Multidisciplinary cooperative mode led by infusion nurse specialists used to ensure the nursing quality of peripherally inserted central catheters in China: A 5-year retrospective study

Cao Jie; Peng Chunxue; Xu Jiawei; Li Hongmei; Qian Huohong

doi:10.1177/11297298211033507

Multidisciplinary cooperative mode led by infusion nurse specialists used to ensure the nursing quality of peripherally inserted central catheters in China: A 5-year retrospective study

J Vasc Access. 2023 May;24(3):370-378. doi: 10.1177/11297298211033507. Epub 2021 Jul 21.

Authors

Cao Jie¹, Peng Chunxue¹, Xu Jiawei¹, Li Hongmei², Qian Huohong³

Affiliations

¹ Department of Urology, Changhai Hospital, Naval Medical University, Shanghai, China.
² Infusion Therapy Clinic, Changhai Hospital, Naval Medical University, Shanghai, China.
³ Chairperson of Infusion Therapy Board in Changhai Hospital, Naval Medical University & Associate Chairperson of Infusion Therapy Committee in Shanghai Nurses Association, Shanghai, China.

PMID: 34289726
DOI: 10.1177/11297298211033507

Abstract

Objective: To analyze the effect of multidisciplinary cooperation mode (MCM) led by infusion nurse specialists (INSs) on peripherally inserted central catheters (PICC) catheterization and indwelling nursing quality.

Methods: Participants' demographic information, catheter types, catheterization approaches, puncture site, tip position, professional title of nurses, success rate of catheterization, consultation rate, detection rate of complications and outcome improvement rate of 6576 outpatients and hospitalized patients with PICC were analyzed retrospectively by a software named "questionnaire stars," in a large tertiary general hospital in Shanghai, from January 2015 to December 2019. SPSS 26.0 for Windows was used for data collection and description, Chi-square test were used for statistical analysis of enumeration data, and p < 0.05 was statistically significant.

Results: According to the catheter types' data, the use rate of three-way valve catheters decreased from 79.9% to 14.5%, while the use rate of three-way valve solo catheters increased from 12.7% to 51.6%, and the use rate of power injectable and open-ended catheters increased from 7.4% to 33.9%. According to the data of PICC catheterization method, conventional technology decreased significantly from 16.8% to 1.1%, modified Seldinger technique (MST) increased gradually from 26.1% to 51.3%, while ultrasound guided modified Seldinger technique (US and MST) decreased slightly from 57.2% to 47.6%. 7.5% catheter tip ends were malpositioned while nine indwelled PICCs were traced to have tip end malposition. The consultation rate was significantly higher than that before applying MCM led by INSs (x² = 151.713, p < 0.05). After applying MCM led by INSs, the detection rate of complications was significantly higher than before (x² = 5.499, p < 0.05), the rate of successful insertion at one time was significantly higher than before (x² = 187.589, p < 0.05).

Conclusion: After the application of INSs-led MCM, progresses have been achieved. The nursing quality of patients' PICC was significantly improved than before.

Keywords: Multidisciplinary cooperative mode; infusion nurse specialists; nursing quality; peripherally inserted central catheters.

MeSH terms

Catheterization, Central Venous* / adverse effects
Catheterization, Central Venous* / methods
Catheterization, Peripheral* / adverse effects
Catheterization, Peripheral* / methods
Catheters
Catheters, Indwelling
Central Venous Catheters*
China
Humans
Retrospective Studies