Journal of Infusion Nursing最新文献_第10页

Assessment of the Value of a Carriage System to Organize and Elevate Intravenous Tubing. 运送系统组织和提升静脉导管的价值评估。

IF 2

Journal of Infusion Nursing Pub Date : 2023-05-01 DOI: 10.1097/NAN.0000000000000503

Jane H Hartman, James F Bena, Shannon L Morrison, Nancy M Albert

{"title":"Assessment of the Value of a Carriage System to Organize and Elevate Intravenous Tubing.","authors":"Jane H Hartman, James F Bena, Shannon L Morrison, Nancy M Albert","doi":"10.1097/NAN.0000000000000503","DOIUrl":"https://doi.org/10.1097/NAN.0000000000000503","url":null,"abstract":"Caregiver/patient fall injury risks increase when medical tubing drapes on floors. The objective of this research was to examine the value of a novel carriage system that organizes and elevates medical and intravenous (IV) tubing. Using a prospective, multicenter, cohort design, value of the IV carriage system was assessed using a valid, reliable survey that provided the total score and scores of 3 involvement factors: personal relevance, attitude, and importance. The survey was scored on a 0-100 scale, and questions about tubing elevation, patient mobility, and ease of use were rated on 0-10 scales. Participants were adult and pediatric inpatient caregivers (n = 131). In adult intensive care environments (n = 61), carriage system value scores were higher in the quaternary care site compared to 4 enterprise adult intensive care sites (median [Q1, Q3]: 90.0 [69.2, 97.5] vs 72.5 [52.5, 78.3], respectively; P = .008). Compared to nurses working in adult environments (n = 58), pediatric nurses (n = 40) had higher value scores (median [Q1, Q3]: 89.2 [68.3, 97.5] vs 97.5 [85.8, 100.0], respectively; P = .007). High median score ratings (9-10) were given for tubing elevation, patient mobility, and ease of use. In conclusion, the IV carriage system was valued by nurses as an important tool in clinical practice.","PeriodicalId":46291,"journal":{"name":"Journal of Infusion Nursing","volume":"46 3","pages":"149-156"},"PeriodicalIF":2.0,"publicationDate":"2023-05-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"9738544","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

Celebrating Nurses. 庆祝护士。

IF 2

Journal of Infusion Nursing Pub Date : 2023-05-01 DOI: 10.1097/NAN.0000000000000507

Dawn Berndt

引用次数: 0

Predictors of Central Vascular Access Device Bloodstream Infections in Patients With Acute Leukemia and Neutropenia: A Retrospective Case-Control Chart Review. 急性白血病和中性粒细胞减少患者中枢性血管通路装置血流感染的预测因素:回顾性病例-对照图回顾。

IF 2

Journal of Infusion Nursing Pub Date : 2023-05-01 DOI: 10.1097/NAN.0000000000000504

Delight Joslyn, Deborah A Saber, Patricia Miles

{"title":"Predictors of Central Vascular Access Device Bloodstream Infections in Patients With Acute Leukemia and Neutropenia: A Retrospective Case-Control Chart Review.","authors":"Delight Joslyn, Deborah A Saber, Patricia Miles","doi":"10.1097/NAN.0000000000000504","DOIUrl":"https://doi.org/10.1097/NAN.0000000000000504","url":null,"abstract":"Central vascular access devices (CVADs) are standard for the treatment of leukemia. The objectives of this study were to examine predictors for central line-associated bloodstream infection (CLABSI) and causative microorganisms. A retrospective case/control design was used to examine electronic health records (EHRs) of patients with acute leukemia, a CVAD, and neutropenia. Variables were examined for differences between those who developed bacteremia (cases: n = 10) and those who did not (controls: n = 13). Variables included conditions of health (eg, patient history, laboratory results at the time of nadir, nutritional intake during hospitalization, and CVAD care practices). Fisher exact and Mann-Whitney U tests were used for comparison. Nine organisms were identified, including viridans group streptococci (20%) and Escherichia coli (20%). No statistical differences in variables were found between groups. However, over 50% of the nutritional intake data was missing due to lack of documentation. These findings indicate that further study is needed to examine barriers for electronic documentation. The data collection site found opportunities to improve patient care that included education regarding the daily care of CVADs, collaboration with nutritional services to ensure accurate assessments, and coordination with clinical information systems to improve clinical documentation compliance.","PeriodicalId":46291,"journal":{"name":"Journal of Infusion Nursing","volume":"46 3","pages":"139-148"},"PeriodicalIF":2.0,"publicationDate":"2023-05-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"9723116","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

