Evidence map›Paper›PMID 41018299›Full record

ArticleCureus2025

Impact of Difficult Intravenous Access and Ultrasound-Guided Cannulation Teaching on Healthcare Professionals: A Mixed-Methods, Multi-site Study.

Krishan Nandapalan, Aidan Smallwood, Kathryn Gething, Hugh Alberti

Abstract read
In one paragraph

Article in Cureus, 2025. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 1 paper, 1 of them a synthesis that pooled it.

0numbers the graph read from it
0cells of the map it votes in
1citing papers in PubMed, 1 pooled it
–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

1 citing paper in PubMed, 1 synthesis or guideline pooled it.

  1. Pooled it
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

4 authors.

Krishan NandapalanMedical Education, Newcastle University, Newcastle upon Tyne, GBR.
Aidan SmallwoodAnesthetics, Newcastle upon Tyne Hospitals National Health Service (NHS) Foundation Trust, Newcastle upon Tyne, GBR.
Kathryn GethingPsychology, Newcastle upon Tyne Hospitals National Health Service (NHS) Foundation Trust, Newcastle upon Tyne, GBR.
Hugh AlbertiMedical Education, Newcastle University, Newcastle upon Tyne, GBR.

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

This was a mixed-methods study designed to evaluate the impact that difficult intravenous access situations and ultrasound-guided cannulation teaching have on healthcare professionals (HCPs). Quantitative data were collected from pre- and post-surveys from a multi-site ultrasound-guided cannulation course (n = 252). The difference in self-reported confidence between the surveys was analysed for significance using a complete case analysis, a two-tailed paired samples T-test with a 95% confidence interval. Qualitative data were collected from two semi-structured focus groups with a total of 13 participants and analysed using reflexive thematic analysis. Difficult cannulation situations negatively impact HCPs, causing workflow disruptions and emotions such as guilt, helplessness, and self-doubt. After receiving ultrasound-guided cannulation teaching, course participants felt significantly more confident in their ability to cannulate patients (t = -9.55, p < 0.001), identify peripheral structures using ultrasound (t = -20.51, p < 0.001), and use ultrasound to aid cannulation (t = -32.93, p < 0.001). Focus group participants felt that ultrasound-guided cannulation teaching reduced the negative impact of subsequent difficult cannulation experiences.

Indexed as

emotional impactintravenous cannulationpostgraduate medical educationsimulation trainerultrasound-guided vascular access

Identifiers

PMID41018299
PMCPMC12461417

What OpenQuestion holds

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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.