ArticlePloS one2022
Peripheral intravenous catheter insertion and use of ultrasound in patients with difficult intravenous access: Australian patient and practitioner perspectives to inform future implementation strategies.
Article in PloS one, 2022. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 12 papers, 2 of them syntheses that pooled it.
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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.
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Who cites it
12 citing papers in PubMed, 2 syntheses or guidelines pooled it.
- Pooled it
- Review article: Peripheral intravenous catheter insertion in adult patients with difficult intravenous access: A systematic review of assessment instruments, clinical practice guidelines and escalation pathways.Emergency medicine Australasia : EMA · 2022Pooled it
- Central venous versus short midline catheter in difficult intravenous access patients: a randomised clinical pilot trial.BMJ open · 2026Trial
- Procedural and Therapy Peripheral Intravenous Catheters: A Framework for Safety, Quality and Patient-Centred Care.Journal of advanced nursing · 2026Review
- Vein depth and diameter as predictive indicators of visibility and palpability during venipuncture in healthy volunteers.PloS one · 2025Article
- Abandonment of paediatric peripheral intravenous catheter insertion in the emergency department: A retrospective cohort study.Journal of paediatrics and child health · 2024Article
- Article
- Risk factors for arterial catheter failure and complications during critical care hospitalisation: a secondary analysis of a multisite, randomised trial.Journal of intensive care · 2024Article
- A survey of paediatric difficult peripheral intravenous access in the emergency department and use of point-of-care ultrasound.Australasian journal of ultrasound in medicine · 2023Article
- Improving difficult peripheral intravenous access requires thought, training and technology (DARTBMC health services research · 2023Article
- Bridging the Gap in Traditional PIVC Placement: An Evaluation of Operation STICK Vascular Access Outcomes.Therapeutics and clinical risk management · 2023Article
- Peripheral vascular catheter use in Latin America (the vascular study): A multinational cross-sectional study.Frontiers in medicine · 2022Article
Corrections and comments
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Authors and funding
13 authors.
Funding
No grant is acknowledged in the PubMed record.
Abstract
objectiveTo understand healthcare worker and patient experience with peripheral intravenous catheter (PIVC) insertion in patients with difficult intravenous access (DIVA) including the use of ultrasound (US).
methodsDescriptive study using 1-on-1 semi-structured interviews conducted between August 2020 and January 2021. Purposeful sampling was used to recruit healthcare practitioners (HCPs) and patients with DIVA who had PIVC experience. Data were analysed using inductive thematic analysis. Interview data were than mapped to the implementation theory Behaviour Change Wheel to inform implementation strategies.
resultsIn total 78 interviews (13 patients; 65 HCPs) were completed with respondents from metropolitan (60%), regional (25%) and rural/remote (15%) settings across Australia. Thematic analysis revealed 4 major themes: i) Harmful patient experiences persist, with patient insights not leveraged to effect change; ii) 'Escalation' is just a word on the front lines; iii) Heightened risk of insertion failure without resources and training; and iv) Paving the way forward-'measures need to be in place to prevent failed insertion attempts. Themes were mapped to the behaviour change wheel and implementation strategies developed, these included: staff education, e-health record for DIVA identification, DIVA standard of care and DIVA guidelines to support escalation and ultrasound use. CONCLUSION(S): DIVA patients continue to have poor healthcare experiences with PIVC insertion. There is poor standardisation of DIVA assessment, escalation, US use and clinician education across hospitals. Quality, safety, and education improvement opportunities exist to improve the patient with DIVA experience and prevent traumatic insertions. We identified a number of implementation strategies to support future ultrasound and DIVA pathway implementation.
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