Abstract:
The management of nursing care regarding patients’ vascular access is a priority. This study determines the contribution of the variables involved in the quality of care and maintenance of vascular access (VA) devices in admitted patients in the Valencian Community.
Methods: Using the STROBE statement, an observational, cross-sectional study was conducted on 1576 VA devices. Data were collected using the INCATIV Questionnaire. We performed a multivariate analysis of the questionnaire variables.
Results: In total, 50% had a good or very good assessment of the VA condition. This was positively correlated with anatomical location, dressing type, dressing date record, use of needle-free connectors (NFCs), date of last dressing change, presence of phlebitis, visibility of the insertion site and characteristics of the dressing’s condition (p < 0.001). The model indicated that the presence of phlebitis was the clearest predictor of a poor VA care assessment (OR = 20.579), followed by no visibility of the insertion site (OR = 14.209). Results also indicated that uncovered VA lumens or no NFCs used were related to a negative quality assessment.
Conclusion: By managing and controlling these variables, the likelihood of providing optimal care is ensured. This enables the establishment of a standardised care approach for all nursing professionals and the building of a new quality indicator.
Reference:Casanova-Vivas S, Ballestar-Tarín ML, García-Molina P, Lorente-Pomar AB, Palau Gomar A, Hevilla Cucarella EB, Blasco JM, Gomis-Baldoví S. An Explanatory Model of Vascular Access Care Quality: Results of a Cross-Sectional Observational Study. Nurs Rep. 2024 Apr 26;14(2):1049-1057. doi: 10.3390/nursrep14020079. PMID: 38804412; PMCID: PMC11130970.