Journal of Infusion Nursing最新文献_第10页

Flushing in Intravenous Catheters: Observational Study of Nursing Practice in Intensive Care in Brazil. 静脉导管冲洗：巴西重症监护护理实践的观察研究。

IF 2

Journal of Infusion Nursing Pub Date : 2023-09-01 DOI: 10.1097/NAN.0000000000000516

Gabriella da Silva Rangel Ribeiro, Juliana Faria Campos, Flávia Giron Camerini, Pedro Miguel Santos Dinis Parreira, Rafael Celestino da Silva

{"title":"Flushing in Intravenous Catheters: Observational Study of Nursing Practice in Intensive Care in Brazil.","authors":"Gabriella da Silva Rangel Ribeiro, Juliana Faria Campos, Flávia Giron Camerini, Pedro Miguel Santos Dinis Parreira, Rafael Celestino da Silva","doi":"10.1097/NAN.0000000000000516","DOIUrl":"10.1097/NAN.0000000000000516","url":null,"abstract":"An observational study was developed with 108 nursing professionals who managed vascular access devices in 4 intensive care units of a university hospital in Rio de Janeiro, Brazil. The objective was to analyze the practice of the nursing staff in performing flushing for the maintenance of vascular access devices in critically ill patients. Data were collected by observing the flushing procedure using a structured checklist and analyzed using descriptive and inferential statistics. In 23% of the 404 observations, there was no flushing. When performed at some point during catheter management (77%), flushing was predominant after drug administration with 1 or 2 drugs administered. There were flaws in the flushing technique applied in terms of volume and method of preparation. Time of professional experience >5 years, knowledge about recommendations, and training on flushing were variables associated with technique performance. It was concluded that the flushing procedure did not meet the recommendations of good practices, with failures that constituted medication errors.","PeriodicalId":46291,"journal":{"name":"Journal of Infusion Nursing","volume":"46 5","pages":"272-280"},"PeriodicalIF":2.0,"publicationDate":"2023-09-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"10433949","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

Moving Beyond Central Line-Associated Bloodstream Infections: Enhancement of the Prevention Process. 超越中心线相关血流感染:加强预防过程。

IF 2

Journal of Infusion Nursing Pub Date : 2023-07-01 DOI: 10.1097/NAN.0000000000000509

Robert Garcia

引用次数: 0

Guidance, Controversy, Imperatives, and Instruction. 指导、争议、命令和指导。

IF 2

Journal of Infusion Nursing Pub Date : 2023-07-01 DOI: 10.1097/NAN.0000000000000515

Dawn Berndt

引用次数: 0

Effect of Peripherally Infused Norepinephrine on Reducing Central Venous Catheter Utilization. 外周输注去甲肾上腺素对减少中心静脉导管使用率的影响。

IF 2

Journal of Infusion Nursing Pub Date : 2023-07-01 DOI: 10.1097/NAN.0000000000000508

Sara M Powell, Andrew C Faust, Stephy George, Richard Townsend, Darla Eubank, Richard Kim

{"title":"Effect of Peripherally Infused Norepinephrine on Reducing Central Venous Catheter Utilization.","authors":"Sara M Powell, Andrew C Faust, Stephy George, Richard Townsend, Darla Eubank, Richard Kim","doi":"10.1097/NAN.0000000000000508","DOIUrl":"https://doi.org/10.1097/NAN.0000000000000508","url":null,"abstract":"The purpose of this retrospective study was to evaluate the impact of peripherally administered norepinephrine on avoiding central venous catheter insertion while maintaining safety of the infusion. An institutional guideline allows peripheral infusion of norepinephrine via dedicated, 16- to 20-gauge, mid-to-upper arm intravenous (IV) catheters for up to 24 hours. The primary outcome was the need for central venous access in patients initially started on peripherally infused norepinephrine. A total of 124 patients were evaluated (98 initially on peripherally infused norepinephrine vs 26 with central catheter only administration). Thirty-six (37%) of the 98 patients who were started on peripheral norepinephrine avoided the need for central catheter placement, which was associated with $8,900 in direct supply cost avoidance. Eighty (82%) of the 98 patients who started peripherally infused norepinephrine required the vasopressor for ≤12 hours. No extravasation or local complications were observed in any of the 124 patients, regardless of site of infusion. Administration of norepinephrine via a dedicated peripheral IV site appears safe and may lead to a reduction in the need for subsequent central venous access. To achieve timely resuscitation goals, as well as to minimize complications associated with central access, initial peripheral administration should be considered for all patients.","PeriodicalId":46291,"journal":{"name":"Journal of Infusion Nursing","volume":"46 4","pages":"210-216"},"PeriodicalIF":2.0,"publicationDate":"2023-07-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"10035540","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

International Consensus Recommendation Guidelines for Subcutaneous Infusions of Hydration and Medication in Adults: An e-Delphi Consensus Study. 成人皮下输液和药物的国际共识推荐指南:e-Delphi共识研究。

IF 2

Journal of Infusion Nursing Pub Date : 2023-07-01 DOI: 10.1097/NAN.0000000000000511

