Journal of Infusion Nursing最新文献

Factors and Strategies Influencing Chemotherapy Safety Among Oncology Nurses: A Qualitative Descriptive Study. 影响肿瘤护士化疗安全的因素及对策：一项定性描述性研究。

IF 2.9

Journal of Infusion Nursing Pub Date : 2025-01-01 Epub Date: 2024-12-26 DOI: 10.1097/NAN.0000000000000567

Dania M Abu-Alhaija, Hanan Al-Faraj, Elaine T Miller, Gordon L Gillespie

{"title":"Factors and Strategies Influencing Chemotherapy Safety Among Oncology Nurses: A Qualitative Descriptive Study.","authors":"Dania M Abu-Alhaija, Hanan Al-Faraj, Elaine T Miller, Gordon L Gillespie","doi":"10.1097/NAN.0000000000000567","DOIUrl":"10.1097/NAN.0000000000000567","url":null,"abstract":"The purpose of this research is to describe the factors affecting hazardous chemotherapy exposure and strategies to foster chemotherapy safety among oncology nurses. Fifteen oncology nurses and 5 oncology nurse managers were recruited from 2 medical centers in the Midwest United States through convenience purposive sampling. A qualitative descriptive approach was employed. Semi-structured interviews were conducted with the participants and analyzed using the content analysis method. Five main themes emerged: (1) description of chemotherapy exposure incidents, (2) nurse's personal health beliefs, (3) cues to adhere to chemotherapy handling guidelines, (4) invisible exposure to chemotherapy, and (5) strategies to promote chemotherapy safety at the workplace. Important strategies that promote chemotherapy safety for nurses are providing continuous education on chemotherapy safety, offering chemotherapy-specific equipment and personal protective equipment in several sizes, promoting nurses' health beliefs toward chemotherapy safety (perceived susceptibility, perceived severity, perceived benefits, perceived barriers, and perceived self-efficacy), supporting a culture of safety at the workplace, having policies on handling guidelines and exposure incident reporting, monitoring nurses' adherence to chemotherapy handling guidelines, using hazard labels and alerts, and monitoring chemotherapy contamination on common surfaces in oncology settings. Oncology nurses and nurse managers should be involved in designing strategies that promote nurses' occupational safety.","PeriodicalId":46291,"journal":{"name":"Journal of Infusion Nursing","volume":"48 1","pages":"17-24"},"PeriodicalIF":2.9,"publicationDate":"2025-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC11706343/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142933150","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}

引用次数: 0

A New Year and New Opportunities in Infusion Nursing. 输液护理新的一年和新的机遇。

IF 2.9

Journal of Infusion Nursing Pub Date : 2025-01-01 Epub Date: 2024-12-26 DOI: 10.1097/NAN.0000000000000587

Dawn Berndt

引用次数: 0

Getting to the Bottom of a Patient's Penicillin Allergy Label. 弄清病人青霉素过敏标签的真相。

IF 2.9

Journal of Infusion Nursing Pub Date : 2025-01-01 Epub Date: 2024-12-26 DOI: 10.1097/NAN.0000000000000584

Herman Joseph Johannesmeyer

引用次数: 0

Development and Content Validity of a Questionnaire on Peripheral Intravenous Catheter Maintenance and Knowledge of Nursing Professionals Regarding Best Practices. 外周静脉导管维持及护理专业人员最佳实践知识调查问卷的编制及内容效度。

IF 2.9

Journal of Infusion Nursing Pub Date : 2025-01-01 Epub Date: 2024-12-26 DOI: 10.1097/NAN.0000000000000571

Marie Sylvie Doll, Daniele Cristina Bosco Aprile, Alexia Louisie Pontes Gonçalves, Bianka Sousa Martins da Silva, Denise Miyuki Kusahara, Camila Takáo Lopes

