{"title":"Erratum: Rising to the Challenge: Team Thoughts for Overcoming IV Fluid Shortages in Disaster Management.","authors":"","doi":"10.1097/NAN.0000000000000605","DOIUrl":"https://doi.org/10.1097/NAN.0000000000000605","url":null,"abstract":"","PeriodicalId":46291,"journal":{"name":"Journal of Infusion Nursing","volume":"48 3","pages":"196"},"PeriodicalIF":2.9,"publicationDate":"2025-05-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143990269","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":"Heat Application to Improve Venous Dilation for Peripheral Intravenous Catheterization in Older Adults: A Quasi-Experimental Study.","authors":"Kae Yasuda, Inaho Shishido, Chiyomi Matsuno, Rika Yano","doi":"10.1097/NAN.0000000000000585","DOIUrl":"https://doi.org/10.1097/NAN.0000000000000585","url":null,"abstract":"<p><p>The failure rate of peripheral intravenous catheterization is higher in older adults than in younger adults. Safe peripheral intravenous catheterization requires the veins to be fully dilated to improve palpation. Heat application has been empirically recognized as an effective venous dilation technique. However, evidence is lacking regarding the venous dilation effect of heat application in older adults with degenerated venous walls and impaired endothelial function due to aging. This study aimed to verify the venous dilation effect of heat application before tourniquet use in comparison with tourniquet application in hospitalized older adults (n = 88; mean age: 79.3 ± 8.1 years). Participants underwent 2 conditions on the same day in sequence: the control condition (using a tourniquet) and the heat application condition (applying a hot pack at 40 ± 2 °C for 7 minutes followed by tourniquet use). Measurements pre- and post-intervention included venous diameter, depth, and assessment scores (palpability and visibility). Heat application significantly increased venous diameter, reduced depth, and improved palpability and visibility compared to the control. Additionally, venous palpability improved with heat application in half of the patients whose veins were not palpable after tourniquet application alone. Therefore, heat application is recommended to assess the suitable veins for catheterization in older adults.</p>","PeriodicalId":46291,"journal":{"name":"Journal of Infusion Nursing","volume":"48 3","pages":"181-190"},"PeriodicalIF":2.9,"publicationDate":"2025-05-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144051788","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}
Noor Hasliza Che Seman, Nitiakaliyani Subramaniam, Harjit Kaur Ujagar Singh, Wong Lee Sia, Soon Lean Keng
{"title":"Knowledge of Intravenous Therapy Among Nursing Students: A Cross-Sectional Study.","authors":"Noor Hasliza Che Seman, Nitiakaliyani Subramaniam, Harjit Kaur Ujagar Singh, Wong Lee Sia, Soon Lean Keng","doi":"10.1097/NAN.0000000000000591","DOIUrl":"https://doi.org/10.1097/NAN.0000000000000591","url":null,"abstract":"<p><p>This study aimed to assess the knowledge of intravenous therapy among nursing students. A cross-sectional study was conducted with 170 diploma nursing students randomly selected from a private university in Malaysia between November 30 and December 30, 2023. The study found that 90% had moderate knowledge of intravenous therapy. Year 1 nursing students had the lowest knowledge level (52.9%), and medical placement students scored lower than surgical placement students (70.6%). Statistical tests revealed significant associations between knowledge level and year of nursing education (P = .021), current clinical placement (P = .046), and experience in assisting in intravenous therapy (P = .011). The majority of the nursing students were female (88.2%), with 52.4% having surgical placement postings and 78.8% having experience in assisting with intravenous therapy. Nursing education significantly impacts clinical placements (P = < .001), with year 2 nursing students in medical placements assisting more in intravenous therapy than those in years 1 and year 3. Overall, year 3 nursing students in surgical settings had more opportunities in intravenous therapy involvement than students in medical placements. In conclusion, the study highlights the need for intervention to improve nursing students' knowledge of intravenous therapy.</p>","PeriodicalId":46291,"journal":{"name":"Journal of Infusion Nursing","volume":"48 3","pages":"200-205"},"PeriodicalIF":2.9,"publicationDate":"2025-05-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144064959","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":"Leading Change to Benefit Patients, Clinicians, and Students.","authors":"Dawn Berndt","doi":"10.1097/NAN.0000000000000601","DOIUrl":"https://doi.org/10.1097/NAN.0000000000000601","url":null,"abstract":"","PeriodicalId":46291,"journal":{"name":"Journal of Infusion Nursing","volume":"48 3","pages":"163-164"},"PeriodicalIF":2.9,"publicationDate":"2025-05-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144029651","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}
