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

Russell, Emily, Chan, Raymond J., Marsh, Nicole and 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: 231-235. doi:10.1016/j.ejon.2013.11.010

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Author Russell, Emily
Chan, Raymond J.
Marsh, Nicole
New, Karen
Title A point prevalence study of cancer nursing practices for managing intravascular devices in an Australian tertiary cancer center
Journal name European Journal of Oncology Nursing   Check publisher's open access policy
ISSN 1462-3889
1532-2122
Publication date 2013-12-26
Year available 2013
Sub-type Article (original research)
DOI 10.1016/j.ejon.2013.11.010
Volume 18
Issue 3
Start page 231
End page 235
Total pages 5
Place of publication London, United Kingdom
Publisher Churchill Livingstone
Collection year 2014
Language eng
Formatted 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.
Keyword Intravascular device
Nursing practice
Point prevalence study
Central venous access device
Cancer nursing
Oncology nursing
Central venous catheters
Peripheral catheters
Q-Index Code C1
Q-Index Status Confirmed Code
Institutional Status UQ
Additional Notes Published online ahead of print 26 December 2013.

Document type: Journal Article
Sub-type: Article (original research)
Collections: Official 2014 Collection
School of Nursing, Midwifery and Social Work Publications
 
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Created: Thu, 09 Jan 2014, 14:23:35 EST by Vicki Percival on behalf of School of Nursing, Midwifery and Social Work