A point prevalence study of cancer nursing practices for managing intravascular devices in an Australian tertiary cancer center

Russell, Emily, Chan, Raymond Javan, Marsh, Nicole, & New, Karen (2013) A point prevalence study of cancer nursing practices for managing intravascular devices in an Australian tertiary cancer center. European Journal of Oncology Nursing, 18(3), pp. 231-235.

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Abstract

Purpose

The use of intravascular devices is associated with a number of potential complications. Despite a number of evidence-based clinical guidelines in this area, there continues to be nursing practice discrepancies. This study aims to examine nursing practice in a cancer care setting to identify nursing practice and areas for improvement respective to best available evidence.

Methods

A point prevalence survey was undertaken in a tertiary cancer care centre in Queensland, Australia. On a randomly selected day, four nurses assessed intravascular device related nursing practices and collected data using a standardized survey tool.

Results

58 inpatients (100%) were assessed. Forty-eight (83%) had a device in situ, comprising 14 Peripheral Intravenous Catheters (29.2%), 14 Peripherally Inserted Central Catheters (29.2%), 14 Hickman catheters (29.2%) and six Port-a-Caths (12.4%). Suboptimal outcomes such as incidences of local site complications, incorrect/inadequate documentation, lack of flushing orders, and unclean/non intact dressings were observed.

Conclusions

This study has highlighted a number of intravascular device related nursing practice discrepancies compared with current hospital policy. Education and other implementation strategies can be applied to improve nursing practice. Following education strategies, it will be valuable to repeat this survey on a regular basis to provide feedback to nursing staff and implement strategies to improve practice. More research is required to provide evidence to clinical practice with regards to intravascular device related consumables, flushing technique and protocols.

Impact and interest:

5 citations in Scopus
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2 citations in Web of Science®

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ID Code: 65605
Item Type: Journal Article
Refereed: Yes
Additional URLs:
Keywords: Intravascular device, Nursing practice, Point prevalence study, Central venous access device, Cancer nursing, Oncology nursing, Central venous catheters, Peripheral catheters
DOI: 10.1016/j.ejon.2013.11.010
ISSN: 1532-2122
Subjects: Australian and New Zealand Standard Research Classification > MEDICAL AND HEALTH SCIENCES (110000) > CLINICAL SCIENCES (110300) > Infectious Diseases (110309)
Australian and New Zealand Standard Research Classification > MEDICAL AND HEALTH SCIENCES (110000) > NURSING (111000) > Clinical Nursing - Secondary (Acute Care) (111003)
Australian and New Zealand Standard Research Classification > MEDICAL AND HEALTH SCIENCES (110000) > ONCOLOGY AND CARCINOGENESIS (111200)
Divisions: Current > QUT Faculties and Divisions > Faculty of Health
Current > Institutes > Institute of Health and Biomedical Innovation
Current > Schools > School of Nursing
Copyright Owner: Copyright 2013 Elsevier Ltd.
Deposited On: 02 Jan 2014 01:48
Last Modified: 20 Nov 2014 02:17

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