{"title":"Development and Content Validity of a Questionnaire on Peripheral Intravenous Catheter Maintenance and Knowledge of Nursing Professionals Regarding Best Practices.","authors":"Marie Sylvie Doll, Daniele Cristina Bosco Aprile, Alexia Louisie Pontes Gonçalves, Bianka Sousa Martins da Silva, Denise Miyuki Kusahara, Camila Takáo Lopes","doi":"10.1097/NAN.0000000000000571","DOIUrl":"https://doi.org/10.1097/NAN.0000000000000571","url":null,"abstract":"The aims of this study were to develop a questionnaire on peripheral intravenous catheter (PIVC) maintenance, evaluate its content validity, and assess factors influencing the level of knowledge of nursing professionals regarding best practices.The study was conducted in 3 stages: (1) development of a questionnaire on PIVC maintenance; (2) content validity assessment by experts with assessment of comprehensiveness, relevance, and clarity; and (3) application of the questionnaire to 1493 nursing professionals. Relationships between personal characteristics and knowledge levels were evaluated. The questionnaire score ranged from 0 to 26. The participants obtained a mean score of 13.7 (SD, 2.4). Factors associated with a higher knowledge level included higher educational level, training on PIVC maintenance upon admission, and employment in an institution with recurrent PIVC maintenance training. Gaps in knowledge included the recommended technique for active disinfection, how catheter stabilization should be performed, recommended technique for flushing and minimizing blood reflux into the catheter, appropriate frequency for assessing the insertion site of the catheter, and signs of catheter complications. A questionnaire for assessing knowledge of best practices in PIVC maintenance was developed and had adequate evidence of content validity. Aspects related to greater education were associated with a higher knowledge level. Knowledge gaps were identified.","PeriodicalId":46291,"journal":{"name":"Journal of Infusion Nursing","volume":"48 1","pages":"53-69"},"PeriodicalIF":2.9,"publicationDate":"2025-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142933140","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}

引用次数: 0

Heparin Versus Saline: A Comparative Study to Support Practice Change Within an Organization. 肝素与生理盐水：一项支持组织内实践变化的比较研究。

IF 2.9

Journal of Infusion Nursing Pub Date : 2025-01-01 Epub Date: 2024-12-26 DOI: 10.1097/NAN.0000000000000569

Linda Denke, Meredith Allen, Folefac Atem, Kavitha Nair, Ramona Warkola, Miriam Gonzales

引用次数: 0

Development and Testing of an Objective Structured Clinical Examination for Evaluating Nurses in Infusion Therapy. 输液护理护士客观结构化临床考核方法的开发与检验。

IF 2.9

Journal of Infusion Nursing Pub Date : 2025-01-01 Epub Date: 2024-12-26 DOI: 10.1097/NAN.0000000000000570

Mariana de Jesus Meszaros, Angélica Olivetto de Almeida, Roberta Nazario Aoki, Ana Paula Gadanhoto Vieira, Mariana Aparecida Castelani, Juliany Lino Gomes Silva, Maria Helena de Melo Lima, Ana Railka de Souza Oliveira-Kumakura

{"title":"Development and Testing of an Objective Structured Clinical Examination for Evaluating Nurses in Infusion Therapy.","authors":"Mariana de Jesus Meszaros, Angélica Olivetto de Almeida, Roberta Nazario Aoki, Ana Paula Gadanhoto Vieira, Mariana Aparecida Castelani, Juliany Lino Gomes Silva, Maria Helena de Melo Lima, Ana Railka de Souza Oliveira-Kumakura","doi":"10.1097/NAN.0000000000000570","DOIUrl":"https://doi.org/10.1097/NAN.0000000000000570","url":null,"abstract":"This study aimed to develop, assess, and test an Objective Structured Clinical Examination (OSCE) to evaluate nurses' competency in planning and managing infusion therapy. The study adopted a methodological approach with a quantitative design and was conducted from December 2020 to August 2021 at a university hospital in São Paulo, Brazil. Data collection occurred in 3 stages: development of scenarios and assessment checklists, evaluation of expert consensus, and testing scenarios with the target audience. Data analysis involved calculating the Modified Kappa coefficient. The OSCE comprised 8 clinical stations, designed based on the theoretical framework of the Vessel Health and Preservation model and the Infusion Therapy Standards of Practice, which delineate evidence-based procedures for vascular access and infusion therapy. During expert assessment and examination testing, all evaluated items demonstrated coefficient values ≥0.74. Thus, the study successfully developed evidence-based OSCE for infusion therapy, showing strong expert consensus. Testing with nurses yielded positive outcomes, affirming the effectiveness of the educational practice's design and structure.","PeriodicalId":46291,"journal":{"name":"Journal of Infusion Nursing","volume":"48 1","pages":"36-43"},"PeriodicalIF":2.9,"publicationDate":"2025-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142933148","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}

