Journal of Vascular Nursing最新文献

{"title":"Expanding perspectives on DVT risk assessment and preventive nursing practices in surgical patients","authors":"Iman Nurjaman S. Kep., Ners., M. Kep., CWCCA., CSI","doi":"10.1016/j.jvn.2025.10.003","DOIUrl":"10.1016/j.jvn.2025.10.003","url":null,"abstract":"","PeriodicalId":45419,"journal":{"name":"Journal of Vascular Nursing","volume":"44 1","pages":"Pages 109-110"},"PeriodicalIF":1.2,"publicationDate":"2026-03-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"147419266","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":"Learning from experience: Revolutionizing vascular care through nursing morbidity and mortality conferences","authors":"Eleanor Dunlap DNP, ACNP-BC,&nbsp;Suzanna Fitzpatrick,&nbsp;Linda Morales,&nbsp;Sandra Wilkerson,&nbsp;Barbara Bosah,&nbsp;Khanjan Nagarsheth MD, MBA, RPVI","doi":"10.1016/j.jvn.2026.01.002","DOIUrl":"10.1016/j.jvn.2026.01.002","url":null,"abstract":"<div><h3>Background</h3><div>Traditional morbidity and mortality (M&amp;M) conferences often lack nursing involvement or perspectives despite nurses being frontline caregivers. On a vascular surgery unit, pre-intervention data revealed concerning gaps in nurses' medical knowledge and low confidence in escalating patient concerns to the vascular team.</div></div><div><h3>Purpose</h3><div>To implement a structured nursing-led M&amp;M conference to improve nurses' clinical knowledge, care confidence, and interprofessional collaboration in vascular care.</div></div><div><h3>Methods</h3><div>A structured implementation approach was employed, utilizing a dedicated electronic project management system. Two nurses collaborated on each case review that was selected from safety events, mortality cases, and emerging patient care themes. Cases incorporated systematic literature reviews and evidence integration, with mentorship from nursing leadership and Advanced Practice Practitioners. Pre- and post-implementation surveys using 5-point Likert scales assessed perceived medical knowledge, care confidence, and comfort with escalation.</div></div><div><h3>Results</h3><div>Post-implementation data revealed large improvements across all metrics. Medical knowledge scores increased from 3.0 to 4.7, care confidence from 3.2 to 4.3, provider communication comfort from 2.3 to 4.1, and concern escalation confidence from 2.2 to 4.3. The initiative effectively addressed failure-to-rescue risks by improving complication identification and provider-nurse communication.</div></div><div><h3>Conclusions</h3><div>Structured nursing-led M&amp;M conferences significantly enhance clinical competence, interdisciplinary communication, and patient safety outcomes, demonstrating the value of inclusive case review processes in elevating nursing practice standards.</div></div>","PeriodicalId":45419,"journal":{"name":"Journal of Vascular Nursing","volume":"44 1","pages":"Pages 72-77"},"PeriodicalIF":1.2,"publicationDate":"2026-03-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"147420143","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":"Previously diagnosed hypertension may reduce stroke response time","authors":"Karolina Tworek ,&nbsp;Kamil Kosal ,&nbsp;Barbara Owecka ,&nbsp;Agata Tomaszewska ,&nbsp;Jerzy T. Marcinkowski ,&nbsp;Maciej Owecki","doi":"10.1016/j.jvn.2026.02.002","DOIUrl":"10.1016/j.jvn.2026.02.002","url":null,"abstract":"<div><h3>Background</h3><div>The time between the onset of stroke symptoms and implementation of treatment plays a crucial role in the prognosis, with 4.5 h being the gold standard for thrombolytic therapy in Poland during 2016-2018, when our study was conducted. Therefore, the delay in admission influences prognosis. This study aimed to examine if patients’ comorbidities, both previously diagnosed and previously unknown, affect their time of hospital arrival.