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Renno I, Horch RE, Ludolph I, Cai A, Arkudas A. Vein Visualization With a Near Infrared Imaging Device and Its Impact on Students' and Nurses' Skills in an Academic Teaching University Hospital. JOURNAL OF INFUSION NURSING 2024; 47:249-254. [PMID: 38968587 DOI: 10.1097/nan.0000000000000552] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [MESH Headings] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 07/07/2024]
Abstract
Venipuncture for blood collection is frequently delegated to medical or nursing students, while their individual skills depend on the quality of teaching. The aim of this study was to evaluate the use of a near infrared imaging (NIR) system on the visualization of veins and its potential benefit for the education of medical personnel. Participants answered a questionnaire following standardized venipuncture for blood sampling with the help of an NIR device. Vein visibility with the NIR device and its ability to facilitate venipuncture were examined. Visibility of veins was significantly better with the NIR, and its direction was clearly delineated. Sixty-nine percent of the participants stated that they felt more secure with venipuncture after using the NIR device. Patients' individual factors limited the visibility of veins. The adjuvant use of an NIR system for venipuncture improves participants' subjective skills through visualization of veins and their direction.
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Affiliation(s)
- Isabell Renno
- Author Affiliation: Department of Plastic and Hand Surgery, Laboratory for Tissue Engineering and Regenerative Medicine, University Hospital Erlangen, Friedrich-Alexander-University Erlangen-Nuernberg FAU, Erlangen, Germany (Renno, Horch, Cai, Ludolph, and Arkudas )
- Isabell Renno, MD, works as a resident physician at the Department of Plastic and Hand Surgery in the University Hospital Erlangen. She received her medical doctorate for clinical research on changes of perfusion pattern of surgical wounds under application of closed incision negative pressure wound therapy in postbariatric patients examined with an indocyanine green fluorescence angiography and a combined laser Doppler spectrophotometry
- Raymund E. Horch, MD, is the chair and head of the Department of Plastic and Hand Surgery and the Laboratory for Tissue Engineering and Regenerative Medicine. He offers the whole spectrum of plastic, reconstructive, and hand surgery and has extensive experience in clinical and experimental research with several hundred publications. Other than his many invitations as a visiting professor to prestigious international universities worldwide, his scientific research has been appreciated with multiple renowned prizes and distinctions
- Ingo Ludolph, MD, was a senior physician in the Department of Plastic and Hand Surgery in the University Hospital Erlangen for more than 10 years. He has done considerable clinical research on medical devices, especially for surgical purposes
- Aijia Cai, MD, works as a senior physician in the Department of Plastic and Hand Surgery in the University Hospital Erlangen. She researches especially on tissue engineering, has obtained many awards and grants, and habilitated with her research on this topic
- Andreas Arkudas, MD, is vice chair in the Department of Plastic and Hand Surgery in the University Hospital Erlangen. His various research includes clinical and experimental projects, and he is a specialist for autologous breast reconstruction. He received an extraordinary professorship for his exceptional clinical, academic, and scientific work
| | - Raymund E Horch
- Author Affiliation: Department of Plastic and Hand Surgery, Laboratory for Tissue Engineering and Regenerative Medicine, University Hospital Erlangen, Friedrich-Alexander-University Erlangen-Nuernberg FAU, Erlangen, Germany (Renno, Horch, Cai, Ludolph, and Arkudas )
- Isabell Renno, MD, works as a resident physician at the Department of Plastic and Hand Surgery in the University Hospital Erlangen. She received her medical doctorate for clinical research on changes of perfusion pattern of surgical wounds under application of closed incision negative pressure wound therapy in postbariatric patients examined with an indocyanine green fluorescence angiography and a combined laser Doppler spectrophotometry
- Raymund E. Horch, MD, is the chair and head of the Department of Plastic and Hand Surgery and the Laboratory for Tissue Engineering and Regenerative Medicine. He offers the whole spectrum of plastic, reconstructive, and hand surgery and has extensive experience in clinical and experimental research with several hundred publications. Other than his many invitations as a visiting professor to prestigious international universities worldwide, his scientific research has been appreciated with multiple renowned prizes and distinctions
