Evidence map›Paper›PMID 27603747›Full record

ArticleJournal of the American Geriatrics Society2016

Challenges for Nurses Caring for Individuals with Peripherally Inserted Central Catheters in Skilled Nursing Facilities.

Molly Harrod, Ana Montoya, Lona Mody, Helen McGuirk, Suzanne Winter, Vineet Chopra

Abstract read
In one paragraph

Article in Journal of the American Geriatrics Society, 2016. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 8 papers.

0numbers the graph read from it
0cells of the map it votes in
8citing papers in PubMed
–field-weighted citation impact
1 · What the graph read from it

What it found

Each row is one number read from the abstract, on the scale the paper reported it, with its interval. Left of the dashed line favours the treatment, right favours the comparator. Under each row is the sentence it came from. New to these charts? A ten-minute tutorial.

The abstract states no effect estimate the extractor could read, or names no intervention and outcome on the map, so this paper lights no cell and moves no belief. It is still indexed, cited and linked below.

2 · The registry

The trial behind it

Trials whose registry record cites this paper, or whose number appears in the abstract. A trial that started after this paper was published is citing it as background, not reporting it.

Neither the registry nor the abstract names a trial number. If this is a trial report, that itself is worth knowing.

3 · Its place in the literature

Who cites it

8 citing papers in PubMed.

  1. Article
  2. Article
  3. Article
  4. Using observation to better understand the healthcare context.Qualitative research in medicine & healthcare · 2021
    Article
  5. Article
  6. Article
  7. Observational
  8. Living with a peripherally inserted central catheter: the perspective of cancer outpatients-a qualitative study.Supportive care in cancer : official journal of the Multinational Association of Supportive Care in Cancer · 2018
    Article
4 · The record

Corrections and comments

PubMed lists nothing against this paper. Absence here is not a guarantee, only a check that was made.

5 · Who and what money

Authors and funding

6 authors.

Molly HarrodCenter for Clinical Management Research, VA Ann Arbor Health Care System, Ann Arbor, Michigan.
Ana MontoyaGeriatric Research, Education and Clinical Center, University of Michigan, Ann Arbor, Michigan.
Lona ModyGeriatric Research, Education and Clinical Center, University of Michigan, Ann Arbor, Michigan.
Helen McGuirkPatient Safety Enhancement Program, Division of General Medicine, University of Michigan Health System, Ann Arbor, Michigan.
Suzanne WinterPatient Safety Enhancement Program, Division of General Medicine, University of Michigan Health System, Ann Arbor, Michigan.
Vineet ChopraCenter for Clinical Management Research, VA Ann Arbor Health Care System, Ann Arbor, Michigan. vineetc@umich.edu.

Funding

Research Education CoreP30AG024824 · NIA · UNIVERSITY OF MICHIGAN AT ANN ARBOR · PI Andrzej T Galecki · 2004 to 2026
$29.2M
Pathway from Functional Disability to Antimicrobial Resistance in Nursing HomesR01AG041780 · NIA · UNIVERSITY OF MICHIGAN AT ANN ARBOR · PI MODY, LONA · 2013 to 2017
$1.8M
Targeted Infection Prevention (TIP) Program in Nursing HomesR01AG032298 · NIA · UNIVERSITY OF MICHIGAN AT ANN ARBOR · PI MODY, LONA · 2009 to 2013
$1.7M
Modifying Contact Precautions for MRSA in Extended CareR18HS019979 · AHRQ · UNIVERSITY OF MARYLAND BALTIMORE · PI ROGHMANN, MARY-CLAIRE · 2011 to 2013
$1.4M
Improving Peripherally Inserted Central Catheter Use in Hospitalized PatientsK08HS022835 · AHRQ · UNIVERSITY OF MICHIGAN AT ANN ARBOR · PI CHOPRA, VINEET · 2014 to 2017
$608k
AHRQ HHS K08 HS022835AHRQ HHS R18 HS019979NIA NIH HHS P30 AG024824NIA NIH HHS R01 AG032298NIA NIH HHS R01 AG041780
6 · The paper itself

Abstract

objectivesTo understand the perceived preparedness of frontline nurses (registered nurses (RNs), licensed practical nurses (LPNs)), unit nurse managers, and skilled nursing facility (SNF) administrators in providing care for residents with peripherally inserted central catheters (PICCs) in SNFs.

designExploratory, qualitative pilot study.

settingTwo community based SNFs.

participantsResidents with PICCs, frontline nurses (RNs, LPNs), unit nurse managers, and SNF administrators.

methodsOver 36 weeks, 56 residents with PICCs and their nurses were observed and informally interviewed, focusing on PICC care practices and documentation. In addition, baseline PICC data were collected on placement indication (e.g., antimicrobial administration), placement setting (hospital vs SNF), and dwell time. Focus groups were then conducted with frontline nurses and unit nurse managers, and semistructured interviews were conducted with SNF administrators to evaluate perceived preparedness for PICC care. Data were analyzed using a descriptive analysis approach.

resultsVariations in documentation were observed during weekly informal interviews and observations. Differences were noted between resident self-reported PICC concerns (quality of life) and those described by frontline nurses. Deficiencies in communication between hospitals and SNFs with respect to device care, date of last dressing change, and PICC removal time were also noted. During focus group sessions, perceived inadequacy of information at the time of care transitions, limited availability of resources to care for PICCs, and gaps in training and education were highlighted as barriers to improving practice and safety.

conclusionPractices for PICC care in SNFs can be improved. Multimodal strategies that enhance staff education, improve information exchange during care transitions, and increase resource availability in SNFs appear necessary to enhance PICC care and safety.

Indexed as

Catheterization, PeripheralCommunication BarriersNursing CarePatient Care ManagementQuality of LifeAgedFemaleHumansMaleMichiganNeeds AssessmentPatient TransferQuality ImprovementSkilled Nursing Facilitiescommunicationnursing careperipherally inserted central catheterskilled nursing facility

Identifiers

PMID27603747
PMCPMC5073026

What OpenQuestion holds

Textmetadata
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Read underepoch 390

Registered trials

None linked

Read under generation 80e0d062 · epoch 390. Bibliography from PubMed, PubMed Central and OpenAlex; grants from NIH RePORTER; trial links from ClinicalTrials.gov; estimates, votes and beliefs from the OpenQuestion graph.