Kim Duff, Arianna Soresini, Nancy Wolf, Şükran Altan, Wendy Bencomo, Alane Fairchild, Ivana Ivankovic, Evelyn Sarpong, Anna Kuczkowska
{"title":"Individualized Hyaluronidase-Facilitated Subcutaneous Immunoglobulin 10% Administration in Chronic Inflammatory Demyelinating Polyradiculoneuropathy: The Nurse's Role.","authors":"Kim Duff, Arianna Soresini, Nancy Wolf, Şükran Altan, Wendy Bencomo, Alane Fairchild, Ivana Ivankovic, Evelyn Sarpong, Anna Kuczkowska","doi":"10.1097/NAN.0000000000000581","DOIUrl":"10.1097/NAN.0000000000000581","url":null,"abstract":"<p><p>Hyaluronidase-facilitated subcutaneous immunoglobulin (fSCIG) 10% offers potential improvements in patient independence and tolerability versus intravenous immunoglobulin (IVIG) when used for the treatment of chronic inflammatory demyelinating polyradiculoneuropathy (CIDP). fSCIG 10% also requires less frequent infusions and fewer infusion sites than conventional subcutaneous immunoglobulin (subcutaneous immunoglobulin without hyaluronidase). The ADVANCE-CIDP 1 study demonstrated fSCIG 10% efficacy and safety in preventing CIDP relapse and positive responses from patients in terms of satisfaction and treatment preference. Extensive guidance was provided to nurses during the conduct of ADVANCE-CIDP 1, including delivery of a \"Train the Trainer\" program by clinical trial educators to support study-site nurses. Consequently, ADVANCE-CIDP 1 has generated a valuable source of practical guidance for nurses. This review describes the key role of nursing professionals in facilitating successful transition from IVIG to subcutaneous therapy in patients with CIDP and draws on experience from ADVANCE-CIDP 1 to help equip nursing staff with the knowledge and confidence to support patients with CIDP initiating fSCIG 10% as a maintenance treatment.</p>","PeriodicalId":46291,"journal":{"name":"Journal of Infusion Nursing","volume":" ","pages":"166-180"},"PeriodicalIF":2.9,"publicationDate":"2025-05-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143616680","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":"Perceived Barriers and Risks of Safe Handling of Chemotherapeutic Agents: A Cross-Sectional Study.","authors":"Jisha Sreekumaran, Harindrjeet Goyal, Rajiv Sharma, Athar Javeth","doi":"10.1097/NAN.0000000000000593","DOIUrl":"https://doi.org/10.1097/NAN.0000000000000593","url":null,"abstract":"<p><p>Chemotherapy preparation and administration is a complex nursing procedure. Adequate competency and positive behaviors regarding safe handling of cytotoxic drugs is very important for every nurse to ensure patient safety as well as occupational safety. This study assessed the perceived barriers and risks regarding safe handling of chemotherapeutic drugs among nursing personnel of a tertiary care hospital of Delhi, India. A descriptive cross-sectional design was conducted among 60 nursing personnel, who were working in chemotherapy wards and day care units. Self-administered structured questionnaire and rating scales were used for data collection. The sociodemographic and outcome variables were analyzed using descriptive statistics in addition to inferential statistics. The overall mean scores of practice, perceived barriers, and risks of nursing personnel toward safe handling of chemotherapy is 33.26 ± 3.18, 29.75 ± 4.66, and 11.75 ± 2.99, respectively. The most important barrier was inadequate training on chemotherapy and high workload. The highest risk perceived by the nursing personnel was an inadequate regular medical surveillance program, followed by immediate non-replacement of linens soiled with drug spills. It is recommended that chemotherapy safety protocol, safety surveillance systems, and in-service training be instituted for all nursing personnel who are working in an oncology unit.