引用次数: 0

Characteristics of Peripheral Intravenous Catheter Cannulation in Older Japanese Inpatients. 日本老年住院患者外周静脉置管的特点。

IF 2.9

Journal of Infusion Nursing Pub Date : 2025-01-01 Epub Date: 2024-12-26 DOI: 10.1097/NAN.0000000000000564

Motoko Kitada, Shigeo Yamamura, Ayako Ninomiya, Minoru Kabashima, Kazuko Tateno, Etsuro Hori

{"title":"Characteristics of Peripheral Intravenous Catheter Cannulation in Older Japanese Inpatients.","authors":"Motoko Kitada, Shigeo Yamamura, Ayako Ninomiya, Minoru Kabashima, Kazuko Tateno, Etsuro Hori","doi":"10.1097/NAN.0000000000000564","DOIUrl":"https://doi.org/10.1097/NAN.0000000000000564","url":null,"abstract":"Age-related physiological changes affect various aspects of peripheral intravenous catheter (PIVC) cannulation. However, the characteristics of PIVCs, especially in older patients, have been poorly investigated. In the current cross-sectional observational study, PIVC sizes, PIVC sites, the number of attempts until successful insertion, and the degree of venodilation upon insertion among hospital inpatients aged ≥65 years were investigated, along with measurements of the vessel diameter and depth using ultrasound. In total, 91 PIVC insertions were analyzed. The vessel diameter was estimated to be smaller than that in domestic adult inpatients. Most of the catheters were placed at the ideal site on the first attempt. However, considering the optimal vein-to-catheter ratio, most of the cannulations were oversized and would be oversized even when using a 24-gauge catheter. In addition, obvious differences were found in the vessel diameter, catheter size, and catheter site compared with previous studies conducted outside of Asia. The current study indicates the need for further research on the identification of appropriate veins, and the definition of \"appropriate\" approaches might vary among countries.","PeriodicalId":46291,"journal":{"name":"Journal of Infusion Nursing","volume":"48 1","pages":"25-31"},"PeriodicalIF":2.9,"publicationDate":"2025-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142933134","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}

引用次数: 0

Intravenous Pump Flow Accuracy: A Systematic Review. 静脉泵流量准确性：系统综述。

IF 2.9

Journal of Infusion Nursing Pub Date : 2025-01-01 Epub Date: 2024-12-26 DOI: 10.1097/NAN.0000000000000576

Jeannine W C Blake

{"title":"Intravenous Pump Flow Accuracy: A Systematic Review.","authors":"Jeannine W C Blake","doi":"10.1097/NAN.0000000000000576","DOIUrl":"https://doi.org/10.1097/NAN.0000000000000576","url":null,"abstract":"Intravenous pumps (IVPs) deliver IV medications to millions of acute care patients each year and result in many adverse events reported to the US Food and Drug Administration (FDA). Although the use of IVPs has improved overall safety, there are still high rates of error that risk the safety of all patients, especially those of advanced age and those suffering from critical illness. Most of the documented errors are based on clinician reports, although there is reason to believe that errors due to flow rate inaccuracy go undetected and unreported. The purpose of this systematic literature review was to explore literature regarding flow rate accuracy for IVPs used in US acute care medicine. The systematic review was conducted by searching PubMed, CINHAL, and Web of Science. Articles chosen were from any year, written in the English language, and had content pertaining to the use of IVPs and key concepts of interest. Concepts discussed throughout the literature are relevant to the IVPs used for patient care, including outlet pressure, intake pressure, dead volume, and pump setup. This review provides a conceptual overview of what is known about this technology but reveals a gap in knowledge related to actual IVP clinical accuracy.","PeriodicalId":46291,"journal":{"name":"Journal of Infusion Nursing","volume":"48 1","pages":"44-52"},"PeriodicalIF":2.9,"publicationDate":"2025-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142933171","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}

