Peripherally inserted central catheters (PICCs) and midline catheters are widely utilized for intravenous treatment in home care settings. Despite their similar appearance, these devices differ significantly due to the tip location, which influences the types of infusions that can be safely administered. It is important for home care nurses to have a comprehensive understanding of these differences to ensure safety.
View Article and Find Full Text PDFAim: To co-design an information booklet to support adults living with a peripherally inserted central catheter (PICC) at home.
Design: A sequential, mixed-method approach using Boyd's co-design framework.
Method: A diverse project team led co-design of a PICC booklet based on preferences and PICC management strategies identified through content analysis of interviews with 15 Australian health consumers (January 2022-March 2023) using a qualitative descriptive approach.
Background: Minoritised ethnic communities in the UK experience disproportionate levels of morbidity and mortality compared to their Caucasian counterparts. This disparity was magnified during the COVID-19 crisis, particularly amongst older adults. An effective way to target such inequalities is through health communication, but language barriers and cultural differences can make this challenging.
View Article and Find Full Text PDFBackground: Adverse events associated with umbilical vascular catheters occur frequently in the neonatal intensive care unit. International guidelines recommend limiting catheter dwell time to reduce the risk of adverse events, and this drives clinical decision-making regarding catheter removal, yet other risk factors may also influence the risk of adverse events.
Objectives: The aim of this study was to develop a clinically useful risk prediction model that could be utilised in the neonatal intensive care unit to identify infants at a greater risk of developing an adverse event associated with umbilical vascular catheters.
Objective: This review aims to synthesize qualitative literature exploring the experiences of undergraduate nursing students and newly graduated nurses who are employed for less than 1 year in clinical settings after graduation. It will focus on those who had paid employment and health-related work experience during their undergraduate studies, examining the influence of these experiences on the transition to practice.
Introduction: Nursing professionals undergo a transformative journey, starting from envisioning themselves as nurses to developing professional identity and competence.
Background: Umbilical catheters are commonly inserted in newborns in the neonatal intensive care unit (NICU) yet are associated with serious adverse events (AEs) such as malposition, migration, infection, thrombosis, hepatic complications, cardiac effusion, and cardiac tamponade. There is a need to determine the incidence and risk factors for AEs to inform safe practice.
Objectives: The objective of this study was to determine the incidence and risk factors for AEs (all-cause and individual types) associated with umbilical venous catheters (UVCs) and umbilical arterial catheters (UACs) in the NICU.
Background: Peripherally inserted central catheters (PICCs) are common vascular access devices inserted for adults undergoing intravenous treatment in the community setting. Individuals with a PICC report challenges understanding information and adapting to the device both practically and psychologically at home. There is a lack of research investigating the supportive care needs of individuals with a PICC to inform nursing assessment and the provision of additional supports they may require to successfully adapt to life with a PICC.
View Article and Find Full Text PDFBackground: Discharge to Assess (D2A) emerged as a critical process during the COVID-19 pandemic facilitating patient flow within hospitals, however research on the post-discharge community services of this pathway remains limited. We conducted an evaluation to examine the impacts, capacity, processes and barriers associated with D2A and to identify best practice across three sites in the southeast of England.
Methods: We interviewed 29 commissioners, providers and staff members involved in the delivery of D2A pathways within three Health and Care Partnerships.
Aims And Objectives: Explore the parent and child/young person experience of difficult venous access and identify ideas and preferences for changes to clinical practice.
Background: Peripheral intravenous catheter insertion is one of the most common invasive procedures in hospitalised paediatric patients. Multiple insertion attempts in paediatric patients are common and associated with pain and distress.
J Appl Behav Anal
April 2023
Detection dogs are used at border controls as an antecedent intervention to deter the smuggling of contraband. However, there is little research that has explored how the presence of dogs might affect passenger behavior. We observed passengers' behavior at a port when there was an officer alone, an officer with a dog, and an officer with a dog wearing a florescent yellow jacket with "police" written on it for increased salience.
View Article and Find Full Text PDFGlob Ment Health (Camb)
September 2022
Children and adolescents in South Asia are exposed to significant mental health risks. Yet, policy to prevent or treat youth mental health problems in this context is underdeveloped, and services are difficult to access. Community-based mental health treatment may offer a potential solution, by increasing resource capacity in deprived settings.