</div></div><div><h3>Methods</h3><div>The study group of 161 patients post-stroke admitted to the hospital after 4.5 h or more was assessed for the presence of previously diagnosed and previously undetected comorbidities. In the control group, the retrospective analysis of files of 85 patients with the diagnosis of stroke who had been admitted in less than 4.5 h and had received thrombolytic treatment was performed. A statistical analysis was performed to explore the differences between groups.</div></div><div><h3>Results</h3><div>A statistically significant difference was shown in the prevalence of previously diagnosed hypertension (78.3% vs. 89.41%; p=.030) and atrial fibrillation (20.5% vs. 5.88%; p=.003), in the examined and the control group, respectively. In the study group, we also found more cases of newly diagnosed: hypercholesterolemia (14.9% vs. 14.1% in the control group), atrial fibrillation (12.4% vs. 10.6%), and hypertension (8.1% vs. 3.5%), but their prevalence did not differ significantly between the groups (p&gt;.05 for all).</div></div><div><h3>Conclusions</h3><div>In patients after stroke, previously diagnosed hypertension and atrial fibrillation are the most prevalent comorbidities. Moreover, previously diagnosed hypertension is associated with earlier admission to the hospital, which may be related to higher health awareness in these patients.</div></div>","PeriodicalId":45419,"journal":{"name":"Journal of Vascular Nursing","volume":"44 1","pages":"Pages 95-100"},"PeriodicalIF":1.2,"publicationDate":"2026-03-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"147419267","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":"Use of the Human Activity Profile to evaluate functional performance in chronic venous insufficiency: A validity study","authors":"Stefânia Guimarães Nery ,&nbsp;Marina Silva Reis ,&nbsp;Iane Renata Carvalhais Mesquita ,&nbsp;Danielle Rayssa Araújo Medeiros ,&nbsp;Maria Vitória Rodrigues Souza ,&nbsp;Dalyla Silva Lemos de Souza ,&nbsp;Vivian Camargo Chaves ,&nbsp;Keity Lamary Souza Silva ,&nbsp;Lucas Frois Fernandes Oliveira ,&nbsp;Matheus Ribeiro Ávila ,&nbsp;Whesley Tanor Silva ,&nbsp;Ana Cristina Rodrigues Lacerda ,&nbsp;Vanessa Amaral Mendonça ,&nbsp;Pedro Henrique Scheidt Figueiredo ,&nbsp;Henrique Silveira Costa","doi":"10.1016/j.jvn.2025.09.003","DOIUrl":"10.1016/j.jvn.2025.09.003","url":null,"abstract":"<div><h3>Introduction</h3><div>Chronic Venous Insufficiency (CVI) is characterized by impaired venous return, leading to venous hypertension. As it progresses, patients tend to develop functional alterations. The Human Activity Profile (HAP) is a validated instrument for assessing daily functional performance in chronic conditions. However, its validity and clinical utility as a functional assessment tool specifically for people with CVI remain unexplored.</div></div><div><h3>Objective</h3><div>To verify the validity of HAP in functional evaluation by the association with functional aspects in patients with CVI.</div></div><div><h3>Methods</h3><div>This is a cross-sectional study in which 50 patients with CVI (65.7 ± 11.5 years, CEAP 1 to 6) were recruited and submitted to assessment of physical activity level and functional performance by the HAP. Patients also performed the Sit-to-Stand Test (SST) of 5 repetitions and 60 s to assess lower limb strength and endurance. Ankle dorsiflexion range of motion (ROM) was assessed by the Weight Bearing Lunge Test (WBLT), calf muscle strength and endurance by the Heel-Rise Test (HRT), and handgrip strength by dynamometry. The CIVIQ-14 questionnaire assessed health-related quality of life, and calf circumference was also evaluated.</div></div><div><h3>Results</h3><div>In the correlation analysis, HAP correlated with WLT (<em>r</em> = 0.606; <em>p</em> &lt; 0.001), HRT repetitions (<em>r</em> = 0.457; <em>p</em> = 0.001), HRT execution time (<em>r</em> = 0.427; <em>p</em> = 0.002), STS5 (<em>r</em>=-0.430; <em>p</em> = 0.002), STS60 (<em>r</em> = 0.450; <em>p</em> = 0.001), and quality of life (<em>r</em>=-0.631; <em>p</em> = 0.002). Participants in the highest HAP group performed better on the WBLT, HRT (repetitions and time), and STS60 (<em>p</em> &lt; 0.05). A significant difference was found in the HAP score (<em>p</em> = 0.037) when the sample was stratified into mild CVI (CEAP ≤ 3) and severe CVI (CEAP ≥ 4).