引用次数: 0

A Comparison of Pumping Infusion-Induced Contamination With Different Syringe Types. 比较不同类型注射器在泵送输液过程中造成的污染。

IF 2.9

Journal of Infusion Nursing Pub Date : 2024-11-01 Epub Date: 2024-10-30 DOI: 10.1097/NAN.0000000000000560

Yutaka Kawakami, Takashi Tagami

{"title":"A Comparison of Pumping Infusion-Induced Contamination With Different Syringe Types.","authors":"Yutaka Kawakami, Takashi Tagami","doi":"10.1097/NAN.0000000000000560","DOIUrl":"https://doi.org/10.1097/NAN.0000000000000560","url":null,"abstract":"Health care providers use several types of syringes in their daily routine to provide or safely deliver therapeutic agents to patients. Pump infusion with a syringe (PIS) are used for the rapid delivery of large amounts of fluid or blood to patients in critical conditions, such as hypovolemic shock. Patients often experience bacterial infections, such as catheter-related bloodstream infections, specifically when they are in critical condition in the intensive care unit (ICU) after surgery or undergoing resuscitation in an emergency department. A previous study has shown that PIS may cause intraluminal contamination. This study compared PIS-induced contamination among different types of available syringes, including disposable plastic syringes produced by several companies, glass syringes, and syringes with plastic covers. The authors found that plastic syringes caused approximately equivalent PIS-induced contamination and that glass syringes caused substantially more contamination than plastic syringes. However, syringes equipped with a plastic cover exhibited no contamination. Furthermore, disinfection with ethanol completely prevented PIS-induced contamination. This study supports the evidence that PIS may cause bacterial contamination and that a thorough aseptic technique is needed, especially when using glass syringes. These findings highlight the need to develop alternative devices for rapid infusion.","PeriodicalId":46291,"journal":{"name":"Journal of Infusion Nursing","volume":"47 6","pages":"408-416"},"PeriodicalIF":2.9,"publicationDate":"2024-11-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142584700","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}

引用次数: 0

Patient Blood Management: Mixing Versus Discard Methods for Central Venous Catheter Blood Specimen Collection. 患者血液管理：中心静脉导管血液标本采集的混合法与丢弃法。

IF 2.9

Journal of Infusion Nursing Pub Date : 2024-11-01 Epub Date: 2024-10-30 DOI: 10.1097/NAN.0000000000000562

Mary Jo Sarver, Monica McManus, John Toler, Bethany Johnson

{"title":"Patient Blood Management: Mixing Versus Discard Methods for Central Venous Catheter Blood Specimen Collection.","authors":"Mary Jo Sarver, Monica McManus, John Toler, Bethany Johnson","doi":"10.1097/NAN.0000000000000562","DOIUrl":"10.1097/NAN.0000000000000562","url":null,"abstract":"A quasi-experimental study comparing the mixing and discard methods of laboratory specimen techniques in an adult acute care setting was conducted over a 30-month period. Primary end points were delta hemoglobin (Hgb) and transfusion rates. Secondary end points were redraws related to hemolysis and erroneous results, noting central venous access device (CVAD) type. Primary objectives included the comparison of hospital-acquired anemia and transfusion rates utilizing Hgb and venous sampling methods as part of a patient blood management (PBM) program. Secondary objectives tracked the type of CVAD used to acquire venous specimens and the impact on hemolysis rates or erroneous results. Considerations include exploring the benefits of utilizing the mixing method related to cost savings. In summary, the mixing versus discard method eliminates wasting blood to reduce hospital-acquired anemia as part of a PBM program. CVAD type did not influence hemolysis rates or impact erroneous results. The mixing method is easy to implement in any health care setting. Cost savings are feasible by elimination of external venous or arterial blood management protection devices. Removal of add-on devices supports standards by decreasing access points to reduce infection risk. Results, although inconclusive to superiority, demonstrated noninferiority and encouraged consideration of the mixing method for laboratory specimen collection.","PeriodicalId":46291,"journal":{"name":"Journal of Infusion Nursing","volume":"47 6","pages":"397-407"},"PeriodicalIF":2.9,"publicationDate":"2024-11-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142584723","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}

引用次数: 0