- Ingo Ludolph, MD, was a senior physician in the Department of Plastic and Hand Surgery in the University Hospital Erlangen for more than 10 years. He has done considerable clinical research on medical devices, especially for surgical purposes
- Aijia Cai, MD, works as a senior physician in the Department of Plastic and Hand Surgery in the University Hospital Erlangen. She researches especially on tissue engineering, has obtained many awards and grants, and habilitated with her research on this topic
- Andreas Arkudas, MD, is vice chair in the Department of Plastic and Hand Surgery in the University Hospital Erlangen. His various research includes clinical and experimental projects, and he is a specialist for autologous breast reconstruction. He received an extraordinary professorship for his exceptional clinical, academic, and scientific work
| | - Ingo Ludolph
- Author Affiliation: Department of Plastic and Hand Surgery, Laboratory for Tissue Engineering and Regenerative Medicine, University Hospital Erlangen, Friedrich-Alexander-University Erlangen-Nuernberg FAU, Erlangen, Germany (Renno, Horch, Cai, Ludolph, and Arkudas )
- Isabell Renno, MD, works as a resident physician at the Department of Plastic and Hand Surgery in the University Hospital Erlangen. She received her medical doctorate for clinical research on changes of perfusion pattern of surgical wounds under application of closed incision negative pressure wound therapy in postbariatric patients examined with an indocyanine green fluorescence angiography and a combined laser Doppler spectrophotometry
- Raymund E. Horch, MD, is the chair and head of the Department of Plastic and Hand Surgery and the Laboratory for Tissue Engineering and Regenerative Medicine. He offers the whole spectrum of plastic, reconstructive, and hand surgery and has extensive experience in clinical and experimental research with several hundred publications. Other than his many invitations as a visiting professor to prestigious international universities worldwide, his scientific research has been appreciated with multiple renowned prizes and distinctions
- Ingo Ludolph, MD, was a senior physician in the Department of Plastic and Hand Surgery in the University Hospital Erlangen for more than 10 years. He has done considerable clinical research on medical devices, especially for surgical purposes
- Aijia Cai, MD, works as a senior physician in the Department of Plastic and Hand Surgery in the University Hospital Erlangen. She researches especially on tissue engineering, has obtained many awards and grants, and habilitated with her research on this topic
- Andreas Arkudas, MD, is vice chair in the Department of Plastic and Hand Surgery in the University Hospital Erlangen. His various research includes clinical and experimental projects, and he is a specialist for autologous breast reconstruction. He received an extraordinary professorship for his exceptional clinical, academic, and scientific work
| | - Aijia Cai
- Author Affiliation: Department of Plastic and Hand Surgery, Laboratory for Tissue Engineering and Regenerative Medicine, University Hospital Erlangen, Friedrich-Alexander-University Erlangen-Nuernberg FAU, Erlangen, Germany (Renno, Horch, Cai, Ludolph, and Arkudas )
- Isabell Renno, MD, works as a resident physician at the Department of Plastic and Hand Surgery in the University Hospital Erlangen. She received her medical doctorate for clinical research on changes of perfusion pattern of surgical wounds under application of closed incision negative pressure wound therapy in postbariatric patients examined with an indocyanine green fluorescence angiography and a combined laser Doppler spectrophotometry
- Raymund E. Horch, MD, is the chair and head of the Department of Plastic and Hand Surgery and the Laboratory for Tissue Engineering and Regenerative Medicine. He offers the whole spectrum of plastic, reconstructive, and hand surgery and has extensive experience in clinical and experimental research with several hundred publications. Other than his many invitations as a visiting professor to prestigious international universities worldwide, his scientific research has been appreciated with multiple renowned prizes and distinctions
- Ingo Ludolph, MD, was a senior physician in the Department of Plastic and Hand Surgery in the University Hospital Erlangen for more than 10 years. He has done considerable clinical research on medical devices, especially for surgical purposes