Scoping Review of Early Intravenous Infiltration and Extravasation Detection Devices. 早期静脉浸润和外渗检测装置的范围综述。

IF 2.9

Journal of Infusion Nursing Pub Date : 2023-03-01 DOI: 10.1097/NAN.0000000000000499

Sneha Kamada, Rebecca Mosier, Taj El-Khalili, Sophia Triantis, Robin Yang

引用次数: 0

Effects of an Ocrevus Rapid Infusion Protocol: A Literature Review and Quality Improvement Project. Ocrevus快速输液方案的效果:文献综述和质量改进项目。

IF 2

Journal of Infusion Nursing Pub Date : 2023-03-01 DOI: 10.1097/NAN.0000000000000498

Courtney Brandt

{"title":"Effects of an Ocrevus Rapid Infusion Protocol: A Literature Review and Quality Improvement Project.","authors":"Courtney Brandt","doi":"10.1097/NAN.0000000000000498","DOIUrl":"https://doi.org/10.1097/NAN.0000000000000498","url":null,"abstract":"The administration of Ocrevus, an infusion therapy for the treatment of multiple sclerosis, is time and labor intensive, leading to poor patient adherence, treatment delays due to scheduling issues, and significant staff workload. This problem worsened during the COVID-19 pandemic, which created scheduling difficulties due to space restrictions. A US Food and Drug Administration-approved rapid infusion protocol for Ocrevus decreases the infusion time by 1.5 hours per patient. The purpose of this project was to complete a literature review on rapid infusion protocols and analyze the effects of the Ocrevus rapid infusion protocol on 2 outcomes of interest: total visit time and infusion reaction rates. Data were collected using retrospective chart review and analyzed by comparing the results of each outcome to the same data points prior to the implementation of the project. Results found a statistically significant decrease in visit time, with no increase in infusion reaction rates. These findings support the implementation of this rapid Ocrevus infusion protocol in the outpatient setting with the potential to improve patient scheduling, patient satisfaction, and nursing workload, while maintaining patient safety.","PeriodicalId":46291,"journal":{"name":"Journal of Infusion Nursing","volume":"46 2","pages":"78-86"},"PeriodicalIF":2.0,"publicationDate":"2023-03-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"10045699","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

Nurses' Perceptions of Infusion Therapy During the COVID-19 Pandemic. 护士对 COVID-19 大流行期间输液疗法的看法。

IF 2.9

Journal of Infusion Nursing Pub Date : 2023-03-01 DOI: 10.1097/NAN.0000000000000497

Susan H Weaver, Marlene M Steinheiser, Miriam McNicholas, Deborah Prinzo, Bridget Wertz

{"title":"Nurses' Perceptions of Infusion Therapy During the COVID-19 Pandemic.","authors":"Susan H Weaver, Marlene M Steinheiser, Miriam McNicholas, Deborah Prinzo, Bridget Wertz","doi":"10.1097/NAN.0000000000000497","DOIUrl":"10.1097/NAN.0000000000000497","url":null,"abstract":"During the COVID-19 pandemic, nurses were faced with challenges when caring for patients, safely administering intravenous (IV) medications and solutions, and protecting themselves from the virus. To address these challenges, nurses moved infusion pumps outside of intensive care unit (ICU) rooms of patients with COVID-19 to minimize their exposure to the virus, conserve personal protective equipment, and efficiently administer IV medications and solutions. The purpose of this qualitative descriptive study was to explore and describe nurses' perception of managing infusion pumps outside the ICU rooms of patients with COVID-19 at 6 acute care hospitals. Eight interviews were conducted with ICU nurse managers, assistant nurse managers, clinical nurses, and vascular access team staff. From the interviews, the overarching theme was \"figure out a way,\" with the subtheme \"no clear-cut policy.\" Additional themes were: (1) limiting nurses' exposure, (2) increased risk for infection and error, (3) teamwork, and (4) roller coaster of emotions. The findings from this study revealed that, during this unprecedented pandemic, nurses were innovative and figured out a way to care for patients who were critically ill with COVID-19. Understanding this experience provides insight into creating policies and procedures to guide patient care in future pandemics or emergency care.","PeriodicalId":46291,"journal":{"name":"Journal of Infusion Nursing","volume":"46 2","pages":"87-96"},"PeriodicalIF":2.9,"publicationDate":"2023-03-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC9977262/pdf/jinfn-46-87.pdf","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"10045701","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

