Journal of Infusion Nursing最新文献_第5页

Nursing Practices Related to Peripherally Inserted Central Catheters in the Neonatal Intensive Care Unit: Scoping Review. 新生儿重症监护室外周插入中心导管的护理实践：范围回顾。

IF 4.5

Journal of Infusion Nursing Pub Date : 2025-11-01 Epub Date: 2025-10-24 DOI: 10.1097/NAN.0000000000000618

Eny Dorea, Rebecca Leeson, Leslie Zimpelman, John Humphrey

{"title":"Nursing Practices Related to Peripherally Inserted Central Catheters in the Neonatal Intensive Care Unit: Scoping Review.","authors":"Eny Dorea, Rebecca Leeson, Leslie Zimpelman, John Humphrey","doi":"10.1097/NAN.0000000000000618","DOIUrl":"10.1097/NAN.0000000000000618","url":null,"abstract":"Objective: This study aimed to explore the nursing practices related to peripherally inserted central catheters (PICCs) in the neonatal intensive care unit (NICU).Methods: This scoping review was guided by a PCC framework (Population-Newborns, Concept-Peripherally Inserted Central Catheters, Context-NICU). The database selection included Embase, CENTRAL, PubMed, Scopus, Web of Science, CINAHL, and MEDLINE. The Covidence platform was used to facilitate the review process.Results: Twenty-seven studies were included, which were published between 2008 and 2024 in countries around the world. The findings highlight the critical role of ultrasound in enhancing the accuracy of PICC placements and reducing associated complications. Additionally, the review identifies practices aimed at minimizing infection risks, such as standardized protocols and aseptic techniques, as well as strategies addressing pain management and hypothermia prevention during PICC insertion. Innovative approaches, including novel catheter measurement methods and insertion techniques, were also explored.Conclusion: These topics provide a comprehensive overview of current practices and emerging advancements in PICCs, emphasizing efforts to enhance safety and outcomes for NICU patients. By identifying current practices, challenges, and knowledge gaps, this review aims to inform clinical guidelines, promote evidence-based care, and guide future research in neonatal nursing.","PeriodicalId":46291,"journal":{"name":"Journal of Infusion Nursing","volume":"48 6","pages":"395-402"},"PeriodicalIF":4.5,"publicationDate":"2025-11-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"145453747","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 Pharmacist's Perspective Into the Essential Role of Nurses in Expanding Antimicrobial Stewardship. 从药剂师的角度看护士在扩大抗菌药物管理中的重要作用。

IF 1.2

Journal of Infusion Nursing Pub Date : 2025-11-01 Epub Date: 2025-10-24 DOI: 10.1097/NAN.0000000000000621

Zakkary Hudson, Joshua A Garcia

引用次数: 0

Infusion Nursing Is Everyone's Role-and Mentorship Is Everyone's Charge. 输液护理是每个人的职责，指导是每个人的责任。

IF 1.2

Journal of Infusion Nursing Pub Date : 2025-11-01 Epub Date: 2025-10-24 DOI: 10.1097/NAN.0000000000000619

Susan Lown

引用次数: 0

Novel Antibiotics: Niches, Efficacies, and Clinical Pearls. 新型抗生素：利基、功效和临床珍珠。

IF 1.2

Journal of Infusion Nursing Pub Date : 2025-09-01 Epub Date: 2025-08-27 DOI: 10.1097/NAN.0000000000000609

Maggie Van, Helen Seunghye Lee, Herman Joseph Johannesmeyer

引用次数: 0

Stepping Into Fall: A Season for Personal and Professional Renewal. 步入秋天：个人和职业更新的季节。

IF 1.2

Journal of Infusion Nursing Pub Date : 2025-09-01 Epub Date: 2025-08-27 DOI: 10.1097/NAN.0000000000000613

Susan Lown

引用次数: 0

Nursing Care in the Management of Injuries Due to Vasoactive Drug Extravasation: Scoping Review. 血管活性药物外渗损伤的护理：范围综述。

IF 4.5

Journal of Infusion Nursing Pub Date : 2025-09-01 Epub Date: 2025-08-27 DOI: 10.1097/NAN.0000000000000604

Camila Almeida de Lima, Bárbara de Oliveira Sena, Monise de Melo Bispo, Ana Larysa Galdino das Chagas, Katia Regina Barros Ribeiro, Rhayssa de Oliveira E Araújo

