{"title":"Incidence and Risk of Catheter-Related Thrombosis in Breast Cancer Patients With Implanted Ports.","authors":"Zebing Luo, Wanzhu Xu, Zhijun Guo, Manjia Xu, Xinxian Lv, Chujun Chen","doi":"10.1097/NAN.0000000000000582","DOIUrl":"10.1097/NAN.0000000000000582","url":null,"abstract":"<p><strong>Objective: </strong>This study assessed the risk factors for thrombosis related to totally implantable venous access ports (TIVAPs) among breast cancer patients.</p><p><strong>Methods: </strong>A single-center, retrospective, observational study was conducted. Demographic, disease-related, hematological, and TIVAP-related factors were assessed. Multiple logistic regression analysis was used to explore the influencing factors of TIVAP-related thrombosis.</p><p><strong>Results: </strong>A total of 416 patients with breast cancer with TIVAPs were divided into 3 groups: no thrombosis (64.4%), asymptomatic thrombosis (32.3%), and symptomatic thrombosis (3.3%). Multiple logistic regression showed that with no thrombosis as the reference, the protective factors for asymptomatic thrombosis were chemotherapy and TIVAP placement in the left side of the chest wall. Risk factors were ≤1 comorbidity and the use of ceramics as the base material of the TIVAP reservoir. With no thrombosis as the reference, cancer clinical stage III and chemotherapy were identified as protective factors of symptomatic thrombosis.</p><p><strong>Conclusion: </strong>Among breast cancer patients with a TIVAP, 32.3% had asymptomatic thrombosis and 3.3% had symptomatic thrombosis. Clinical staff should pay close attention to these indicators and identify high-risk patients with TIVAP-related thrombosis as early as possible.</p>","PeriodicalId":46291,"journal":{"name":"Journal of Infusion Nursing","volume":" ","pages":"114-122"},"PeriodicalIF":2.9,"publicationDate":"2025-03-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143450680","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 Continuing Professional Development for Nursing Contact Hours and CRNI® Recertification Units.","authors":"","doi":"10.1097/NAN.0000000000000592","DOIUrl":"10.1097/NAN.0000000000000592","url":null,"abstract":"","PeriodicalId":46291,"journal":{"name":"Journal of Infusion Nursing","volume":"48 2","pages":"E1-E4"},"PeriodicalIF":2.9,"publicationDate":"2025-03-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143568547","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}
Nancy Moureau, Lisa Gorski, Julie Flynn, Karen Johnson
{"title":"A Systematic Review of Needleless Connector Function and Occlusion Outcomes: Evidence Leading the Way.","authors":"Nancy Moureau, Lisa Gorski, Julie Flynn, Karen Johnson","doi":"10.1097/NAN.0000000000000578","DOIUrl":"10.1097/NAN.0000000000000578","url":null,"abstract":"<p><p>Vascular access devices (VADs) are essential to intravenous (IV) therapy in acute care. The Centers for Disease Control and Prevention recommends using needleless connectors (NCs) to provide IV access and eliminate the need for needles. Approximately 17 NCs are currently available in the United States, with 3 basic designs. The Infusion Nurses Society Standards of Practice established NC classifications of negative, positive, and anti-reflux NCs. Evidence indicates a relationship between NC fluid displacement, blood reflux, and occlusion. A systematic review of the literature was performed to ascertain whether the functional design of anti-reflux NCs results in reduced catheter occlusion. A literature search of design types, function, and incidence of occlusion complications with peripheral and central venous access devices yielded 24 334 publications, with 61 studies meeting inclusion criteria. Results from available in vitro and in vivo evidence suggest using anti-reflux NCs with the lowest levels of fluid displacement may result in fewer complications of occlusion and longer catheter dwell times. This review correlates current research to update scientific knowledge of NC displacement performance and outcomes of NCs.</p>","PeriodicalId":46291,"journal":{"name":"Journal of Infusion Nursing","volume":"48 2","pages":"84-105"},"PeriodicalIF":2.9,"publicationDate":"2025-03-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC11875409/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143568535","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}
{"title":"Antimicrobial Therapy for Pseudomonas aeruginosa.","authors":"Joshua A Garcia","doi":"10.1097/NAN.0000000000000589","DOIUrl":"10.1097/NAN.0000000000000589","url":null,"abstract":"","PeriodicalId":46291,"journal":{"name":"Journal of Infusion Nursing","volume":"48 2","pages":"123-126"},"PeriodicalIF":2.9,"publicationDate":"2025-03-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143568539","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}
Mahtab Farahangiz, Mitra Amini, Nima Naderi, Leila Kasraian
