Journal of Infusion Nursing最新文献_第9页

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

IF 2

Journal of Infusion Nursing Pub Date : 2023-03-01 DOI: 10.1097/NAN.0000000000000501

Dawn Berndt

引用次数: 1

Incidence of Midline Catheter Complications Among Hospitalized Patients. 住院患者中线导管并发症的发生率。

IF 2

Journal of Infusion Nursing Pub Date : 2023-01-01 DOI: 10.1097/NAN.0000000000000490

Anh Thu Tran, Elsie Rizk, Dipendra K Aryal, Frank J Soto, Joshua T Swan

{"title":"Incidence of Midline Catheter Complications Among Hospitalized Patients.","authors":"Anh Thu Tran, Elsie Rizk, Dipendra K Aryal, Frank J Soto, Joshua T Swan","doi":"10.1097/NAN.0000000000000490","DOIUrl":"https://doi.org/10.1097/NAN.0000000000000490","url":null,"abstract":"The use of midline catheters has increased to reduce excessive use of central venous access devices, and additional data on midline catheter complications are needed. This study aimed to describe midline catheter complications among hospitalized patients. This retrospective study included a random sample of 300 hospitalized patients with a midline catheter insertion in 2019. The primary outcome was a composite end point of 8 complications: occlusion, bleeding at insertion site, infiltration/extravasation, catheter-related thrombosis, accidental removal, phlebitis, hematoma, and catheter-related infection. Midline catheter failure was defined as removal prior to the end of therapy due to complications. Among 300 midline catheters, the incidence of the composite end point of 1 or more midline complications was 38% (95% confidence interval, 33%-44%). Complications included occlusion (17.0%), bleeding at insertion site (12.0%), infiltration/extravasation (10.0%), catheter-related thrombosis (4.0%), accidental removal (3.0%), phlebitis (0.3%), hematoma (0.3%), and catheter-related infection (0.3%). Midline catheter failure occurred in 16% of midline catheters (n = 48) due to infiltration/extravasation (n = 27), accidental removal (n = 10), catheter-related thrombosis (n = 9), occlusion (n = 4), and catheter-related infection (n = 1). Three catheters had 2 types of failure. The most common complications of occlusion and bleeding rarely resulted in midline catheter failure. The most common causes of midline catheter failure were infiltration/extravasation, accidental removal, and catheter-related thrombosis.","PeriodicalId":46291,"journal":{"name":"Journal of Infusion Nursing","volume":"46 1","pages":"28-35"},"PeriodicalIF":2.0,"publicationDate":"2023-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"10442241","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: 1

Prospective Study Evaluating Whether Standard Peripheral Intravenous Catheters Can Be Used for Blood Collection Throughout Hospital Stay. 评价标准外周静脉导管在整个住院期间是否可用于采血的前瞻性研究。

IF 2

Journal of Infusion Nursing Pub Date : 2023-01-01 DOI: 10.1097/NAN.0000000000000493

Justin Psaila, Thomas F Parsons, Susan A Hahn, Leah Fichera

{"title":"Prospective Study Evaluating Whether Standard Peripheral Intravenous Catheters Can Be Used for Blood Collection Throughout Hospital Stay.","authors":"Justin Psaila, Thomas F Parsons, Susan A Hahn, Leah Fichera","doi":"10.1097/NAN.0000000000000493","DOIUrl":"https://doi.org/10.1097/NAN.0000000000000493","url":null,"abstract":"Blood collection via venipuncture is the most common invasive procedure for inpatients, who experience an average of 1.6 to 2.2 blood collection episodes per day, for a total of approximately 450 million in US hospitals annually. In addition to being painful, venipuncture incurs the risk of vessel depletion, infection, and staff needlestick injury. A possible alternative is to use peripheral intravenous catheters (PIVCs), because PIVCs are placed in the majority of patients admitted to the hospital. Although there are anecdotal accounts of successfully using PIVCs for inpatient blood collection, the utility of this method has not been rigorously studied. The authors conducted a single-center prospective study among inpatients to evaluate blood collection success, defined as sufficient sample volume (4 mL) and no or minimal hemolysis, in PIVCs with a dwell time between 12 and 87 hours. Only 27% (28/105) of aspiration attempts were successful within this time frame. There was no difference in success rate with respect to PIVC dwell time, gauge, or location. These findings highlight the continued need for innovative, alternative solutions to meet the high demand for inpatient blood collection.","PeriodicalId":46291,"journal":{"name":"Journal of Infusion Nursing","volume":"46 1","pages":"43-47"},"PeriodicalIF":2.0,"publicationDate":"2023-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://ftp.ncbi.nlm.nih.gov/pub/pmc/oa_pdf/65/08/jinfn-46-43.PMC9831029.pdf","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"10100029","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

