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Abstract：
OBJECTIVE: 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.
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.
摘要：
目的：血管内装置的使用与许多潜在的并发症有关。尽管该领域有许多基于证据的临床指南，护理实践仍然存在差异。这项研究旨在检查癌症护理环境中的护理实践，以确定护理实践和需要改进的领域，以获得最佳证据。
方法：在昆士兰州的三级癌症护理中心进行了点患病率调查，澳大利亚。在随机选择的一天，4名护士使用标准化调查工具评估血管内装置相关护理实践,并收集数据.
结果：对58例住院患者（100%）进行了评估。四十八人(83%)在原地有一个装置，包括14个外周静脉导管（29.2%），14个外周插入的中央导管（29.2％），14个希克曼导管（29.2％）和6个Port-a-Cats（12.4％）。次优结果，如局部部位并发症的发生率，不正确/不充分的文件，缺乏冲洗命令，并观察到不干净/不完整的敷料。
结论：这项研究强调了与现行医院政策相比，血管内器械相关护理实践的一些差异。可以应用教育和其他实施策略来改善护理实践。遵循教育策略，定期重复这项调查，向护理人员提供反馈，并实施改进实践的策略，将是有价值的。需要更多的研究为临床实践提供血管内器械相关消耗品的证据。冲洗技术和方案。
方法：在昆士兰州的三级癌症护理中心进行了点患病率调查，澳大利亚。在随机选择的一天，4名护士使用标准化调查工具评估血管内装置相关护理实践,并收集数据.
结果：对58例住院患者（100%）进行了评估。四十八人(83%)在原地有一个装置，包括14个外周静脉导管（29.2%），14个外周插入的中央导管（29.2％），14个希克曼导管（29.2％）和6个Port-a-Cats（12.4％）。次优结果，如局部部位并发症的发生率，不正确/不充分的文件，缺乏冲洗命令，并观察到不干净/不完整的敷料。
结论：这项研究强调了与现行医院政策相比，血管内器械相关护理实践的一些差异。可以应用教育和其他实施策略来改善护理实践。遵循教育策略，定期重复这项调查，向护理人员提供反馈，并实施改进实践的策略，将是有价值的。需要更多的研究为临床实践提供血管内器械相关消耗品的证据。冲洗技术和方案。
