Proactive PICC placement: evaluating the patient experience

Harrold, Karen; Martin, Annette; Scarlett, Clare

doi:10.12968/bjon.2016.25.8.s4

Cited by 19 publications

(14 citation statements)

References 21 publications

Supporting

Mentioning

Contrasting

Unclassified

Order By: Relevance

“…The comments added some further information that support earlier research indicating patient satisfaction with their PICC (Edström et al, ; Nicholson & Davies, ; Paras‐Bravo et al, ); patients appreciated not having to insert new catheters every 2–3 days and that the PICC/Midline allowed them to stay at home rather than in hospital. Our findings also support that both patients and healthcare personnel need good information about the catheter (Harrold et al, ; Krein et al, ). Despite growing use, little is known about how such catheters influence quality of life and activities of daily living (Mayer, 2017; Paras‐Bravo et al, ; Sharp et al, ).…”

Section: Discussionsupporting

confidence: 87%

“…Irrespective of how uncomfortable the patient found the procedure or the catheter, most patients would have chosen this again. This is supported by a study, showing that patients recommend proactive PICC insertion to other patients (Harrold et al, ). Hence, nurses should involve patients in clinical decision‐making and provide individualized information and support that facilitates adaptation for patients living with a PICC (or a Midline) (Sharp et al, ).…”

Section: Discussionmentioning

confidence: 72%

“…All items were rated far below the “top score.” Nevertheless, few respondents would have preferred an ordinary peripheral venous catheter instead. The disadvantages with having a PICC from the patients perspective are supported by several other studies (Edström et al, ; Harrold, Martin, & Scarlett, ; Oakley et al, ; Paras‐Bravo, Paz‐Zulueta, & Santibanez, ; Park et al, ). Nevertheless, these studies focus on cancer patients.…”

Section: Discussionmentioning

confidence: 73%

See 2 more Smart Citations

Patient experiences with peripherally inserted venous catheters— A cross‐sectional, multicentre study in Norway

et al. 2020

View full text Add to dashboard Cite

Aim To investigate patient experiences with peripherally inserted venous catheters, namely PICC lines and Midlines, as well as the influence of socio‐demographic variables, length of stay, comorbidity and complications on these experiences. Design The study had a descriptive, multicentre, cross‐sectional design. Methods We used a questionnaire to investigate patient experiences (N = 359). Results Patients experiences were not optimal on each of the items in the questionnaire. Nevertheless, few respondents would have preferred a traditional peripheral venous catheter instead. Moreover, free‐text answers indicated that patients were very satisfied with their catheter. Results also indicate that the hospitals have different approach when selecting a PICC line or a Midline as route of choice. The only factor associated with patient experiences was “complications.” Conclusion Even though patients reported of several disadvantages with the PICC line/Midline, findings indicate that they would have chosen this again. PICC lines and Midlines are beneficial from the patients' perspective, even though they have disadvantages.

show abstract

Section: Discussionsupporting

confidence: 87%

Section: Discussionmentioning

confidence: 72%

Section: Discussionmentioning

confidence: 73%

See 1 more Smart Citation

Patient experiences with peripherally inserted venous catheters— A cross‐sectional, multicentre study in Norway

et al. 2020

View full text Add to dashboard Cite

show abstract

“…Currently, the implementation of the proactive approach is promoted by the vascular access team, the infusion team or the peripherally intravenous central catheter (PICC) team (Blackburn, ; Harrold, Martin, & Scarlett, ; Kokotis, ). These teams are usually composed of nurses who are specialised in VAD insertion, management and intravenous therapy.…”

Section: Introductionmentioning

confidence: 99%

“…An example of patients indicating satisfaction with the use of a specific VAD for a specific purpose appears in a study by Harrold et al. (). Patients who underwent chemotherapy treatment after the placement of a PICC were satisfied with their care process because infusion pain was avoided, and their distress was decreased because the entire treatment was simplified (Harrold et al., ).…”

Section: Introductionmentioning

confidence: 99%

Vessel health and preservation: An integrative review

Fiorini

Venturini

Conti

et al. 2018

Journal of Clinical Nursing

View full text Add to dashboard Cite

Aims and objectives:To describe and synthesise current knowledge on the maintenance and preservation of vessels in patients who need the placement of a vascular access device.Introduction: To administer drugs, blood or intravenous fluids, nurses or doctors insert a peripheral vascular access device on the arm using the traditional approach.This approach implies that devices are blindly inserted until flow is satisfactory and all possible sites have been exhausted. A proactive approach would ensure at the outset that the best device is used for each patient, eliminating repeated attempts at cannulation.Design: An integrative review was conducted using data recorded until July 2017.Searches were conducted in PubMed, Cochrane Library, CINAHL and Scopus.Review method: A modified version of Cooper's five-stage method and the PRISMA guidelines were used to perform the integrative review.Results: Nine papers were included in this review. The patients were active participants in a proactive approach to vessel health and preservation. The involvement of each healthcare professional in vessel health and preservation improves outcomes and expands the use of a proactive approach to vascular device management.Because nurses are directly involved in the use of such devices and support patients during the decision-making process, they should take the lead in the use of the proactive approach.Conclusion: Despite the many documented advantages of the proactive approach to preserving vessels in many settings and healthcare systems, it has not been widely tested. Future research is needed to guarantee high-quality vessel health and preservation care, thus contributing to the development and dissemination of the proactive approach.Relevance to clinical practice: The proactive approach preserves vessels for future needs, improves the delivery of the treatment plan and reduces length of stay, costs, risk of infection, complications and pain perceived by patients. This approach also ensures better use of nurses' time and vascular access device material. K E Y W O R D Sproactive approach, vascular access, vessel health and preservation SUPPORTING INFORMATIONAdditional supporting information may be found online in the Supporting Information section at the end of the article.

show abstract

A case review of a patient experience of photopheresis using a peripherally inserted central catheter

Rushton

Jackson

Goddard

et al. 2018

J of Clinical Apheresis

View full text Add to dashboard Cite

Extracorporeal photopheresis (ECP) is a cell based immunomodulatory therapy in which the patient is attached intravenously to a cell separating machine. During ECP a patient's blood is collected via either a central venous access device (CVAD) or a peripherally inserted 16G arterial venous fistula needle in either one or both antecubital fossa. However, patients presenting for ECP with GVHD repeatedly present a challenge to the ECP team due to poor venous access resulting from previous therapies and skin changes. The use of peripherally inserted central venous catheters (PICCs) offers an alternative route of vascular access for this cohort of patients. Here we present a case report of a patient successfully treated with ECP following the insertion of a PICC line.

show abstract

Proactive PICC placement: evaluating the patient experience

Abstract: irrespective of how uncomfortable the patient found the procedure, the majority of patients would recommend proactive PICC insertion to other patients as 'it made the whole process much easier'.

Cited by 19 publications

References 21 publications

Patient experiences with peripherally inserted venous catheters— A cross‐sectional, multicentre study in Norway

Patient experiences with peripherally inserted venous catheters— A cross‐sectional, multicentre study in Norway

Vessel health and preservation: An integrative review

A case review of a patient experience of photopheresis using a peripherally inserted central catheter

Contact Info

Product

Resources

About