</div></div><div><h3>Conclusion</h3><div>HAP is a valuable tool that can be used both in the assessment of functionality and in monitoring clinical management and progression of CVI.</div></div>","PeriodicalId":45419,"journal":{"name":"Journal of Vascular Nursing","volume":"44 1","pages":"Pages 6-11"},"PeriodicalIF":1.2,"publicationDate":"2026-03-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"147420601","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":"Enhancing the implementation of supervised exercise therapy for claudication: Lessons from the York experience","authors":"Dr. Parth Aphale ,&nbsp;Himanshu Shekhar ,&nbsp;Shashank Dokania","doi":"10.1016/j.jvn.2025.10.004","DOIUrl":"10.1016/j.jvn.2025.10.004","url":null,"abstract":"","PeriodicalId":45419,"journal":{"name":"Journal of Vascular Nursing","volume":"44 1","pages":"Pages 111-112"},"PeriodicalIF":1.2,"publicationDate":"2026-03-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"147420141","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":"Exploring patients’ experiences of using Transcutaneous Electrical Nerve Stimulation for Claudication","authors":"Chris Seenan ,&nbsp;Stephanie Hill ,&nbsp;Ukachukwu Abaraogu ,&nbsp;Stephen McSwiggan ,&nbsp;Patricia A Roche ,&nbsp;Chee-Wee Tan ,&nbsp;Tom Mercer ,&nbsp;Jill Belch","doi":"10.1016/j.jvn.2025.11.004","DOIUrl":"10.1016/j.jvn.2025.11.004","url":null,"abstract":"<div><h3>Background</h3><div>Pain associated with claudication in peripheral arterial disease (PAD) is a key barrier to physical activity, limiting walking ability and impacting quality of life. Transcutaneous Electrical Nerve Stimulation (TENS) may offer non-pharmacological pain relief and has shown potential to improve walking performance. However, little is known about patients’ experiences using TENS in everyday life.</div></div><div><h3>Aim</h3><div>To explore the lived experience of using TENS at home among individuals with PAD and claudication.</div></div><div><h3>Methods</h3><div>Six participants with PAD and claudication received training in the use of a TENS device for home use during daily walking activities. After four weeks, experiences were explored through a focus group and an individual interview. Data were analysed using thematic analysis.</div></div><div><h3>Results</h3><div>Four themes emerged: Pain, Expectations, Usability, and Physical and social functioning. While some participants reported reduced pain and improved walking ability, others expressed disappointment when TENS did not fully meet their expectations. Variability in use and perceived benefit was influenced by prior knowledge, usability challenges, and personal preferences.</div></div><div><h3>Conclusions</h3><div>TENS may support self-management of claudication pain and enhance physical activity in some individuals with PAD. However, managing patient expectations and addressing device usability are essential to optimise outcomes. Healthcare practitioners may play a key role in supporting education, tailoring advice, and evaluating the appropriateness of TENS as part of individualised care plans.</div></div>","PeriodicalId":45419,"journal":{"name":"Journal of Vascular Nursing","volume":"44 1","pages":"Pages 30-37"},"PeriodicalIF":1.2,"publicationDate":"2026-03-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"147420600","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":"Ethical Dilemmas in Vascular Surgery: Respone to Fradelos et al.","authors":"Endah Fitriasari BSc.N.,RN.,MNS ,&nbsp;Muhammad Taufan Umasugi BSc.N.,RN.,MHSc","doi":"10.1016/j.jvn.2025.12.004","DOIUrl":"10.1016/j.jvn.2025.12.004","url":null,"abstract":"","PeriodicalId":45419,"journal":{"name":"Journal of Vascular Nursing","volume":"44 1","pages":"Pages 115-116"},"PeriodicalIF":1.2,"publicationDate":"2026-03-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"147420139","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":"Evaluating 2- and 4-Layer compression bandages at 40 mmHg for chronic venous leg ulcer: A case study","authors":"Nanthakumahrie Gunasegaran ,&nbsp;Wee Ting Goh ,&nbsp;Fazila Aloweni","doi":"10.1016/j.jvn.2025.12.002","DOIUrl":"10.1016/j.jvn.2025.12.002","url":null,"abstract":"<div><h3>Aims</h3><div>To compare the healing outcomes of two-layer (2LB) and four-layer (4LB) compression bandaging systems, both delivering approximately 40 mmHg, in the management of chronic venous leg ulcers (VLUs) of a single patient.