Standardizing Best Nursing Practice for Implanted Ports

Conley, Susanne B.; Buckley, Paula; Magarace, Lisa; Hsieh, Candace; Pedulla, Lillian Vitale

doi:10.1097/nan.0000000000000217

Cited by 15 publications

(14 citation statements)

References 22 publications

Supporting

Mentioning

Contrasting

Order By: Relevance

“…However, complications such as puncture failure, infection, catheter fracture, and extravasation can occur, potentially resulting in patient death. Good puncture technique and care are critical for catheter maintenance [ 5 , 6 , 7 , 8 ]. Injection through a Port-A catheter is an invasive procedure, and a good puncture greatly eliminates the damage to the catheter path [ 9 , 10 ].…”

Section: Introductionmentioning

confidence: 99%

Effects of Digital Learning and Virtual Reality in Port-A Catheter Training Course for Oncology Nurses: A Mixed-Methods Study

2023

View full text Add to dashboard Cite

In-service education for oncology nurses usually adopts didactic teaching. This study investigated the effects of virtual reality (VR) and a digital learning-based Port-A-catheter educational course for oncology nurses. A mixed-methods research design was employed, with a convenience sample of 43 nurses from a regional teaching hospital in Taiwan participating. Measurements were taken at three time points: pre-test, 1st post-test, and 2nd post-test. The data was analyzed using descriptive statistics and repeated ANOVA tests. Results showed significant improvement in Port-A-catheter knowledge and skill levels (p < 0.0001) and high learning attitude and satisfaction scores of 4.29 ± 0.46 and 4.31 ± 0.58 points, respectively. Five qualitative themes emerged, highlighting the realistic VR scenarios, VR practice’s usefulness, willingness to learn with VR, VR system limitations, and the potential for future courses. The study concluded that a VR-based educational course effectively enhanced nurses’ knowledge, skills, learning attitude, and satisfaction, recommending the inclusion of diverse clinical scenarios for practical learning.

show abstract

Section: Introductionmentioning

confidence: 99%

Effects of Digital Learning and Virtual Reality in Port-A Catheter Training Course for Oncology Nurses: A Mixed-Methods Study

2023

View full text Add to dashboard Cite

show abstract

“…(Manias et al, 2003). A strategy for education and assessing clinical competence is essential to ensure compliance with the requirements for ongoing nursing registration guidelines that reduce unnecessary variation in practice and support better patient outcomes (Conley et al, 2017).…”

Section: Discussionmentioning

confidence: 99%

The experiences of the agency registered nurse: An integrative literature review

et al. 2019

View full text Add to dashboard Cite

Aim To examine experienced registered nurses' motivations for choosing agency work, their experiences and perceptions of agency nursing and how they meet their regulatory professional development obligations. Background Agency registered nurses are employed by healthcare organizations to meet staffing shortfalls and contain costs. Methods Using an integrative review framework, four databases (CINAHL, Medline, Embase and Scopus) were systematically searched between 2000 and 2017: study selection followed the Preferred Reporting Items for Systematic reviews and Meta‐analyses. Results Our search identified 491 sources. From these, two primary qualitative sources were included in this review. Four themes were identified: orientation, allocation of the agency nurse, isolation in clinical practice and lack of education opportunities. Conclusion Given the limited literature on agency nurses and how to support them, further research is required on this subject. Implications for Nursing Management Support for agency nurses is necessary, so they can seamlessly integrate with the healthcare team to provide safe patient care. This review may assist managers to identify strategies to effectively engage and support agency registered nurses in the acute care nursing team. The gaps identified highlight the need for further research to explore agency nurses' motivations, and support needs to inform future strategic workforce planning.

show abstract

“…However, the recommended irrigation volume for an intravenous port according to the instruction manual and guidelines is 10 ml regardless of the intraluminal volume variations. [ 1 – 4 ] Therefore, we tried to quantify a recommended irrigation volume by the irrigation volume test. In our study, the ideal irrigation volume was found to be 20 times the intra-luminal volume of the implanted port, including the injection chamber and catheter lumen.…”

Section: Discussionmentioning

confidence: 99%

“…However, published guidelines and manufactures’ maintenance manuals recommend 10 ml normal saline irrigation volume for an intravenous port, regardless of the injection chamber size and implanted catheter length. [ 1 – 4 ]…”

Section: Introductionmentioning

confidence: 99%

Recommended irrigation volume for an intravenous port: Ex vivo simulation study

Cheng

et al. 2018

PLoS ONE

View full text Add to dashboard Cite

BackgroundAn intravenous port, which differs from a central venous catheter, has an injection chamber at the end of the catheter. This structural difference causes the irrigation flow pattern to be quite different from that of the central venous catheter. Furthermore, the intraluminal volume differs due to the size of the injection chamber and implanted catheter length. Hence, the ideal recommended irrigation volume varies because of differences in intraluminal volume, however, the recommended irrigation volume is 10 ml and may be a cause for reported port malfunctions. This study investigates the best irrigation volume for an intravenous port by simulating the clinical scenario ex-vivo to access its usefulness.Materials and methodsThis study was composed of two tests. The irrigation volume test attempted to quantify the irrigation volume of an implanted port while the irrigation rate test attempted to simulate daily nursing practice in order to clarify the effect of irrigation flow. The human blood needed for the simulation was donated by volunteers and the total volume was 10 ml per test. The irrigation volume test was done by syringe pump with varying pre-set irrigation volume after the port and connected catheter were filled with volunteer blood. After irrigation with pre-set volume, the retained intraluminal solution was collected and quantified by Bradford assay in order to titrate the best irrigation volume. The irrigation rate test tried to simulate daily maintenance practice in different settings with the quantified irrigation volume as identified by the irrigation volume test. The retained intraluminal solution was collected and quantified by Bradford assay in order to confirm the efficacy of the quantified irrigation volume.ResultsIn both SVC and IVC ports, we identified the twenty times the intravascular volume as sufficient for a complete wash out of the blood component in the irrigation volume test. The minimal irrigation volume for SVC and IVC port were 10 ml and 15.6 ml respectively. In irrigation rate test, the irrigation for SVC and IVC port was 10 and 20 ml, respectively, for the sake of preparation convenience. We not only identified the importance of preparation, i.e. irrigation of the extension line but also confirmed the efficacy of the recommended irrigation volume.ConclusionThe irrigation volume should be varied according to the intraluminal volume. Maintenance should be performed after the extension line has been irrigated. The recommended port irrigation volume for SVC and IVC route were 10 and 20 ml, respectively.

show abstract

Standardizing Best Nursing Practice for Implanted Ports

Cited by 15 publications

References 22 publications

Effects of Digital Learning and Virtual Reality in Port-A Catheter Training Course for Oncology Nurses: A Mixed-Methods Study

Effects of Digital Learning and Virtual Reality in Port-A Catheter Training Course for Oncology Nurses: A Mixed-Methods Study

The experiences of the agency registered nurse: An integrative literature review

Recommended irrigation volume for an intravenous port: Ex vivo simulation study

Contact Info

Product

Resources

About