Observational studyThe journal of vascular access2026
Pilot project aimed at enhancing nursing skills for managing vascular access devices in the oncohematology setting.
Observational study in The journal of vascular access, 2026. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Not yet cited in PubMed.
What it found
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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.
The trial behind it
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Authors and funding
14 authors.
Funding
No grant is acknowledged in the PubMed record.
Abstract
introductionVenous vascular access devices (VAD) provide a safe route for drug administration but are not free from potential complications and failures. Proper training on their management is essential to reduce these events by ensuring staff adherence to current recommendations and guidelines. Correct management is crucial to ensure safe and effective care. However, the growing use of these devices has been accompanied by an increase in related complications.
objectivesTo evaluate the effectiveness of an online training program (FAD) for nursing staff in reducing VAD failures (PICC, MiniMidline, Midline, PORT, and PICC-port) and improving theoretical knowledge of vascular access management. MATERIALS AND
methodsA prospective observational three-phase study was conducted over 14 months (2022-2023) at the Onco-Hematology Department of IRCCS Ospedale Policlinico San Martino, Genoa. A total of 1098 patients undergoing VAD placement were included (532 pre-training and 562 post-training). The primary endpoint was the reduction in device failure, defined as any complication leading to removal. Incidence rates were compared between periods using an adjusted Poisson regression analysis. As a secondary objective, the effect of training on MiniMidline and Midline device performance was evaluated by including the interaction between training and device type in the model. Pre- and post-course test scores were also analyzed.
resultsThe overall failure rate did not show a statistically significant reduction (RR 0.87; 95% CI 0.59-1.26;
conclusionsThe online training program significantly improved nurses' theoretical knowledge and reduced complications related to Midline devices. However, to achieve a broader impact on VAD-associated complications, structured and continuous training programs are needed.
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