The Many Faces of Hemolysis. 溶血的多面性。

IF 2

Journal of Infusion Nursing Pub Date : 2023-01-01 DOI: 10.1097/NAN.0000000000000491

Lynda S Cook

引用次数: 0

Effects of Cold Therapy on Pain and Anxiety During Needle Removal From Implanted Ports. 冷疗法对植入式拔针过程中疼痛和焦虑的影响。

IF 2

Journal of Infusion Nursing Pub Date : 2023-01-01 DOI: 10.1097/NAN.0000000000000495

Arzu Bahar, Demet Aktaş, Münevver Sönmez

{"title":"Effects of Cold Therapy on Pain and Anxiety During Needle Removal From Implanted Ports.","authors":"Arzu Bahar, Demet Aktaş, Münevver Sönmez","doi":"10.1097/NAN.0000000000000495","DOIUrl":"https://doi.org/10.1097/NAN.0000000000000495","url":null,"abstract":"This study was conducted as a quasiexperimental, single-blind study to examine the effect of cold therapy on pain and anxiety during port needle removal. Patients in the experimental group received cold therapy 10 minutes before port needle removal. Patients in the control group received no intervention before port needle removal. Data were collected using the visual analog scale (VAS) and State-Trait Anxiety Inventory (STAI). After cold therapy was applied to the patients in the experimental group, the second and third VAS scores were found to be statistically significant and lower than those in the control group ( P < .05). There was no statistically significant difference between the anxiety levels of the experimental group and the control group before cold therapy ( P > .005). However, the STAI scores of the experimental group were found to be statistically and significantly lower than those of the control group after cold therapy ( P < .05). This study determined that cold therapy before port needle removal reduces pain and anxiety. Cold therapy may be recommended as an effective nonpharmacological pain control method with ease of application to prevent pain induced by port needle removal.","PeriodicalId":46291,"journal":{"name":"Journal of Infusion Nursing","volume":"46 1","pages":"36-42"},"PeriodicalIF":2.0,"publicationDate":"2023-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"10433533","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

New Beginnings, Bringing More Evidence to Support Practice. 新的开始，带来更多的证据来支持实践。

IF 2

Journal of Infusion Nursing Pub Date : 2023-01-01 DOI: 10.1097/NAN.0000000000000494

Dawn Berndt

引用次数: 0

Peripheral Intravenous Catheter Insertion Competence and Confidence in Medical/Surgical Nurses. 外周静脉导管插入能力和信心的内科/外科护士。

IF 2

Journal of Infusion Nursing Pub Date : 2022-11-01 DOI: 10.1097/NAN.0000000000000487

Lisa Jacobs

引用次数: 1

Reduction of Infusion Time Using a 10% Intravenous Immunoglobulin Formulation With a 15-Minute Rate Escalation Protocol During Staffing Shortages Due to COVID-19. 在COVID-19人员短缺期间使用10%静脉注射免疫球蛋白制剂和15分钟速率升级方案减少输液时间

IF 2

Journal of Infusion Nursing Pub Date : 2022-11-01 DOI: 10.1097/NAN.0000000000000488