{"title":"Nursing Care in the Management of Injuries Due to Vasoactive Drug Extravasation: Scoping Review.","authors":"Camila Almeida de Lima, Bárbara de Oliveira Sena, Monise de Melo Bispo, Ana Larysa Galdino das Chagas, Katia Regina Barros Ribeiro, Rhayssa de Oliveira E Araújo","doi":"10.1097/NAN.0000000000000604","DOIUrl":"10.1097/NAN.0000000000000604","url":null,"abstract":"Objective: The aim of this study was to map nursing care in the treatment of lesions due to vasoactive drug extravasation. This scoping review is built according to the recommendations of the Joanna Briggs Institute and PRISMA-ScR.Methods: The review was carried out from July to August 2022, across 12 data sources. The evidence was evaluated using PAGER.Results: Initially, 2124 studies were found. After screening and complete analysis, 12 were left, which were used for a reverse search in the literature, which resulted in 20 studies, for a total of 32 studies. The main types of care found included interruption of vasoactive drug infusion, drainage of the extravasated solution, removal of the catheter, hot or cold compresses, elevation of the limb, phentolamine, topical nitroglycerin 2%, infusion of hyaluronidase, flush-out or salt washing technique, and autolytic debridement.Conclusion: The interventions demonstrated repetitions in several studies, low variety in treatment, and low methodological rigor.","PeriodicalId":46291,"journal":{"name":"Journal of Infusion Nursing","volume":"48 5","pages":"318-337"},"PeriodicalIF":4.5,"publicationDate":"2025-09-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"145001600","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

Effectiveness of Virtual Reality on Pain During Peripheral Intravenous Catheterization in the Emergency Room: A Randomized Clinical Trial. 虚拟现实在急诊室外周静脉置管疼痛中的有效性：一项随机临床试验。

IF 4.5

Journal of Infusion Nursing Pub Date : 2025-09-01 Epub Date: 2025-08-27 DOI: 10.1097/NAN.0000000000000603

Patrícia Fernandes Albeirice da Rocha, Luciano Marques Dos Santos, Amanda Ullman, Karin Plummer, Mari Takashima, Michel Zaghi Vitor, Patrícia Kuerten Rocha

{"title":"Effectiveness of Virtual Reality on Pain During Peripheral Intravenous Catheterization in the Emergency Room: A Randomized Clinical Trial.","authors":"Patrícia Fernandes Albeirice da Rocha, Luciano Marques Dos Santos, Amanda Ullman, Karin Plummer, Mari Takashima, Michel Zaghi Vitor, Patrícia Kuerten Rocha","doi":"10.1097/NAN.0000000000000603","DOIUrl":"10.1097/NAN.0000000000000603","url":null,"abstract":"The aim of the study was to evaluate the effectiveness of virtual reality in reducing pain and procedure-related distress during peripheral intravenous catheter (PIVC) insertion in children. A 2-arm, randomized, parallel-group clinical trial compared virtual reality with standard care. Children aged 4 to 14 years requiring an elective PIVC were randomly assigned (1:1) to virtual reality with a relaxing ocean film (intervention group) or standard care (control group). The outcomes measured were pain perception (Faces Pain Scale-Revised) and procedure-related distress (Observational Behavioral Distress Scale). A total of 352 children were stratified by age (4-8 and 9-14 years) before randomization into intervention (48.6%, n = 171) and control (51.4%, n = 181) groups. The pain was significantly reduced for children receiving virtual reality across all age groups (relative risk [RR]: 0.57; 95% confidence interval [CI]: 0.45-0.72). This reduction was observed in younger (RR: 0.53; 95% CI: 0.39-0.71) and older children (RR: 0.63; 95% CI: 0.43-0.91). Procedure-related distress decreased across all ages, with more pronounced effects in children aged 8 years and under. In the intervention group, 9% (n = 17) discontinued due to poor tolerance to intravenous catheterization; no other adverse events were reported. Virtual reality decreased pain and alleviated procedure-related distress, with more significant effects for children aged 4 to 8 years.","PeriodicalId":46291,"journal":{"name":"Journal of Infusion Nursing","volume":"48 5","pages":"344-356"},"PeriodicalIF":4.5,"publicationDate":"2025-09-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"145001612","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

Premedication in the Outpatient Setting: IV Cetirizine or IV Diphenhydramine? A Literature Review. 门诊用药前：静脉注射西替利嗪还是静脉注射苯海拉明？文献综述。

IF 4.5

Journal of Infusion Nursing Pub Date : 2025-09-01 Epub Date: 2025-08-27 DOI: 10.1097/NAN.0000000000000614

Wendi Liverman, Melissa Newman, N April Smith

{"title":"Premedication in the Outpatient Setting: IV Cetirizine or IV Diphenhydramine? A Literature Review.","authors":"Wendi Liverman, Melissa Newman, N April Smith","doi":"10.1097/NAN.0000000000000614","DOIUrl":"10.1097/NAN.0000000000000614","url":null,"abstract":"Background: Premedication regimens to prevent infusion-related reactions typically include steroids and first-generation antihistamines, primarily diphenhydramine. With the recent approval of intravenous cetirizine, a second-generation antihistamine, for acute urticaria and angioedema, reevaluating premedication standard regimens is warranted. This review explores whether cetirizine can improve efficiency and reduce side effects in outpatient infusion settings.Methods: A literature review was conducted using the PICO question: \"In adult and pediatric outpatient infusion patients receiving premedication, how does intravenous (IV) cetirizine compare to IV diphenhydramine in preventing infusion-related and adverse drug reactions?\" The authors searched in CINAHL, EBSCOhost, and PubMed for English-language articles from 2019 to 2025, reflecting the time since intravenous cetirizine's FDA approval. Keywords included diphenhydramine, cetirizine, infusion-related reactions, and premedication. Thirty-five articles were identified; after removing duplicates and excluding those using only oral cetirizine or focused solely on acute urticaria, 8 studies were selected for full review.Results: Intravenous cetirizine was found to be a safe, effective alternative to IV diphenhydramine, with similar efficacy in preventing reactions. It was associated with fewer adverse effects, less sedation, and reduced patient chair time, potentially improving both workflow efficiency and patient satisfaction.","PeriodicalId":46291,"journal":{"name":"Journal of Infusion Nursing","volume":"48 5","pages":"308-317"},"PeriodicalIF":4.5,"publicationDate":"2025-09-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"145001607","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' Needs for a Peripherally Inserted Central Catheter-Related Thrombosis Prevention Management System: A Qualitative Study. 护士对外周插入中心导管相关血栓预防管理系统的需求：一项定性研究。