- Aijia Cai, MD, works as a senior physician in the Department of Plastic and Hand Surgery in the University Hospital Erlangen. She researches especially on tissue engineering, has obtained many awards and grants, and habilitated with her research on this topic
- Andreas Arkudas, MD, is vice chair in the Department of Plastic and Hand Surgery in the University Hospital Erlangen. His various research includes clinical and experimental projects, and he is a specialist for autologous breast reconstruction. He received an extraordinary professorship for his exceptional clinical, academic, and scientific work
| | - Andreas Arkudas
- Author Affiliation: Department of Plastic and Hand Surgery, Laboratory for Tissue Engineering and Regenerative Medicine, University Hospital Erlangen, Friedrich-Alexander-University Erlangen-Nuernberg FAU, Erlangen, Germany (Renno, Horch, Cai, Ludolph, and Arkudas )
- Isabell Renno, MD, works as a resident physician at the Department of Plastic and Hand Surgery in the University Hospital Erlangen. She received her medical doctorate for clinical research on changes of perfusion pattern of surgical wounds under application of closed incision negative pressure wound therapy in postbariatric patients examined with an indocyanine green fluorescence angiography and a combined laser Doppler spectrophotometry
- Raymund E. Horch, MD, is the chair and head of the Department of Plastic and Hand Surgery and the Laboratory for Tissue Engineering and Regenerative Medicine. He offers the whole spectrum of plastic, reconstructive, and hand surgery and has extensive experience in clinical and experimental research with several hundred publications. Other than his many invitations as a visiting professor to prestigious international universities worldwide, his scientific research has been appreciated with multiple renowned prizes and distinctions
- Ingo Ludolph, MD, was a senior physician in the Department of Plastic and Hand Surgery in the University Hospital Erlangen for more than 10 years. He has done considerable clinical research on medical devices, especially for surgical purposes
- Aijia Cai, MD, works as a senior physician in the Department of Plastic and Hand Surgery in the University Hospital Erlangen. She researches especially on tissue engineering, has obtained many awards and grants, and habilitated with her research on this topic
- Andreas Arkudas, MD, is vice chair in the Department of Plastic and Hand Surgery in the University Hospital Erlangen. His various research includes clinical and experimental projects, and he is a specialist for autologous breast reconstruction. He received an extraordinary professorship for his exceptional clinical, academic, and scientific work
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Hart C, Weathers E. Near-infrared technology for improved PIVC placement: a clinical technology implementation model. BRITISH JOURNAL OF NURSING (MARK ALLEN PUBLISHING) 2024; 33:S10-S17. [PMID: 38578938 DOI: 10.12968/bjon.2024.33.7.s10] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [Key Words] [MESH Headings] [Track Full Text] [Subscribe] [Scholar Register] [Indexed: 04/07/2024]
Abstract
AIMS To share lessons learned from an evidence-based practice (EBP) initiative that implemented near-infrared (NIR) technology in a large US hospital system. A Clinical Technology Implementation Model (CTIM©) that can be adapted for use in other health institutions is presented. BACKGROUND EBP implementation, including the adoption of new cutting-edge technologies, is crucial to improving patient care. Yet there are significant delays in changes to clinical practice, often due to organisational challenges that stifle the implementation process. The evidence-practice gap is increasingly evident in peripheral intravenous access (PIV). Implementation science offers new insights into the challenges of updating clinical practice, which can support EBP implementation. EVALUATION Recent literature on implementation science, change theory, PIV access, NIR technology, and patient outcomes were reviewed. A model that can help nurse managers implement technology that aligns with EBP is presented, drawing on experience from the adoption of NIR vein visualisation to enhance PIV access in a large US hospital system. KEY ISSUE A pervasive hesitancy in healthcare to embrace technology, coupled with the challenges of implementing a change to practice, has led to limited application of EBP PIV access guidelines and a stagnant standard of care. CONCLUSION This article provides nurse managers with the tools necessary to successfully implement EBP, drawing on the experience from implementing NIR in a large US hospital. Nurse managers are uniquely positioned to lead the way in embracing technology to improve care and reduce the evidence-practice gap.
