415 articles was examined, and ultimately, 141 articles were included in the study. The overall prevalence of thrombosis was 14.2% (95% CI: 11.5–17.2). The prevalence of thrombosis was higher in dialysis patients under 50 years of age (17.1%, 95% CI: 11.3–23.8) and patients with vascular access (16.2%, 95% CI: 13.1–19.5), especially arteriovenous grafts (22.8%, 95% CI: 14.5–32.4). Additionally, the prevalence of late thrombosis was higher than that of early thrombosis (15.0% vs. 5.3%) (95% CI: 7.7–24.2 vs. 95% CI: 2.7–8.5).</div></div><div><h3>Conclusions</h3><div>The results indicate a relatively high prevalence of thrombosis in dialysis patients. The prevalence of thrombosis in patients with arteriovenous grafts was notable. Considering the risks of thrombosis, the adoption of preventive measures in hemodialysis patients, such as the use of anticoagulant drugs, is recommended.</div></div>","PeriodicalId":45419,"journal":{"name":"Journal of Vascular Nursing","volume":"42 4","pages":"Pages 251-263"},"PeriodicalIF":1.1,"publicationDate":"2024-12-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142792632","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Short physical performance battery in aerobic capacity and physical activity evaluation of individuals with peripheral artery disease: An exploratory study","authors":"Monize Cristine de Oliveira Pires MSc ,&nbsp;Mariana Asmar Alencar PhD ,&nbsp;Ana Silvia Diniz Makluf MSc ,&nbsp;Thayná Guilherme Rezende ,&nbsp;Danielle Aparecida Gomes Pereira PhD","doi":"10.1016/j.jvn.2024.09.001","DOIUrl":"10.1016/j.jvn.2024.09.001","url":null,"abstract":"<div><h3>Background</h3><div>Peripheral artery disease (PAD) negatively affects functional ability. Persons with PAD experience gait limitation, and changes in mobility, muscle strength, and balance. Assessing individuals with PAD with tests of lower limb performance during activities other than walking may provide information about aerobic capacity.</div></div><div><h3>Objective</h3><div>To evaluate whether the Short Physical Performance Battery (SPPB) can discriminate aerobic capacity and level of physical activity in individuals with PAD.</div></div><div><h3>Methods</h3><div>The SPPB, Incremental Shuttle Walking Test (ISWT), and the Human Activity Profile (HAP) were completed by 42 volunteers with PAD. The sample was stratified into tertiles by the distance walked in the ISWT and the Adjusted Activity Score (AAS) of HAP. One-way analysis of variance with a post-hoc least significant difference was used to compare the SPPB values between tertiles of ISWT and AAS of HAP. P-value &lt; 0.05 was considered significant.</div></div><div><h3>Results</h3><div>The mean age was 65 ± 7.7 years, the walking distance was 259.29 ± 115.28 m, and AAS of HAP was 68.36 ± 9.04. There was a significant difference in the total SPPB score and scores for gait speed and sit-to-stand for groups stratified by ISWT and AAS of HAP(<em>p</em> = 0.01). The balance domain was different only for groups stratified into tertiles by AAS of HAP(<em>p</em> = 0.04).</div></div><div><h3>Conclusion</h3><div>The results of this study have clinical relevance for the evaluation of individuals with PAD at different aerobic and physical activity levels. The SPPB is a viable alternative in the practice of the specialty of vascular nursing and other areas of health to assess patients whose ability to perform walking tests is often limited.</div></div>","PeriodicalId":45419,"journal":{"name":"Journal of Vascular Nursing","volume":"42 4","pages":"Pages 264-269"},"PeriodicalIF":1.1,"publicationDate":"2024-12-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142792634","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Evaluation of provider support for a supervised exercise therapy protocol in patients with symptomatic PAD: A quality improvement project","authors":"William G. Morrozoff Jr. DNP, MSN, APRN, FNP-BC, CVNP-BC","doi":"10.1016/j.jvn.2024.09.002","DOIUrl":"10.1016/j.jvn.2024.09.002","url":null,"abstract":"&lt;div&gt;&lt;h3&gt;Background&lt;/h3&gt;&lt;div&gt;Peripheral artery disease (PAD) affects more than 8 million individuals in the United States and many patients diagnosed with PAD are not receiving supervised exercise therapy which considered first line therapy in a program of comprehensive evidence-based care. This lack of evidence-based therapy can lead to reduced functional status, limited mobility, poor quality of life, and contribute to escalating healthcare costs in the population of patients with symptomatic peripheral artery disease.