An Explanatory Model of Vascular Access Care Quality: Results of a Cross-Sectional Observational Study.
Nurs Rep
; 14(2): 1049-1057, 2024 Apr 26.
Article
in En
| MEDLINE
| ID: mdl-38804412
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.
Full text:
1
Collection:
01-internacional
Database:
MEDLINE
Language:
En
Journal:
Nurs Rep
Year:
2024
Document type:
Article
Affiliation country:
España
Country of publication:
Suiza