Daphne Broadhurst, Marie Cooke, Deepa Sriram, Lauren Barber, Riccardo Caccialanza, Mathias Brix Danielsen, Stacie Lynne Ebersold, Lisa Gorski, David Hirsch, Gerardine Lynch, Shirlyn Hui-Shan Neo, Claire Roubaud-Baudron, Brenda Gray

{"title":"International Consensus Recommendation Guidelines for Subcutaneous Infusions of Hydration and Medication in Adults: An e-Delphi Consensus Study.","authors":"Daphne Broadhurst, Marie Cooke, Deepa Sriram, Lauren Barber, Riccardo Caccialanza, Mathias Brix Danielsen, Stacie Lynne Ebersold, Lisa Gorski, David Hirsch, Gerardine Lynch, Shirlyn Hui-Shan Neo, Claire Roubaud-Baudron, Brenda Gray","doi":"10.1097/NAN.0000000000000511","DOIUrl":"https://doi.org/10.1097/NAN.0000000000000511","url":null,"abstract":"Infusion of fluids and medications is traditionally performed intravenously. However, venous depletion in patients has led to the quest for vessel health preservation. A safe, effective, acceptable, and efficient alternative is the subcutaneous route. A lack of organizational policies may contribute to the slow uptake of this practice. This modified e-Delphi (electronic) study aimed to derive international consensus on practice recommendations for subcutaneous infusions of fluids and medications. A panel of 11 international clinicians, with expertise in subcutaneous infusion research and/or clinical practice, rated and edited subcutaneous infusion practice recommendations from evidence, clinical practice guidelines, and clinical expertise within an Assessment, Best Practice, and Competency (ABC) domain guideline model. The ABC Model for Subcutaneous Infusion Therapy provides a systematic guideline of 42 practice recommendations for the safe delivery of subcutaneous infusions of fluids and medications in the adult population in all care settings. These consensus recommendations provide a guideline for health care providers, organizations, and policy makers to optimize use of the subcutaneous access route.","PeriodicalId":46291,"journal":{"name":"Journal of Infusion Nursing","volume":"46 4","pages":"199-209"},"PeriodicalIF":2.0,"publicationDate":"2023-07-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://ftp.ncbi.nlm.nih.gov/pub/pmc/oa_pdf/83/73/jinfn-46-199.PMC10306332.pdf","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"10044040","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

Pegloticase in Uncontrolled Gout: The Infusion Nurse Perspective. Pegloticase在未控制痛风中的应用:输液护士的观点。

IF 2

Journal of Infusion Nursing Pub Date : 2023-07-01 DOI: 10.1097/NAN.0000000000000510

Britni Baxter, Shayla Sanders, Shilpa A Patel, Andrea Martin, Michael West

{"title":"Pegloticase in Uncontrolled Gout: The Infusion Nurse Perspective.","authors":"Britni Baxter, Shayla Sanders, Shilpa A Patel, Andrea Martin, Michael West","doi":"10.1097/NAN.0000000000000510","DOIUrl":"https://doi.org/10.1097/NAN.0000000000000510","url":null,"abstract":"Infused biologics, such as pegloticase, are a core component of managing uncontrolled gout, which is increasing in prevalence. Pegloticase is often the last line of therapy for patients with uncontrolled gout; therefore, achieving a successful course of treatment is critical. The infusion nurse's role in patient education, serum uric acid monitoring, and patient medication compliance is essential for ensuring patient safety and maximizing the number of patients who benefit from a full treatment course of pegloticase. Infusion nurses are on the front lines with patients and need to be educated on potential negative effects associated with the medications they infuse, such as infusion reactions, as well as risk management methods like patient screening and monitoring. Further, patient education provided by the infusion nurse plays a large role in empowering the patient to become their own advocate during pegloticase treatment. This educational overview includes a model patient case for pegloticase monotherapy, as well as one for pegloticase with immunomodulation and a step-by-step checklist for infusion nurses to refer to throughout the pegloticase infusion process. A video abstract is available for this article at http://links.lww.com/JIN/A105.","PeriodicalId":46291,"journal":{"name":"Journal of Infusion Nursing","volume":"46 4","pages":"223-231"},"PeriodicalIF":2.0,"publicationDate":"2023-07-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://ftp.ncbi.nlm.nih.gov/pub/pmc/oa_pdf/7b/a0/jinfn-46-223.PMC10306337.pdf","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"10044041","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

Celebrating Nurses. 庆祝护士。

IF 2

Journal of Infusion Nursing Pub Date : 2023-05-01 DOI: 10.1097/01.nme.0000433321.93949.9c

D. Berndt

引用次数: 0

Nursing Practices and Sensitive Outcomes Related to Peripheral Intravenous Catheterization in Portugal: A Scoping Review. 护理实践和敏感结果相关的外周静脉导管在葡萄牙：范围审查。

IF 2.9

Journal of Infusion Nursing Pub Date : 2023-05-01 DOI: 10.1097/NAN.0000000000000505