Barbara Prosser, Timothy P Walton, Christine Miller

{"title":"Reduction of Infusion Time Using a 10% Intravenous Immunoglobulin Formulation With a 15-Minute Rate Escalation Protocol During Staffing Shortages Due to COVID-19.","authors":"Barbara Prosser, Timothy P Walton, Christine Miller","doi":"10.1097/NAN.0000000000000488","DOIUrl":"https://doi.org/10.1097/NAN.0000000000000488","url":null,"abstract":"The COVID-19 pandemic changed home infusion nursing dramatically by increasing demand for home infusion nurses while decreasing their availability. Home infusion of intravenous immunoglobulin (IVIg) is an option for treatment of numerous conditions and requires considerable infusion time. Use of a higher-concentration IVIg product and shorter escalation increments may decrease required infusion time. The authors conducted a retrospective database analysis that identified 23 patients receiving IVIg before transitioning to a 10% IVIg product with a 15-minute rate escalation protocol (Gammaplex 10% IVIg) and evaluated the total infusion time before and after the transition. Among the 23 who received IVIg, the mean ± SD IVIg dose per dosing cycle before transitioning was 1.2 ± 0.7 g/kg given in 1 to 5 infusions per cycle. The mean ± SD time per infusion was 2.8 ± 0.8 hours before the transition and 2.6 ± 0.7 hours per infusion after the transition. The infusion time decreased after transition in 13 patients (56.5%), did not change in 5 patients (21.7%), and increased in 5 patients (21.7%). Nurse education on IVIg rate escalation may facilitate faster achievement of the maximum safe infusion rate and reduce infusion times. A trial transition to this 10% IVIg product with a 15-minute rate escalation protocol may also reduce infusion times.","PeriodicalId":46291,"journal":{"name":"Journal of Infusion Nursing","volume":"45 6","pages":"299-305"},"PeriodicalIF":2.0,"publicationDate":"2022-11-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://ftp.ncbi.nlm.nih.gov/pub/pmc/oa_pdf/b2/16/jinfn-45-299.PMC9631764.pdf","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"10043230","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

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 : 2022-09-01 DOI: 10.1097/NAN.0000000000000486

引用次数: 0

Effect of Fist Clenching on Vein Visibility and Palpability: An Observational Descriptive Study. 握拳对静脉可视性和触感的影响:一项观察性描述性研究。

IF 2

Journal of Infusion Nursing Pub Date : 2022-09-01 DOI: 10.1097/NAN.0000000000000480

Handan Eren, Nurcan Calıskan, Mahinur Durmus Iskender

{"title":"Effect of Fist Clenching on Vein Visibility and Palpability: An Observational Descriptive Study.","authors":"Handan Eren, Nurcan Calıskan, Mahinur Durmus Iskender","doi":"10.1097/NAN.0000000000000480","DOIUrl":"https://doi.org/10.1097/NAN.0000000000000480","url":null,"abstract":"No information exists on the minimum number of times that fist clenching should be performed to increase vein visibility and palpability. In this study, the researchers aimed to determine the average number and duration of fist clenching to increase vein visibility and palpability before peripheral intravenous catheter insertion. This observational study included 207 healthy individuals. Participants meeting the inclusion criteria were asked to perform fist clenching. The number and duration of fist clenches performed to increase dorsal metacarpal vein and cephalic vein grade were determined. The participants carried out fist clenching 7.57 ± 4.26 times for the first increase and 22.16 ± 7.93 times for the second increase in dorsal metacarpal vein grade. Fist clenching was carried out 10.05 ± 7.30 times for the first increase and 21.30 ± 7.86 times for the second increase in cephalic vein visibility. A statistically significant, weak, but positive relationship was observed between the duration of fist clenching and the change in dorsal metacarpal vein grade and anxiety level ( r = 0.194, P < .005). However, the relationship was negative between room temperature and the duration of fist clenching in dorsal metacarpal vein grade ( r = -0.207, P = .003). This inexpensive and simple technique should be performed in specified numbers before catheter insertion.","PeriodicalId":46291,"journal":{"name":"Journal of Infusion Nursing","volume":"45 5","pages":"252-257"},"PeriodicalIF":2.0,"publicationDate":"2022-09-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"40363138","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: 1