</div></div><div><h3>Methods</h3><div>A patient with recalcitrant VLUs over the right medial malleolar, left medial malleolar, and left foot dorsum recurring since September 2024 over 30 weeks, presented to the outpatient vascular wound clinic. Initially, all wounds were managed with chitosan dressings and bilateral 4LB. From October 2024 (Week 2), compression bandaging was adjusted: the right leg received 2LB and the left leg remained on 4LB, both delivering approximately 40 mmHg pressure over the ankle till Week 30.</div></div><div><h3>Results</h3><div>At baseline, on week 2, ulcer measurements were as follows: right medial malleolar – 4.3 × 2.4 cm (10.32 cm²), left medial malleolar – 4.5 × 2 cm (9 cm²), and left dorsum of the foot – 1 × 1.2 cm (1.2 cm²). By week 28, the right malleolar ulcer had healed completely and remained closed through week 30. At week 30, the left malleolar ulcer had reduced to 2.4 × 2 cm (4.8 cm²), and the left dorsum ulcer had decreased to 0.7 × 0.5 cm (0.35 cm²).</div></div><div><h3>Conclusion</h3><div>This case demonstrates effective healing under both 2LB and 4LB systems at 40 mmHg. Complete healing with 2LB suggests comparable efficacy with potential advantages in comfort and ease of application. These findings support individualised compression strategies guided by wound characteristics and patient needs to optimise VLU healing outcomes.</div></div>","PeriodicalId":45419,"journal":{"name":"Journal of Vascular Nursing","volume":"44 1","pages":"Pages 101-108"},"PeriodicalIF":1.2,"publicationDate":"2026-03-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"147420138","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":"Nursing-led telephone follow-up after lower limb endovascular surgery: An observational study on early detection and patient safety","authors":"Mª Lourdes Del Rio-Sola MD, PhD ,&nbsp;Carlos Garcia-Padron MD ,&nbsp;Eva Alvarez Garcia MD ,&nbsp;Rebeca Fernandez-Fernandez RN, BScN","doi":"10.1016/j.jvn.2025.12.003","DOIUrl":"10.1016/j.jvn.2025.12.003","url":null,"abstract":"<div><h3>Background</h3><div>Patients undergoing lower limb endovascular surgery remain at high risk for restenosis, reintervention, and limb loss. Structured follow-up <del>may</del> has the potential improve early detection of complications, adherence to preventive therapy, and quality of life.</div></div><div><h3>Methods</h3><div>We conducted a prospective observational cohort study at a tertiary vascular centre in Spain between 2021 and 2023, including 308 patients who underwent infrainguinal endovascular revascularisation. Participants were allocated to nursing-led structured telephone surveillance (n = 154) or usual care (n = 154). Scheduled calls at 1, 3, 6, and 12 months assessed symptoms, wound status, and adherence to secondary prevention. Primary outcome was target-limb reintervention at 12 months. Secondary outcomes included major adverse limb events (MALE), all-cause mortality, medication adherence, quality of life (EQ-5D-5L), and early detection of complications. Group comparisons were performed using inverse probability of treatment weighting (IPTW) based on a propensity score model to account for baseline differences.</div></div><div><h3>Results</h3><div>At 12 months, target-limb reintervention occurred in 15.6% of the telephone follow-up group versus 26.6% in the usual care group. After adjustment, the association remained significant (adjusted HR 0.61, 95% CI 0.38–0.97, p = 0.039). Major adverse limb events (MALE) occurred in 18.8% versus 31.2% (adjusted HR 0.60, 95% CI 0.38–0.95, p = 0.031).