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  • Peripheral cannulae in oncology: nurses’ confidence and patients’ experiences

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    Rickard247124Accepted.pdf (357.4Kb)
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    Accepted Manuscript (AM)
    Author(s)
    Farrell, Carole
    McCulloch, Elizabeth
    Bellhouse, Sarah
    Delahoyde, Mary-Kate
    Hill, Steve
    Rickard, Claire
    Yorke, Janelle
    Griffith University Author(s)
    Rickard, Claire
    Year published
    2017
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    Abstract
    The insertion and care of peripheral intravenous cannulae (PIVCs) is a role performed by clinical staff that is fundamental to oncology. Previous research indicates nurses' confidence and experience could mediate successful first attempt insertion, increasing the longevity of PIVCs and improving the patient experience. The aim of this audit was to provide a snapshot of care and maintenance of PIVCs, patients' experiences and nurses' confidence at a specialist cancer hospital. An audit tool assessing PIVC care practices (n = 51) and a patient experience questionnaire (n = 65) were completed. A questionnaire assessing nurses' ...
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    The insertion and care of peripheral intravenous cannulae (PIVCs) is a role performed by clinical staff that is fundamental to oncology. Previous research indicates nurses' confidence and experience could mediate successful first attempt insertion, increasing the longevity of PIVCs and improving the patient experience. The aim of this audit was to provide a snapshot of care and maintenance of PIVCs, patients' experiences and nurses' confidence at a specialist cancer hospital. An audit tool assessing PIVC care practices (n = 51) and a patient experience questionnaire (n = 65) were completed. A questionnaire assessing nurses' confidence and training needs was completed by 36 nurses. The findings raise some concerns about clinical practice when inserting PIVCs and ongoing care, with 80% adherence to cannulation policies. Almost half of insertion procedures failed at the first attempt and 17% of nurses lacked confidence in PIVC insertion and in recognising or responding to common complications. Patient satisfaction was high for ongoing PIVC care (95%), although some reported increased pain and anxiety after PIVC insertion, with some unresolved concerns. This audit highlights several important areas for improvement in relation to PIVC insertion and maintenance and the need for greater adherence to clinical guidelines/policy and additional training were identified.
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    Journal Title
    Cancer Nursing Practice
    Volume
    16
    Issue
    3
    DOI
    https://doi.org/10.7748/cnp.2017.e1408
    Copyright Statement
    © 2017 RCN Publishing Company. This is the author-manuscript version of this paper. Reproduced in accordance with the copyright policy of the publisher. Please refer to the journal website for access to the definitive, published version.
    Subject
    Nursing
    Publication URI
    http://hdl.handle.net/10072/388037
    Collection
    • Journal articles

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