View Article and Find Full Text PDFPurpose: Map existing research and describe the consumer/caregiver experience of community-based intravenous treatment, central venous access devices (CVADs), supportive care needs, and information preferences.
Design: Scoping review.
Methods: Five databases (Joanna Briggs Institute, Cochrane library, Emcare, Embase, and Medline) were searched.
Background: The prevalence of dementia is increasing, and there are many associated problems that family members face as informal carers, including emotional, physical, and financial difficulties. There are benefits for a person with dementia to live at home for as long as possible, and therefore, supporting their informal carers is crucial. The growing interest in supporting carers through internet-based interventions is evidenced by the volume of systematic reviews on this topic.
View Article and Find Full Text PDFObjective: This study aimed to identify the COVID-19 health information needs of older adults from ethnic minority groups in the UK.
Study Design: A qualitative study using semistructured interviews.
Setting And Participants: Indian and Nepalese older adults (≥65 years), their families (≥18 years) and healthcare professionals (HCPs) (≥18 years) engaging with these communities.
Int J Clin Exp Hypn
April 2022
J Perinatol
October 2021
J Multidiscip Healthc
July 2021
Objective: To establish which psychological therapies mental health professionals use with reference to the treatment of women with persistent pelvic pain conditions. This research investigates overall therapies and specific techniques that clinicians believe are the most effective with this patient group, and the challenges mental health clinicians face in administering interventions. The study aims to suggest improvements to clinical practice and establish directions for targeted future research.
View Article and Find Full Text PDFObjectives: Determine the effect of the catheter to vein ratio (CVR) on rates of symptomatic thrombosis in individuals with a peripherally inserted central catheter (PICC) and identify the optimal CVR cut-off point according to diagnostic group.
Design: Retrospective cohort study.
Setting: 4 tertiary hospitals in Australia and New Zealand.
Aust Crit Care
January 2022
Introduction: Adverse events associated with umbilical catheters include malposition, bloodstream infections, thrombosis, tip migration, and extravasation, resulting in loss of vascular access and increased risk of morbidity and mortality. There is a need for greater understanding of risk factors associated with adverse events to inform safe practice.
Objectives: The aim of the study was to summarise the existing evidence regarding risk factors for umbilical catheter-related adverse events to inform the undertaking of future research.
Aims And Objectives: To determine the rate of individual and system adverse events associated with blood transfusion at home.
Background: Home or residential care facility based blood transfusion is beneficial for individuals requiring transfusion due to reduced disruption to daily life and the comfort of a familiar environment. However, blood transfusion may result in serious adverse events.
Simple instructions are often recommended for presenting demands to people with dementia; however, simple instructions may be perceived as authoritative and may not be appropriate for all individuals. We conducted a demand assessment with a woman with dementia who engaged in problem behaviors in response to direct instructions. We measured latency to compliance and verbal behavior when demands were presented as questions, rules, simple instructions, or demands embedded in social chatter.
View Article and Find Full Text PDFObjective: CPP affects approximately 15% of women worldwide and has significant psychological, physical and financial impact on the lives of sufferers. Psychological interventions are often recommended as adjuncts to medical treatment for women with chronic pelvic pain (CPP). This is as women with CPP experience higher rates of mental health concerns and difficulties coping with their pain.
View Article and Find Full Text PDFObjective: Establishing predictors of mental health outcomes is a crucial precursor to the development and assessment of psychological interventions for women with chronic pelvic pain (CPP). The objective of this study was to identify predictors of depression, anxiety and stress in a cohort of women with CPP.
Design: Cross-sectional analytic study.
J Cancer Surviv
August 2020
Purpose: As a treatment summary (TS) documents information for follow-up care, it is believed to be an important communication tool for the patient, their GP, and other health professionals. The aim of this systematic review (SR) was to evaluate the impact of receiving a TS for cancer survivors when compared to receiving standard care and to identify knowledge gaps to inform future research.
Methods: A systematic search of electronic databases and grey literature was undertaken from August 2018 to October 2018.