IF 4.5

Journal of Infusion Nursing Pub Date : 2025-09-01 Epub Date: 2025-08-27 DOI: 10.1097/NAN.0000000000000611

Kechun Hu, Xiaoqin Pang, Weiwei Liu

{"title":"Nurses' Needs for a Peripherally Inserted Central Catheter-Related Thrombosis Prevention Management System: A Qualitative Study.","authors":"Kechun Hu, Xiaoqin Pang, Weiwei Liu","doi":"10.1097/NAN.0000000000000611","DOIUrl":"10.1097/NAN.0000000000000611","url":null,"abstract":"Background: Peripherally inserted central catheter-related thrombosis (PICC-CRT) is a major complication in patients undergoing PICC placement. While a dedicated PICC-CRT prevention system could improve early risk assessment and targeted intervention, nurses' specific needs for such a system remain underexplored. This study aimed to explore specialist registered nurses' perspectives on a PICC-CRT prevention management system.Methods: From April to September 2023, semi-structured interviews were conducted with 26 PICC-trained registered nurses from 10 tertiary hospitals in Beijing, China, using purposive sampling. Thematic analysis was applied to identify key themes.Results: Three main themes emerged: (1) Core functional requirements for the nurse side: risk prediction and intelligent alerts, decision support, continuous management, systematically presented knowledge, automatic reminders, automatic statistical analysis, and auxiliary functions. (2) Key needs in promoting patient involvement in health management: personalized precision recommendations, health education, notifications and reminders, incentive functions, intelligent questions and answers and online consultation, and peer support. (3) Interface design requirements: ease of use, clear logic, visualization, and multimodality presentation.Conclusion: This study explored hospital nurses' requirements for a functional PICC-CRT prevention management system, as well as the needs for motivating patients to participate in mobile health management. It has offered valuable insights for future system development.","PeriodicalId":46291,"journal":{"name":"Journal of Infusion Nursing","volume":"48 5","pages":"357-369"},"PeriodicalIF":4.5,"publicationDate":"2025-09-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"145001589","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

Assessing Nurses' Knowledge of Peripherally Inserted Central Catheters (PICCs) in Inpatient Settings: Indications, Maintenance, Complications, and Removal. 评估住院护士对外周插入中心导管（picc）的知识：指征、维护、并发症和拔除。

IF 4.5

Journal of Infusion Nursing Pub Date : 2025-09-01 Epub Date: 2025-08-27 DOI: 10.1097/NAN.0000000000000607

Amanda Saba, Kamilla Alves Costa Bispo, Maryana da Silva Furlan

{"title":"Assessing Nurses' Knowledge of Peripherally Inserted Central Catheters (PICCs) in Inpatient Settings: Indications, Maintenance, Complications, and Removal.","authors":"Amanda Saba, Kamilla Alves Costa Bispo, Maryana da Silva Furlan","doi":"10.1097/NAN.0000000000000607","DOIUrl":"10.1097/NAN.0000000000000607","url":null,"abstract":"Peripherally inserted central catheters (PICCs) are widely used in hospital settings. To ensure optimal patient care, it is essential to assess nurses' knowledge before implementing targeted training interventions. This study aims to evaluate the knowledge of nurses working in inpatient settings regarding the indications, maintenance, complications, and removal of PICCs. A quantitative, observational, cross-sectional, analytical, and prospective study was conducted. A Knowledge Questionnaire (KQ) and an Attitudinal Survey (AS) were administered to nurses caring for adult hospitalized patients. A total of 118 nurses participated, with a median age of 33 years. Most worked in the intensive care unit or inpatient units. While all nurses received training upon hiring, then annually, only 46% reported receiving PICC-related training. The median KQ score was 9 out of 12 (75%). Knowledge was highest in the domains of complications and maintenance (>85% accuracy), followed by indications (70%) and removal (46%). While nurses demonstrated satisfactory overall knowledge, significant gaps were identified in PICC indications and removal. These findings highlight the need for targeted educational interventions to enhance competency in these areas. Improving knowledge can reduce unnecessary catheter use, promote timely removal, and prevent potential complications.","PeriodicalId":46291,"journal":{"name":"Journal of Infusion Nursing","volume":"48 5","pages":"299-307"},"PeriodicalIF":4.5,"publicationDate":"2025-09-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"145001681","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