Factors Associated With the Occurrence of Adverse Effects Resulting From Hypodermoclysis in Older Adults in Palliative Care: A Cohort Study. 在姑息治疗中，与老年人皮下穿刺不良反应发生相关的因素:一项队列研究。

IF 2

Journal of Infusion Nursing Pub Date : 2023-03-01 DOI: 10.1097/NAN.0000000000000496

Raquel Eustaquia de Souza, Isabel Yovana Quispe Mendoza, Adriano Max Moreira Reis, João Paulo de Almeida Tavares, Gilberto de Lima Guimarães, Giovana de Paula Rezende Simino, Ravena Rieelly Araújo Moura, Silmar Maria da Silva

{"title":"Factors Associated With the Occurrence of Adverse Effects Resulting From Hypodermoclysis in Older Adults in Palliative Care: A Cohort Study.","authors":"Raquel Eustaquia de Souza, Isabel Yovana Quispe Mendoza, Adriano Max Moreira Reis, João Paulo de Almeida Tavares, Gilberto de Lima Guimarães, Giovana de Paula Rezende Simino, Ravena Rieelly Araújo Moura, Silmar Maria da Silva","doi":"10.1097/NAN.0000000000000496","DOIUrl":"https://doi.org/10.1097/NAN.0000000000000496","url":null,"abstract":"This study aimed to analyze the factors associated with local adverse effects resulting from hypodermoclysis in older adult patients in palliative care. The study involved 127 older adults undergoing palliative care at a hospital in southeastern Brazil. Data collection was performed from August to November 2019. Patients aged 60 years or older, with a prescription for hypodermoclysis at the time of admission and who were not receiving hypodermoclysis at the time of admission, were included. Data collected included sociodemographic, clinical, pharmacotherapeutic, and adverse effects of hypodermoclysis administration. Most participants were women (59.0%), with a mean age of 78.5 years. Frailty was the most prevalent diagnosis (26.8%), and 80.2% of patients were in the end-of-life stage. There was an incidence of 24.0% of adverse events, with catheter obstruction and swelling in the surrounding area of the hypodermoclysis site being the most frequent at 11.3% and 8.5%, respectively. Ondansetron administration by hypodermoclysis was 3 times more likely to have an adverse effect compared to not using this drug. In contrast, a protective factor was evident with the administration of 0.9% sodium chloride, which contributed to the reduction of complications. The occurrence of adverse effects from hypodermoclysis in the study population of older adults in palliative care was low.","PeriodicalId":46291,"journal":{"name":"Journal of Infusion Nursing","volume":"46 2","pages":"107-115"},"PeriodicalIF":2.0,"publicationDate":"2023-03-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"9362575","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

Advocating for Nurse Well-Being. 倡导护士福利。

IF 2

Journal of Infusion Nursing Pub Date : 2023-03-01 DOI: 10.1097/NAN.0000000000000500

Marlene M Steinheiser

引用次数: 0

Nursing Continuing Professional Development for Nursing Contact Hours and CRNI® Recertification Units. 护理接触时间和CRNI®再认证单位的护理持续专业发展。

IF 2

Journal of Infusion Nursing Pub Date : 2023-03-01 DOI: 10.1097/NAN.0000000000000502

引用次数: 0

Strategies for Professional Practice Challenges. 应对专业实践挑战的策略。

IF 2