{"title":"A Survey of the Effectiveness of Patient Blood Management Workshops to Nurses in Shiraz, Iran, Using the Kirkpatrick Model.","authors":"Mahtab Farahangiz, Mitra Amini, Nima Naderi, Leila Kasraian","doi":"10.1097/NAN.0000000000000574","DOIUrl":"10.1097/NAN.0000000000000574","url":null,"abstract":"<p><p>Adequate nurse knowledge is imperative to ensure safe blood transfusion practices. This study evaluates the effectiveness of patient blood management (PBM) workshops on improving nurses' knowledge and practices regarding blood transfusions in Shiraz, Iran. Using Kirkpatrick's model, the study assessed reaction, learning, behavior, and results. A total of 562 nurses attended one of 28 6-hour workshops over 4 months. The results showed a high satisfaction among 80.95% of participants. Mean knowledge scores increased significantly after training, from 47.08 to 74.22 out of 100 (P < .001). At 6 months, the mean performance score was 79.31 out of 100. Significant improvements in knowledge and adherence to transfusion protocols were observed. The study underscores the importance of continuous education and evaluation in enhancing transfusion safety.</p>","PeriodicalId":46291,"journal":{"name":"Journal of Infusion Nursing","volume":"48 2","pages":"135-141"},"PeriodicalIF":2.9,"publicationDate":"2025-03-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143568533","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}
Anas Okour, Walaa R Almallah, Alia Ghoneum, Qutaibah Oudat
{"title":"Rising to the Challenge: Team Thoughts for Overcoming IV Fluid Shortages in Disaster Management.","authors":"Anas Okour, Walaa R Almallah, Alia Ghoneum, Qutaibah Oudat","doi":"10.1097/NAN.0000000000000588","DOIUrl":"10.1097/NAN.0000000000000588","url":null,"abstract":"","PeriodicalId":46291,"journal":{"name":"Journal of Infusion Nursing","volume":"48 2","pages":"81-83"},"PeriodicalIF":2.9,"publicationDate":"2025-03-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143568550","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":"Impact of the Warm Compress Method Conducted by Nurses Before Venipuncture on Blood Nitric Oxide Concentration.","authors":"Shotaro Koike, Toshio Norikura, Akira Taneichi, Kae Yasuda, Rica Yano","doi":"10.1097/NAN.0000000000000579","DOIUrl":"10.1097/NAN.0000000000000579","url":null,"abstract":"<p><p>Adequate venous dilation is important for successful venipuncture and infusion insertion. While the warm compress method is commonly used, its mechanism remains unclear. This study investigated the impact of the warm compress method on blood nitric oxide (NO) concentration, known for its vasodilatory properties. Using a pre-and post-intervention design, participants underwent warm compress application on the non-dominant arm. The blood NO concentration, vein cross-sectional area, and skin temperature were measured pre-and post-intervention. A warm compress was applied at 39 °C to 42 °C for 5 minutes. The skin temperature was measured pre-intervention and after applying pressure with a tourniquet; a vein cross-sectional area image was acquired using ultrasonography, and 2 mL blood was drawn to measure NO. Post-intervention, skin temperature was measured, vein cross-sectional area images were obtained, and blood was similarly collected. Data were analyzed using the Wilcoxon signed-rank sum test. Among the 19 participants (7 men and 12 women; mean age: 42.6 ± 7.5 years), significant differences were observed in skin temperature (32.05 °C versus 39.40 °C), vein cross-sectional area (11.4 mm versus 14.8 mm2), and blood NO concentration (12.45 µmol/L and 11.18 µmol/L) pre- and post-intervention, possibly because the action of blood NO on vascular smooth muscle cells was promoted, leading to blood NO consumption.</p>","PeriodicalId":46291,"journal":{"name":"Journal of Infusion Nursing","volume":"48 2","pages":"106-113"},"PeriodicalIF":2.9,"publicationDate":"2025-03-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC11875400/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143568545","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}
Claudia Maria de Freitas Floriano, Ariane Ferreira Machado Avelar, Maria Angelica Sorgini Peterlini
{"title":"Comparison of 2 Transillumination Technologies to Improve First-Attempt Success at Peripheral Intravenous Catheter Insertion.","authors":"Claudia Maria de Freitas Floriano, Ariane Ferreira Machado Avelar, Maria Angelica Sorgini Peterlini","doi":"10.1097/NAN.0000000000000577","DOIUrl":"10.1097/NAN.0000000000000577","url":null,"abstract":"<p><p>This randomized controlled crossover study, conducted in a university hospital, aimed to compare the success of the first attempt at peripheral intravenous catheter (PIVC) insertion using 2 technologies of the visualization of veins in children at risk of difficult intravenous access (DIVA) guided by light-emitting diodes (LEDs) or infrared radiation (IR). The allocation of the type of technology initially used was determined by randomization. The primary outcome was successful insertion of the PIVC on first attempt. Data were analyzed using the McNemar test, paired t-test, and multiple logistic regression models. This crossover study included 143 children: 69 in Group A and 74 in Group B. The first-attempt PIVC insertion success rate with IR and LED was 65.2% and 44.9% in Group A and 55.4% and 50.0% in Group B, respectively, without statistical significance (P = .720). The results also showed that 51.5% of patients with difficult-to-see vessels (P = .022) and 49.8% with previous complications related to intravenous therapy (P = .008) had first-attempt PIVC insertion success using either transillumination device. The first-attempt PIVC insertion success was statistically similar between the groups. The device also assists in visualizing the veins in children at risk of DIVA.</p>","PeriodicalId":46291,"journal":{"name":"Journal of Infusion Nursing","volume":"48 2","pages":"127-134"},"PeriodicalIF":2.9,"publicationDate":"2025-03-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143568541","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}
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":"<p><p>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.</p>","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}