&lt;/div&gt;&lt;/div&gt;&lt;div&gt;&lt;h3&gt;Problem&lt;/h3&gt;&lt;div&gt;An analysis conducted on the current treatment practices for patients with symptomatic PAD by practitioners at a private cardiology group practice in Eastern North Carolina revealed that supervised exercise therapy (SET) was not prescribed for their population of patients with PAD. The absence of an evidence-based guideline-directed SET protocol partnered with no operating vascular wellness program created variations in the treatment of patients diagnosed with symptomatic PAD. These variations can impact the quality of care delivery and outcomes of individuals diagnosed with PAD. The main purpose of this quality improvement project was to evaluate provider support in adopting an evidence-based SET protocol into current treatment practices of individuals with symptomatic PAD. This quality improvement initiative is relevant to other clinical venues as it may further define the role of gaining provider support through formal evaluative instruments of patient protocols such as SET to increase availability, access, and referrals of patients needing healthcare services.&lt;/div&gt;&lt;/div&gt;&lt;div&gt;&lt;h3&gt;Methods&lt;/h3&gt;&lt;div&gt;A quality improvement initiative was implemented to determine if the practitioners in a private cardiology group practice in Eastern North Carolina would support the adoption of an evidence-based SET protocol into their current treatment practices for individuals with symptomatic PAD. Through the utilization of the best empirical evidence, a protocol for SET was developed. The SET protocol was then appraised by the private cardiology group practitioners using the Appraisal of Guidelines for Research and Evaluation II (AGREE II) tool.&lt;/div&gt;&lt;/div&gt;&lt;div&gt;&lt;h3&gt;Results&lt;/h3&gt;&lt;div&gt;The utilization of the AGREE II tool by the cardiology practitioners demonstrated that the evidence-based SET protocol quality rating scores in all six domains were greater than seventy percent. All providers supported the recommended SET protocol using the AGREE II instrument (&lt;em&gt;n&lt;/em&gt; = 5, 100%).&lt;/div&gt;&lt;/div&gt;&lt;div&gt;&lt;h3&gt;Conclusion&lt;/h3&gt;&lt;div&gt;Success in provider support for the adoption of a SET protocol was the result of cardiology practitioners' appraisal of the evidence and vision to reduce the variation in current treatment practices of patients with symptomatic PAD&lt;strong&gt;.&lt;/strong&gt; More investigation is needed across various healthcare systems to further evaluate provider support of SET protocols to further reduce variation in t","PeriodicalId":45419,"journal":{"name":"Journal of Vascular Nursing","volume":"42 4","pages":"Pages 270-275"},"PeriodicalIF":1.1,"publicationDate":"2024-12-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142792626","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Clinical Implementation Review: Salisbury DL, Whipple, MO, Burt M, Brown RJ, Mays RJ, Bakken M, Treat-Jacobson D, (2019). Experience Implementing Supervised Exercise Therapy for Peripheral Artery Disease. Journal of Clinical Exercise Physiology, 8 (1) 1-12. PMID:31131157","authors":"Stephanie Y. Sheridan DNP, ANP-C, CNN-NP","doi":"10.1016/j.jvn.2024.11.004","DOIUrl":"10.1016/j.jvn.2024.11.004","url":null,"abstract":"","PeriodicalId":45419,"journal":{"name":"Journal of Vascular Nursing","volume":"42 4","pages":"Pages 282-283"},"PeriodicalIF":1.1,"publicationDate":"2024-12-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142792621","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}