Evidence map›Paper›PMID 31433769›Full record

ArticleJournal of hospital medicine2019

Barriers to Providing VTE Chemoprophylaxis to Hospitalized Patients: A Nursing-Focused Qualitative Evaluation.

Lindsey Kreutzer, Anthony D Yang, Christina Sansone, Christina Minami, Lily Saadat, Karl Y Bilimoria, Julie K Johnson

Open access · greenAbstract read
In one paragraph

Article in Journal of hospital medicine, 2019. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 5 papers.

0numbers the graph read from it
0cells of the map it votes in
5citing papers in PubMed
0.8field-weighted citation impact, top 24% of its field
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

5 citing papers in PubMed, 8 citations in OpenAlex.

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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

7 authors at 1 institution in 1 country.

Lindsey KreutzerFeinberg School of Medicine, Northwestern University, Chicago, Illinois.
Anthony D YangFeinberg School of Medicine, Northwestern University, Chicago, Illinois.
Christina SansoneFeinberg School of Medicine, Northwestern University, Chicago, Illinois.
Christina MinamiFeinberg School of Medicine, Northwestern University, Chicago, Illinois.
Lily SaadatFeinberg School of Medicine, Northwestern University, Chicago, Illinois.
Karl Y BilimoriaFeinberg School of Medicine, Northwestern University, Chicago, Illinois.
Julie K JohnsonFeinberg School of Medicine, Northwestern University, Chicago, Illinois.
Northwestern University · US

Funding

Evaluating the Implementation of a Multi-Component Quality CollaborativeR01HS024516 · AHRQ · NORTHWESTERN UNIVERSITY AT CHICAGO · PI BILIMORIA, KARL Y · 2016 to 2020
$1.2M
Tailored Adaptation of the AHRQ VTE QI Guide to Local Hospital Context.K08HL145139 · NHLBI · NORTHWESTERN UNIVERSITY AT CHICAGO · PI YANG, ANTHONY D. · 2019 to 2023
$800k
AHRQ HHS R01 HS024516NHLBI NIH HHS K08 HL145139
6 · The paper itself

Abstract

backgroundVenous thromboembolism (VTE) is a serious medical condition that results in preventable morbidity and mortality.

objectivesThe objective of this study was to identify nursing-related barriers to administration of VTE chemoprophylaxis to hospitalized patients.

designThis was a qualitative study including nurses from five inpatient units at one hospital.

methodsObservations were conducted on five units to gain insight into the process for administering chemoprophylaxis. Focus group interviews were conducted with nurses and were audio-recorded, transcribed verbatim, and analyzed using the Theoretical Domains Framework to identify barriers to providing VTE chemoprophylaxis.

resultsWe conducted 14 focus group interviews with nurses from five inpatient units to assess nurses' perceptions of barriers to administration of VTE chemoprophylaxis. The barriers identified included nurses' misconceptions that ambulating patients did not require chemoprophylaxis, nurses' uncertainty when counseling patients on the importance of chemoprophylaxis, and a lack of comparative data for nurses regarding their specific refusal rates.

conclusionsMultiple factors act as barriers to patients receiving VTE chemoprophylaxis. These barriers are often modifiable targets for quality improvement. There is a need to focus on behavior changes that will remove or minimize barriers and equip nurses to ensure administration of VTE chemoprophylaxis by engaging patients in their care.

Indexed as

HospitalizationNursing Staff, HospitalChemopreventionClinical ProtocolsFocus GroupsHumansQualitative ResearchQuality ImprovementTreatment RefusalVenous Thromboembolism

Identifiers

PMID31433769
PMCPMC8787784
OpenAlexW2969562234

What OpenQuestion holds

Textmetadata
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.