</div><div>Medication adherence to antiplatelet and statin therapy was higher in the telephone group (92.6% and 89.4% vs 81.4% and 78.1%; p = 0.017). Structured telephone surveillance enabled earlier recognition of vascular warning signs (24.0% vs 7.8%, p &lt; 0.001).</div><div>Health-related quality of life improved in both groups, but to a greater extent in the telephone group (mean change in EQ-5D-5L index score+0.11 vs +0.06; between-group difference 0.05, 95% CI 0.01–0.09, p = 0.022). No clinical adverse events related to the intervention were observed; mild transient anxiety related to the follow-up was reported in 4 patients (2.6%).</div></div><div><h3>Conclusions</h3><div>Nursing-led telephone surveillance after lower limb endovascular surgery is safe and effective. It reduces reinterventions and limb events, improves adherence to secondary prevention, and enhances quality of life, providing a scalable model that strengthens continuity of vascular nursing care.</div></div>","PeriodicalId":45419,"journal":{"name":"Journal of Vascular Nursing","volume":"44 1","pages":"Pages 49-57"},"PeriodicalIF":1.2,"publicationDate":"2026-03-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"147420146","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":"Light physical activity and sedentary time are associated with multiple comorbid conditions in patients with peripheral artery disease","authors":"Aluísio Andrade-Lima ,&nbsp;Breno Quintella Farah ,&nbsp;Antonio Henrique Germano-Soares ,&nbsp;Hélcio Kanegusuku ,&nbsp;Nelson Wolosker ,&nbsp;Marilia de Almeida Correia ,&nbsp;Raphael Mendes Ritti-Dias","doi":"10.1016/j.jvn.2025.09.002","DOIUrl":"10.1016/j.jvn.2025.09.002","url":null,"abstract":"<div><h3>Background</h3><div>Peripheral artery disease (PAD) is frequently accompanied by multiple comorbidities. Patients with PAD typically engage in low levels of physical activity (PA) and spend extended periods in sedentary behavior (SB). However, the relationship between these behaviors and the presence of comorbidities in this population remains unclear.</div></div><div><h3>Objective</h3><div>To analyze the association between PA and SB with multiple comorbid conditions in patients with PAD.</div></div><div><h3>Methods</h3><div>This cross-sectional study included 179 patients with PAD and claudication symptoms (66 ± 9 y.o.; 62.6% male), which had an ankle-brachial index &lt;0.90 in at least one limb (0.58 ± 0.16). An accelerometer was worn for seven consecutive days to measure PA (light and moderate-vigorous) and the time spent in SB. Sociodemographic information (sex, age and current medication), body mass index, total walking distance (six-min walk test) and chronic diseases were obtained. Crude and adjusted linear regression models were created for the association between SB, light PA, and moderate-vigorous PA with the outcome (multiple comorbid conditions). For all the statistical analyses, <em>p</em> &lt; 0.05 was considered statistically significant.</div></div><div><h3>Results</h3><div>The time spent in SB (β = 0.280; <em>p</em> = 0.012) and light PA (β = -0.209; <em>p</em> = 0.015) were positively and negatively associated with the multiple comorbid conditions after adjustments for sex, age, ankle-brachial index, total walking distance, body mass index and moderate-vigorous PA. The time spent in moderate-vigorous PA was not associated (<em>p</em> &gt; 0.05).</div></div><div><h3>Conclusion</h3><div>Higher time spent in SB and lower time spent in light PA were associated with multiple comorbid conditions in patients with PAD. Recommendations should focus not only on increasing PA but also on reducing prolonged SB.</div></div>","PeriodicalId":45419,"journal":{"name":"Journal of Vascular Nursing","volume":"44 1","pages":"Pages 1-5"},"PeriodicalIF":1.2,"publicationDate":"2026-03-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"147420603","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}