</p>","PeriodicalId":46291,"journal":{"name":"Journal of Infusion Nursing","volume":"48 3","pages":"214-222"},"PeriodicalIF":2.9,"publicationDate":"2025-05-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144050764","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":"Safe Handling of Hazardous Drugs, 4thed.","authors":"AnnMarie L Walton, MiKaela M Olsen","doi":"10.1097/NAN.0000000000000586","DOIUrl":"https://doi.org/10.1097/NAN.0000000000000586","url":null,"abstract":"","PeriodicalId":46291,"journal":{"name":"Journal of Infusion Nursing","volume":"48 3","pages":"191-196"},"PeriodicalIF":2.9,"publicationDate":"2025-05-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143990330","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":"Number of Intravenous Insertions Per Week Does Not Influence Infusion Nurses' Ratings of Risk Factors for Difficult Intravenous Access (DIVA).","authors":"Emely Alfaro, Ruby Ejercito, Marissa Canote, Teresa Cosgrove, Jung-Ja Hawker, Marisa Quinn, Christine Miaskowski","doi":"10.1097/NAN.0000000000000590","DOIUrl":"https://doi.org/10.1097/NAN.0000000000000590","url":null,"abstract":"<p><strong>Objective: </strong>The aim of this study was to evaluate differences in nurses' ratings of risk factors for difficult intravenous access (DIVA) between oncology infusion unit nurses who perform ≤ 10 insertions compared to > 10 insertions per week.</p><p><strong>Methods: </strong>An email requesting that recipients complete a revised version of the \"Survey on Nurses\" perceived DIVA factors that contained a list of 53 risk factors was sent to 152 nurses, of whom 81 responded. Nurses rated each DIVA risk factor, using a 0 (not at all predictive) to 10 (extremely predictive) scale.</p><p><strong>Results: </strong>Of the 81 nurses who completed the survey, 55.5% and 44.5% performed ≤ 10 insertions versus > 10 insertions per week, respectively. No differences were found between the groups on age, sex, education, or years of experience in nursing or in infusion nursing. Compared to nurses who performed ≤ 10 insertions per week, those who performed > 10 rated only 1 risk factor as more predictive of DIVA (ie, the patient has a history of cirrhosis). Risk factors with the highest DIVA prediction scores were multiple intravenous attempts on the day of treatment, history of multiple venipunctures during previous visits, current or past history of intravenous drug use, and occurrence of dehydration.</p><p><strong>Conclusion: </strong>Findings can be used to identify high-risk patients and educate oncology nurses.</p>","PeriodicalId":46291,"journal":{"name":"Journal of Infusion Nursing","volume":"48 3","pages":"206-213"},"PeriodicalIF":2.9,"publicationDate":"2025-05-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144038218","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":"Developing and Validating a Knowledge Questionnaire of Blood Sampling via Central Vascular Access Devices.","authors":"Yang Li, Xiaolei Zhao, Jiaxiang Wang, Xingping Han, Hongyan Wu, Xuehong Li, Fengmei Tan, Shengmin Guo","doi":"10.1097/NAN.0000000000000580","DOIUrl":"10.1097/NAN.0000000000000580","url":null,"abstract":"<p><p>Central vascular access devices (CVADs) have become an important focus for safe practice in some patients. The aim of this study was to develop a reliable and valid knowledge questionnaire of blood sampling via CVADs for registered nurses by using both classical test theory (CTT) and Rasch analysis. A cross-sectional study was conducted, and the questionnaire was completed by 445 participants. CTT and Rasch analysis were used to measure the psychometric properties of the questionnaire. The final questionnaire consisted of 23 items. CTT analysis revealed acceptable internal reliability with Cronbach's alpha of 0.825 and content validity index (I-CVI = 0.99, S-CVI/UA = 0.925). Rasch analysis was conducted using a dichotomous scale, and the final 23-item questionnaire is unidimensional. The person reliability index was 0.69 with an item reliability index of 0.97. The test-retest reliability was excellent, with an intraclass correlation coefficient of 0.964. This questionnaire demonstrated a unidimensional structure and good psychological properties and was clinically meaningful for registered nurses to test their knowledge of blood sampling via CVADs. The findings represent a useful beginning for further analysis of the questionnaire in larger samples internationally.</p>","PeriodicalId":46291,"journal":{"name":"Journal of Infusion Nursing","volume":"48 2","pages":"142-150"},"PeriodicalIF":2.9,"publicationDate":"2025-03-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143568543","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}