Paulo Santos-Costa, Filipe Paiva-Santos, Liliana B Sousa, Rafael A Bernardes, Filipa Ventura, Anabela Salgueiro-Oliveira, Pedro Parreira, Margarida Vieira, João Graveto

{"title":"Nursing Practices and Sensitive Outcomes Related to Peripheral Intravenous Catheterization in Portugal: A Scoping Review.","authors":"Paulo Santos-Costa, Filipe Paiva-Santos, Liliana B Sousa, Rafael A Bernardes, Filipa Ventura, Anabela Salgueiro-Oliveira, Pedro Parreira, Margarida Vieira, João Graveto","doi":"10.1097/NAN.0000000000000505","DOIUrl":"10.1097/NAN.0000000000000505","url":null,"abstract":"Implementation of evidence-based practice (EBP) is essential for ensuring high-quality nursing care. In Portugal, nurses are responsible for care delivery to patients who require peripheral intravenous access. However, recent authors emphasized the predominance of a culture based on outdated professional vascular access practices in Portuguese clinical settings. Thus, the aim of this study was to map the studies conducted in Portugal on peripheral intravenous catheterization. A scoping review was conducted based on the Joanna Briggs Institute recommendations, with a strategy adapted to different scientific databases/registers. Independent reviewers selected, extracted, and synthesized the data. Of the 2128 studies found, 26 were included in this review, published between 2010 and 2022. Previous research shows that Portuguese nurses' implementation of EBP was found to be relatively low overall, while most studies did not attempt to embed EBP change into routine care. Although nurses are responsible for implementing EBP at an individual patient level, the studies conducted in Portugal report nonstandardized practices among professionals, with significant deviations from recent evidence. This reality, combined with Portugal's absence of government-endorsed evidence-based standards for peripheral intravenous catheter (PIVC) insertion and treatment and vascular access teams, may explain the country's unacceptably high incidence of PIVC-related complications reported over the last decade.","PeriodicalId":46291,"journal":{"name":"Journal of Infusion Nursing","volume":"46 3","pages":"162-176"},"PeriodicalIF":2.9,"publicationDate":"2023-05-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"9723115","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

Positive and Neutral Needleless Connectors: A Comparative Study of Central-line Associated Bloodstream Infection, Occlusion, and Bacterial Contamination of the Connector Lumen. 阳性和中性无针连接器:连接器管腔中线相关血流感染、闭塞和细菌污染的比较研究。

IF 2

Journal of Infusion Nursing Pub Date : 2023-05-01 DOI: 10.1097/NAN.0000000000000506

Donna Schora, Parul Patel, Ruby Barza, Jignesh Patel, Kathleen Wilson, Paulette Espina-Gabriel, Vesna Nunez, Kamaljit Singh

{"title":"Positive and Neutral Needleless Connectors: A Comparative Study of Central-line Associated Bloodstream Infection, Occlusion, and Bacterial Contamination of the Connector Lumen.","authors":"Donna Schora, Parul Patel, Ruby Barza, Jignesh Patel, Kathleen Wilson, Paulette Espina-Gabriel, Vesna Nunez, Kamaljit Singh","doi":"10.1097/NAN.0000000000000506","DOIUrl":"https://doi.org/10.1097/NAN.0000000000000506","url":null,"abstract":"A pragmatic, multiphase prospective quality improvement initiative was performed to determine whether a positive displacement connector (PD) causes reduction of central line-associated bloodstream infection (CLABSI), occlusion, and catheter hub colonization when compared with a neutral displacement connector with alcohol disinfecting cap (AC). Patients with an active central vascular access device (CVAD) were enrolled March 2018 to February 2019 (P2) and compared to the prior year (P1). Two hospitals were randomized to use PD without AC (Hospital A) and with AC (Hospital B). Two hospitals utilized a neutral displacement connector with AC (Hospitals C and D). CVADs were monitored for CLABSI, occlusion, and bacterial contamination during P2. Of the 2454 lines in the study, 1049 were cultured. CLABSI decreased in all groups between P1 and P2: Hospital A, 13 (1.1%) to 2 (0.2%); Hospital B, 2 (0.3%) to 0; and Hospitals C and D, 5 (0.5%) to 1 (0.1%). CLABSI reduction was equivalent between P1 and P2 with and without AC, at around 86%. The rate of occlusion per lumen was 14.4%, 12.1%, and 8.5% for Hospitals A, B and C, D, respectively. Hospitals using PD had a higher rate of occlusion than those that did not (P = .003). Lumen contamination with pathogens was 1.5% for Hospitals A and B and 2.1% for Hospitals C and D (P = .38). The rate of CLABSI was reduced with both connectors, and PD reduced infections with and without the use of AC. Both connector types had low-level catheter hub colonization with significant bacteria. The lowest rates of occlusion were found in the group using neutral displacement connectors.","PeriodicalId":46291,"journal":{"name":"Journal of Infusion Nursing","volume":"46 3","pages":"157-161"},"PeriodicalIF":2.0,"publicationDate":"2023-05-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"10418238","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

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