Point of care ultrasound use by Registered Nurses and Nurse Practitioners in clinical practice: An integrative review

Totenhofer, Robyn; Luck, Lauretta; Wilkes, Lesley M

doi:10.1016/j.colegn.2020.10.002

Cited by 21 publications

(10 citation statements)

References 44 publications

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“…Some individuals from the United Kingdom have recommended the use of POCUS to be added to the curriculum of teaching medical students as it 'requires minimal training to operate, can be quickly performed and easily supervised and also later supervised, if scans are saved' (22). The use of POCUS in connection with DIVA has been proven to increase cannulation success rates and may also reduce the dependence on senior or more experienced doctors (23).The increased practical use of POCUS is not just happening in the medical workforce but becomes also more prevalent amongst nurses and nurse practitioners (24) and also renal nurses (2,3). It is therefore necessary to train and educate novices using this technique through theoretical and practical demonstrations which include subsequent individual hands-on experience for participants to individually learn and perform this skill.…”

Section: Discussionmentioning

confidence: 99%

Evaluation of a Point-of-care ultrasound (POCUS) workshop for peripheral intravenous cannulation

Steinwandel

Coventry

Kheirkhah

2023

Preprint

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Background: Point-of-care ultrasound (POCUS) is increasingly used as a non-invasive vascular access assessment method by clinicians from multiple disciplines worldwide, prior and during vascular access cannulations. While POCUS is a relatively new method to establish a vascular access in patients with complex vascular conditions, it is also essential to train and educate individuals who are novices in the techniques of cannulation so that they become proficient in performing this task subsequently on patients safely and successfully. A simulated environment may be a helpful tool to help healthcare providers establish skills in using POCUS safely and may also help them to successfully establish vascular access in patients. With this project, we sought to determine if participants of a simulated POCUS workshop for vascular access can use this technique successfully in their individual clinical environment after their attendance of a half-day workshop. Methods: A mixed-methods longitudinal study design was chosen to evaluate a point-of-care ultrasound workshop for peripheral intravenous cannula insertion. The workshops used simulation models for cannulation in combination with multiple ultrasound devices from various manufacturers. Participants self-assessed their cannulation skills using questionnaires prior to and directly after the workshop. Results: A total of 85 Individuals participated in eleven half-day workshops through 2021 and 2022. Workshop participants claimed that attending the workshop had significantly enhanced their clinical skill of using ultrasound for the purpose of cannulating a venous vessel. The level of confidence in using this technique had increased in all participants directly after conclusion of the workshop. Conclusions: Globally, clinicians are increasingly using POCUS to establish vascular access in patients, and it is necessary that they receive sufficient and adequately structured and formal training to successfully apply this technique in their clinical practice. Offering a workshop which uses simulation models in combination with various POCUS devices to demonstrate this technique in a hands-on approach has proven to be useful to establish this newly learned skill in clinicians.

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Section: Discussionmentioning

confidence: 99%

Evaluation of a Point-of-care ultrasound (POCUS) workshop for peripheral intravenous cannulation

Steinwandel

Coventry

Kheirkhah

2023

Preprint

View full text Add to dashboard Cite

show abstract

“…Some individuals from the United Kingdom have recommended the use of POCUS to be added to the curriculum of teaching medical students as it’requires minimal training to operate, can be quickly performed and easily supervised and also later supervised, if scans are saved’ [ 23 ]. The use of POCUS in connection with DIVA has been proven to increase cannulation success rates and may also reduce the dependence on senior or more experienced doctors [ 24 ].The increased practical use of POCUS is not just happening in the medical workforce but becomes also more prevalent amongst nurses and nurse practitioners [ 25 ] and also renal nurses [ 2 , 3 ]. It is therefore necessary to train and educate novices using this technique through theoretical and practical demonstrations which include subsequent individual hands-on experience for participants to individually learn and perform this skill.…”

Section: Discussionmentioning

confidence: 99%

Evaluation of a Point-of-care ultrasound (POCUS) workshop for peripheral intravenous cannulation

2023

View full text Add to dashboard Cite

Background Point-of-care ultrasound (POCUS) is increasingly used as a non-invasive vascular access assessment method by clinicians from multiple disciplines worldwide, prior and during vascular access cannulations. While POCUS is a relatively new method to establish a vascular access in patients with complex vascular conditions, it is also essential to train and educate individuals who are novices in the techniques of cannulation so that they become proficient in performing this task subsequently on patients safely and successfully. A simulated environment may be a helpful tool to help healthcare providers establish skills in using POCUS safely and may also help them to successfully establish vascular access in patients. With this project, we sought to determine if participants of a simulated POCUS workshop for vascular access can use this technique successfully in their individual clinical environment after their attendance of a half-day workshop. Methods A mixed-methods longitudinal study design was chosen to evaluate a point-of-care ultrasound workshop for peripheral intravenous cannula insertion. The workshops used simulation models for cannulation in combination with multiple ultrasound devices from various manufacturers to expose participants to a broader variety of POCUS devices as they may also vary in different clinical areas. Participants self-assessed their cannulation skills using questionnaires on a 10-point rating scale prior to and directly after the workshop. Results A total of 85 Individuals participated in eleven half-day workshops through 2021 and 2022. Workshop participants claimed that attending the workshop had significantly enhanced their clinical skill of using ultrasound for the purpose of cannulating a venous vessel. The level of confidence in using this technique had increased in all participants directly after conclusion of the workshop. Conclusions Globally, clinicians are increasingly using POCUS to establish vascular access in patients, and it is necessary that they receive sufficient and adequately structured and formal training to successfully apply this technique in their clinical practice. Offering a workshop which uses simulation models in combination with various POCUS devices to demonstrate this technique in a hands-on approach has proven to be useful to establish this newly learned skill in clinicians.

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“…The use of ePOCUS in the pre-hospital and nursing groups were low (9/22 and 6/28 respectively). Both prehospital- and nurse-performed ePOCUS is feasible with the potential to change patient management [ 2 , 4 , 5 ]. Many African countries have a shortage of specialized healthcare workers creating massive healthcare challenges.…”

Section: Discussionmentioning

confidence: 99%

“…Emergency point-of-care ultrasound (ePOCUS) use by doctors, nurses and pre-hospital practitioners has become mainstream worldwide to expedite patient management at the patient's bedside [1] , [2] , [3] , [4] , [5] . The numerous benefits of its use is well described internationally.…”

Section: Introductionmentioning

confidence: 99%

Current use and perceived barriers of emergency point-of-care ultrasound by African health care practitioners

Hoving

Alenyo

Komagum

et al. 2022

African Journal of Emergency Medicine

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Point of care ultrasound use by Registered Nurses and Nurse Practitioners in clinical practice: An integrative review

Cited by 21 publications

References 44 publications

Evaluation of a Point-of-care ultrasound (POCUS) workshop for peripheral intravenous cannulation

Evaluation of a Point-of-care ultrasound (POCUS) workshop for peripheral intravenous cannulation

Evaluation of a Point-of-care ultrasound (POCUS) workshop for peripheral intravenous cannulation

Current use and perceived barriers of emergency point-of-care ultrasound by African health care practitioners

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