Vascular Access Conversation - IVUPDATE Podcast from IVTEAM

"Nurses and other healthcare team members' understanding, selection, use, and recommendation of CVADs have an indirect effect on patients' decision-making" Sheng et al (2022).
Team collaboration and vascular access choice

Abstract:

Objective: This study aimed to explore health care team members’ understanding of the factors influencing the optimal selection of central venous access devices (CVADs).

Methods: The data of the study was collected using semi-structured interviews. Twenty-six hospital medical staff (four hospital manager, 15 head nurses, 7 nurse) with experience in peripheral or central catheterization from four regions (Northern China, Southern China, Northwest China, and Qinghai-Tibet China) in China were interviewed between June and October 2021. Content analysis was used to analyze the data.

Results: The results revealed five themes and 14 sub-themes. Patients: concerns, resources, requirements, and evaluation (security concerns, support resources, life requirements, evaluation among patients); nurses: awareness, knowledge, and popularizing methods (awareness of intravenous therapy, understanding of professional knowledge, forms of popularizing methods); doctors: support and involvement (support for decision-making, involvement in intravenous work); hospital managers: authority, quality control and continuing education (management of catheterization authority, quality control of intravenous infusion, investment in continuing education) and environment: differences and commonalities (differences in social support, and current commonalities).

Conclusion: Nurses and other healthcare team members’ understanding, selection, use, and recommendation of CVADs have an indirect effect on patients’ decision-making. Therefore, hospital managers and government departments can indirectly strengthen medical team cooperation and improve learning education in order to improve the safety of patients receiving intravenous infusions.

Reference:

Sheng Y, Wu T, Fan C, Hao H, Gao W. Factors influencing the optimal selection of central venous access devices: A qualitative study of health care team members’ perspectives. Int J Nurs Sci. 2022 Sep 16;9(4):445-452. doi: 10.1016/j.ijnss.2022.09.006. PMID: 36285077; PMCID: PMC9587387.