A personal experience of care and the lack of it

Horsfield, Claire

doi:10.1177/1757177413502245

Cited by 6 publications

(7 citation statements)

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“…There were many comments from respondents highlighting poor practice around infection prevention during PIVC insertion and maintenance. This is in alignment with a recent case study from the United Kingdom authored by a hospitalised consumer, who is also an infection prevention professional [ 55 ], which highlighted poor infection prevention practices, including infrequent disinfection of the PIVC hub prior to use and poor PIVC dressings which left the insertion site exposed. Consumers are very aware of many components of infection prevention, particularly hand washing and disinfection of the insertion site, and they identified many breaches in these areas.…”

Section: Discussionsupporting

confidence: 79%

Not "just" an intravenous line: Consumer perspectives on peripheral intravenous cannulation (PIVC). An international cross-sectional survey of 25 countries

et al. 2018

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Peripheral intravascular cannula/catheter (PIVC) insertion is a common invasive procedure, but PIVC failure before the end of therapy is unacceptably high. As PIVC failure disrupts treatment and reinsertion can be distressing for the patient, prevention of PIVC failure is an important patient outcome. Consumer participation in PIVC care to prevent failure is an untapped resource. This study aimed to understand consumers’ PIVC experience; establish aspects of PIVC insertion and care relevant to them; and to compare experiences of adult consumers to adult carers of a child. An international, web-based, cross-sectional survey was distributed via social media inviting adult consumers and adult carers of a child under 18 years who had experienced having a PIVC in the last five years (one survey each for adults and adult carers) to complete a 10-item survey. As such, sampling bias is a limitation and results should be carefully considered in light of this. There were 712 respondents from 25 countries, mainly female (87.1%) and adults (80%). A little over 50% of adults described insertion as moderately painful or worse, with level of insertion difficulty (0–10 scale) identified as moderate (median 4, IQR 1, 7). Adult carers reported significantly more pain during insertion and insertion difficulty (both p < 0.001). Rates of first insertion attempt failure were higher in children compared with adults (89/139 [64%] vs 221/554 [40%]; p < 0.001), and 23% of children required ≥ 4 attempts, compared with 9% of adults (p < 0.0001). Three themes from open-ended question emerged: Significance of safe and consistent PIVC care; Importance of staff training and competence; and Value of communication. The PIVC experience can be painful, stressful and frustrating for consumers. Priorities for clinicians and policy makers should include use of pain relief as standard practice to reduce the pain associated with PIVC insertion and developing strategies to increase first PIVC insertion attempt success particularly for children and older consumers.

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Section: Discussionsupporting

confidence: 79%

Not "just" an intravenous line: Consumer perspectives on peripheral intravenous cannulation (PIVC). An international cross-sectional survey of 25 countries

et al. 2018

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“…According to the Infusion Nurses Society, nurses are expected to employ in their care process a "holistic, patient-centered approach to safely deliver infusion therapy and perform vascular access insertion and management" [16]. Such an approach must focus on preserving patients' vessels, preventing complications, and maximizing the patient's positive experience [16,25,26].…”

Section: Discussionmentioning

confidence: 99%

Nurses’ Practices in the Peripheral Intravenous Catheterization of Adult Oncology Patients: A Mix-Method Study

Santos-Costa

Paiva-Santos

Sousa

et al. 2022

JPM

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A significant number of adult oncology patients require at least one peripheral intravenous catheter to fulfill their therapeutic plan. Recent evidence indicates that catheter failure rates are high in this cohort, impacting care outcomes and patient experience during cancer treatment. This reality represents a challenge to nurses worldwide since in most international settings they are responsible for delivering quality care during the insertion and maintenance of such devices. This study aims to explore current nursing practices regarding the insertion, maintenance, and surveillance of peripheral intravenous catheters in oncology patients. A two-phase mix-method study was conducted with the nursing team from the surgical ward of a large oncology hospital in Portugal. In phase one (observational prospective study), nurses’ practices during catheter insertion and maintenance were observed by the research team and recorded using standardized instruments and validated scales. In phase two, three online focus groups were conducted with the nursing team to present the results observed in phase one and explore their perceptions of current practices. All ethical principles were assured throughout the study. Significant divergent practices were observed and identified by the nurses, especially concerning patient involvement, nurses’ adherence to the aseptic, non-touch technique, catheter stabilization and dressing, and catheter flushing and locking. Such practices may partially explain the high complication rate found (26%) and substantiate the need for future intervention in this field.

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“…The implications for patients of failed cannulation include pain and delayed IV fluids, antibiotics and analgesia resulting in increased length of hospital stay (Alexandrou, 2014). A personal account of where numerous PVCs over a few weeks were inserted into veins that were inadequate to support therapy resulted in, among other negative impacts, a needle phobia, phlebitis and an overall poor patient experience (Horsfield, 2013).…”

Section: Introductionmentioning

confidence: 99%

Development of the UK Vessel Health and Preservation (VHP) framework: a multi-organisational collaborative

Hallam

Weston

Denton

et al. 2016

Journal of Infection Prevention

124

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Vascular access is an important part of many patient care management plans but has some unwanted risks. Previous work published by Moureau et al. (2012) inspired a working group led by the UK Infection Prevention Society (IPS) to produce a vessel health and preservation (VHP) framework. This was with the intention of producing a resource for frontline staff to be able to assess and select the best vascular access device to meet the individual patient's needs and to preserve veins for future use. The working group produced a framework that used available evidence, expert opinion and some small scale testing of the components of the framework. The work so far has received positive feedback but further work is required to formally evaluate the VHP framework in clinical practice to measure both staff knowledge and patient outcomes.

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A personal experience of care and the lack of it

Cited by 6 publications

References 0 publications

Not "just" an intravenous line: Consumer perspectives on peripheral intravenous cannulation (PIVC). An international cross-sectional survey of 25 countries

Not "just" an intravenous line: Consumer perspectives on peripheral intravenous cannulation (PIVC). An international cross-sectional survey of 25 countries

Nurses’ Practices in the Peripheral Intravenous Catheterization of Adult Oncology Patients: A Mix-Method Study

Development of the UK Vessel Health and Preservation (VHP) framework: a multi-organisational collaborative

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