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Affiliation(s)
- Charlotte Hart
- Registered Nurse, DIVA Team, Trinity Health Ann Arbor, Ann Arbor, Michigan, USA, and at the time of writing was a Registered Nurse at Swedish Medical Center First Hill Campus, Marysville, Washington, USA
| | - Elizabeth Weathers
- Associate Professor in General Nursing, University College Dublin, Ireland, and former Director of Medical and Clinical Affairs, AccuVein Inc, USA
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Fehr G, Rigali M, Weller G, Grap SM, Coleman M, Parekh U, Chinchilli VM, Dalal PG. Efficacy of Infrared Vein Visualization versus Standard Technique for Peripheral Venous Cannulation in Infant and Toddler Populations: A Randomized Study. CHILDREN (BASEL, SWITZERLAND) 2023; 10:1652. [PMID: 37892315 PMCID: PMC10605772 DOI: 10.3390/children10101652] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Subscribe] [Scholar Register] [Received: 09/03/2023] [Revised: 09/24/2023] [Accepted: 09/29/2023] [Indexed: 10/29/2023]
Abstract
Establishing intravenous (IV) access in younger patient populations via the traditional cannulation technique for procedures requiring anesthesia is often challenging. Infrared (IR) vein visualization is a modality that aids venous cannulation; however, few reports of this technique exist in the infant and toddler population. The primary aim of this study was to compare the efficacy of IR vein visualization to the standard cannulation technique for obtaining peripheral IV access in infant and toddler populations. Following Institutional Review Board (IRB) approval and written informed consent, children were randomly assigned to either a standard cannulation technique group or an IR vein visualization device group for venous cannulation. The primary outcome variable was the success rate of IV cannulation, and the secondary variables were the total number of attempts and the time to successful cannulation. No difference was noted between either group for first-attempt success rate (standard versus IR: 61.25% vs. 54.4%; p = 0.4) or time to establish IV cannulation (standard versus IR: median [interquartile range], 40 s [24-120] vs. 53 s [26-106]; p = 0.55). The anesthesiologist's grading of the anticipated difficulty of IV cannulation was a significant predictor of cannulation success (p = 0.0016). Our study demonstrated no significant benefit in utilizing the IR vein visualization device in terms of the overall success rate, number of attempts, and time to establish successful IV cannulation when compared to the standard technique. However, in difficult IV access situations, this device proved to be a valuable rescue adjunct.
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Affiliation(s)
- Graham Fehr
- Department of Anesthesiology, Children’s Hospital of King’s Daughters, Norfolk, VA 23507, USA;
| | - Marisa Rigali
- Department of Anesthesiology, Virginia Commonwealth School of Medicine, Richmond, VA 23219, USA;
| | - Gregory Weller
- Department of Anesthesiology, Penn State Health, Hershey, PA 17033, USA; (G.W.); (S.M.G.); (M.C.); (U.P.)
| | - Shannon M. Grap
- Department of Anesthesiology, Penn State Health, Hershey, PA 17033, USA; (G.W.); (S.M.G.); (M.C.); (U.P.)
| | - Melissa Coleman
- Department of Anesthesiology, Penn State Health, Hershey, PA 17033, USA; (G.W.); (S.M.G.); (M.C.); (U.P.)
| | - Uma Parekh
- Department of Anesthesiology, Penn State Health, Hershey, PA 17033, USA; (G.W.); (S.M.G.); (M.C.); (U.P.)
| | - Vernon M. Chinchilli
- Department of Public Health Sciences, Penn State College of Medicine, Hershey, PA 17033, USA;
| | - Priti G. Dalal
- Department of Anesthesiology, Penn State Health, Hershey, PA 17033, USA; (G.W.); (S.M.G.); (M.C.); (U.P.)
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Chen L, Luo S, Yang M, Li N, He Y, Zhang Y. Development of a Core Outcome Set for Randomised Controlled Trials of Nursing Education: A Methodological Framework. J Nurs Manag 2023. [DOI: 10.1155/2023/2107989] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 04/03/2023]
Abstract
Background. Nursing educational research is very important for the development of the nursing discipline. There have been many randomised controlled trials (RCTs) of nursing education, and the outcomes are highly heterogeneous and waste resources. The study aims to report the methodological framework to establish a core outcome set (COS) for RCTs of nursing education. Methods. The study will be conducted in the following five steps: (a) establish nursing education COS working groups; (b) develop an initial list of outcomes of nursing education by systematic review and semistructured interview; (c) Delphi survey with different stakeholders to reach a preliminary consensus on the core outcome of nursing education; (d) expert consultation to form the outcome pool; (e) expert consensus meeting to form the nursing education COS. Results. The goal is to develop a COS that includes stakeholders’ interest in nursing education to determine which outcomes should be reported and how they should be measured. Conclusions. By performing the study, the nursing education COS will be established, which will help to reduce reporting bias and resource waste, and provide enough results for nursing education systematic reviews.
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