School of Nursing, Queensland University of Technology, Brisbane, Australia; Nursing and Midwifery Research Centre, Royal Brisbane and Women's Hospital, Brisbane, Australia; Alliance for Vascular Access Teaching and Research, School of Nursing and Midwifery, Griffith University, Brisbane, Queensland, Australia; Department of Emergency Medicine, Queen Elizabeth II Jubilee Hospital, Brisbane, Australia; School of Nursing and Midwifery, Griffith University, Brisbane, Australia.
School of Nursing and Midwifery, Griffith University, Brisbane, Australia.
Australas Emerg Care. 2024 Sep;27(3):192-197. doi: 10.1016/j.auec.2024.03.001. Epub 2024 Mar 15.
Hospitals frequently introduce new medical devices. However, the process of clinicians adapting to these new vascular access devices has not been well explored. The study aims to explore clinicians' experience with the insertion of a new guidewire peripheral intravenous catheter (PIVC) introduced in the emergency department (ED) setting.
The study was conducted at two EDs in Queensland, Australia, utilising a qualitative explorative approach. Interviews were conducted with guidewire PIVC inserters, including ED doctors and nurses, and field notes were recorded by research nurses during insertions. Data analysis was performed using inductive content analysis, from which themes emerged.
The study compiled interviews from 10 participants and field notes from 191 observation episodes. Five key themes emerged, including diverse experience, barriers related to the learning process, factors influencing insertion success, and recommendations to enhance clinicians' acceptance. These themes suggest that the key to successful adoption by clinicians lies in designing user-friendly devices that align with familiar insertion techniques, facilitating a smooth transfer of learning.
Clinician adaptation to new devices is vital for optimal patient care. Emergency nurses and doctors prefer simplicity, safety, and familiarity when it comes to new devices. Providing comprehensive device training with diverse training resources, hands-on sessions, and continuous expert support, is likely to enhance clinician acceptance and the successful adoption of new devices in ED settings.
医院经常引入新的医疗设备。然而，临床医生适应这些新的血管通路设备的过程尚未得到充分探索。本研究旨在探讨临床医生在急诊科（ED）环境中插入新的导丝外周静脉导管（PIVC）的经验。
该研究在澳大利亚昆士兰州的两家急诊科进行，采用定性探索性方法。对导丝 PIVC 插入器（包括 ED 医生和护士）进行了访谈，并由研究护士在插入过程中记录了现场笔记。使用归纳内容分析对数据进行分析，从中得出主题。
该研究共对 10 名参与者进行了访谈，并对 191 次观察事件进行了现场笔记记录。出现了五个关键主题，包括多样化的经验、与学习过程相关的障碍、影响插入成功的因素以及增强临床医生接受度的建议。这些主题表明，临床医生成功采用新设备的关键在于设计用户友好的设备，使其与熟悉的插入技术保持一致，从而顺利实现学习的转移。
临床医生适应新设备对于优化患者护理至关重要。急诊护士和医生在新设备方面更喜欢简单、安全和熟悉的操作。提供全面的设备培训，包括多样化的培训资源、实践课程和持续的专家支持，可能会提高临床医生的接受度，并成功在 ED 环境中采用新设备。
