评估中级护理环境中临床护士对静脉可视化设备的疗效及使用情况。

Evaluating the Efficacy and Use of Vein Visualization Equipment Among Clinical Nurses in an Intermediate Care Environment.

作者信息

Kanipe William, Shobe Kellie, Li Yin, Kime Mary, Smith-Miller Cheryl A

机构信息

University of North Carolina Hospitals, Hillsborough, North Carolina (Mr Kanipe); Medical Intensive Care Unit, University of North Carolina Hospitals at Chapel Hill, Chapel Hill, North Carolina (Ms Kime); University of North Carolina Hospitals Chapel Hill, North Carolina (Dr Smith-Miller); Duke University Medical Center, Durham, North Carolina (Ms Shobe); and University of Florida School of Nursing, Gainesville, Florida (Dr Li). William Kanipe, BSN, RN, PCCN, was the principal investigator on this study. At the time of the study, Mr Kanipe was the assistant nurse manager on the unit where the research was conducted. He is now a nurse manager at the University of North Carolina Hospitals-Hillsborough campus. Kellie Shobe, MS, BSN, RN, PCCN, was the coprincipal investigator on this study. At the time of this study, Ms Shobe was a clinical nurse on the unit where the research was conducted. Yin Li, PhD, BM, RN, was a PhD candidate at the University of North Carolina at Chapel Hill School of Nursing during the preparation phase of this project. She assisted the research team with data analysis and interpretation. Dr Li is now a postdoctoral fellow at the University of Florida. Mary Kime, MSN, RN, is a clinical nurse in the medicine intensive care unit at the University of North Carolina Hospitals at Chapel Hill and is a PhD student at the University of North Carolina Greensboro School of Nursing. Ms Kime assisted with the development of the manuscript. Cheryl A. Smith-Miller, PhD, RN-BC, is currently serving as nurse scientist at University of North Carolina Hospitals. Her focus is on facilitating clinical nurses' engagement in research. Dr Smith-Miller assisted the research team with study design and manuscript development.

出版信息

J Infus Nurs. 2018 Jul/Aug;41(4):253-258. doi: 10.1097/NAN.0000000000000286.

DOI:10.1097/NAN.0000000000000286

PMID:29958262

Abstract

This study compared traditional short peripheral catheter (SPC) insertion methods with 2 vein visualization equipment models among a general patient population on a surgical step-down unit based on first-attempt success rates and the time required to achieve catheter insertion. The experiences of clinical nurses using the ultrasound and vein visualization equipment were also explored. No significant statistical differences were found between the insertion methods, based on 90 unique SPC insertion attempts. However, nurses reported that using the vein visualization equipment informed patient care, facilitated communication among members of the health care team, and facilitated second SPC insertion attempts. Nursing staff also used the equipment more often after the study concluded.

摘要

本研究在一个外科术后护理病房的普通患者群体中，基于首次尝试成功率和完成导管插入所需时间，将传统的短外周导管（SPC）插入方法与两种静脉可视化设备模型进行了比较。还探讨了临床护士使用超声和静脉可视化设备的经验。基于90次独特的SPC插入尝试，各插入方法之间未发现显著的统计学差异。然而，护士报告称，使用静脉可视化设备有助于患者护理，促进了医护团队成员之间的沟通，并便于进行第二次SPC插入尝试。研究结束后，护理人员也更频繁地使用该设备。