Vascular access management of hemodialysis patients at the bedside using point-of-care ultrasound

Onoue, Atsushi; Akiyama, Takahiro

doi:10.1007/s10396-021-01161-8

Cited by 1 publication

(2 citation statements)

References 23 publications

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“…The findings from this study can serve as valuable guidance for haemodialysis clinics planning to incorporate point-of-care ultrasound to enhance cannulation outcomes. used in the haemodialysis context (Iglesias et al, 2021;Marticorena et al, 2015;Niyyar, 2019;Onoue & Akiyama, 2021;Ward et al, 2017). However, none have explored via qualitative interviews the operator perceptions of using POCUS to gain a greater depth of understanding that may inform the uptake of POCUS.…”

Section: What Does This Paper Contribute To the Wider Global Clinical...mentioning

confidence: 99%

“…Recent studies on POCUS‐guided cannulation have assessed the effect of POCUS guidance on cannulation outcomes (Eves et al, 2020; Kumbar et al, 2018; Luehr, 2018; Nalesso et al, 2020; Niyyar et al, 2021), explored staff confidence with, and perceptions of, POCUS (Ward et al, 2017), and reported how POCUS is used in the haemodialysis context (Iglesias et al, 2021; Marticorena et al, 2015; Niyyar, 2019; Onoue & Akiyama, 2021; Ward et al, 2017). However, none have explored via qualitative interviews the operator perceptions of using POCUS to gain a greater depth of understanding that may inform the uptake of POCUS.…”

Section: Introductionmentioning

confidence: 99%

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Nurses' perceptions of point‐of‐care ultrasound for haemodialysis access assessment and guided cannulation: A qualitative study

Schoch,

Bennett,

Currey

et al. 2023

Journal of Clinical Nursing

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AimTo explore nurses' perceptions of using point‐of‐care ultrasound for assessment and guided cannulation in the haemodialysis setting.BackgroundCannulation of arteriovenous fistulae is necessary to perform haemodialysis. Damage to the arteriovenous fistula is a frequent complication, resulting in poor patient outcomes and increased healthcare costs. Point‐of‐care ultrasound‐guided cannulation can reduce the risk of such damage and mitigate further vessel deterioration. Understanding nurses' perceptions of using this adjunct tool will inform its future implementation into haemodialysis practice.DesignDescriptive qualitative study.MethodsRegistered nurses were recruited from one 16‐chair regional Australian haemodialysis clinic. Eligible nurses were drawn from a larger study investigating the feasibility of implementing point‐of‐care ultrasound in haemodialysis. Participants attended a semistructured one‐on‐one interview where they were asked about their experiences with, and perceptions of, point‐of‐care ultrasound use in haemodialysis cannulation. Audio‐recorded data were transcribed and inductively analysed.FindingsSeven of nine nurses who completed the larger study participated in a semistructured interview. All participants were female with a median age of 54 years (and had postgraduate renal qualifications. Themes identified were as follows: (1) barriers to use of ultrasound; (2) deficit and benefit recognition; (3) cognitive and psychomotor development; and (4) practice makes perfect. Information identified within these themes were that nurses perceived that their experience with point‐of‐care ultrasound was beneficial but recommended against its use for every cannulation. The more practice nurses had with point‐of‐care ultrasound, the more their confidence, dexterity and time management improved.ConclusionsNurses perceived that using point‐of‐care ultrasound was a positive adjunct to their cannulation practice and provided beneficial outcomes for patients.Implications for the Profession and/or Patient CareHaemodialysis clinics seeking to implement point‐of‐care ultrasound to help improve cannulation outcomes may draw on these findings when embarking on this practice change.Reporting MethodThis study is reported according to the Consolidated Criteria for Reporting Qualitative Research (COREQ).Patient or Public ContributionPatients were not directly involved in this part of the study; however, they were involved in the implementation study.Trial and Protocol RegistrationThe larger study was registered with Australian New Zealand Clinical Trials Registry: ACTRN12617001569392 (21/11/2017) https://anzctr.org.au/Trial/Registration/TrialReview.aspx?id=373963&isReview=true

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Section: What Does This Paper Contribute To the Wider Global Clinical...mentioning

confidence: 99%

Section: Introductionmentioning

confidence: 99%

Nurses' perceptions of point‐of‐care ultrasound for haemodialysis access assessment and guided cannulation: A qualitative study

Schoch,

Bennett,

Currey

et al. 2023

Journal of Clinical Nursing

View full text Add to dashboard Cite

show abstract

Vascular access management of hemodialysis patients at the bedside using point-of-care ultrasound

Cited by 1 publication

References 23 publications

Nurses' perceptions of point‐of‐care ultrasound for haemodialysis access assessment and guided cannulation: A qualitative study

Nurses' perceptions of point‐of‐care ultrasound for haemodialysis access assessment and guided cannulation: A qualitative study

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