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ED clinicians’ insertion experience with a new vascular access device – a qualitative study

Tracks
Concurrent Stream 2
Friday, October 18, 2024
12:00 PM - 12:20 PM
Tuscan Room

Overview

Hui (Grace) Xu


Speaker

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Dr Hui (Grace) Xu
Research Fellow; Nurse Practitioner
Emergency Department, QEII Hospital

ED clinicians’ insertion experience with a new vascular access device – a qualitative study

12:00 PM - 12:20 PM

Abstract

Background: Peripheral intravenous catheter (PIVC) insertion is a core clinical practice in emergency departments (EDs). However, a quarter of ED patients have difficult intravenous access (DIVA) and over half require multiple insertions.
Aim: To explore clinicians’ experience with the insertion of a new guidewire PIVC introduced in the ED setting.
Method: A qualitative study was conducted along a randomised controlled trial (RCT) at two EDs in Australia. Inserters were interviewed using semi-structured interviews regarding their experience of insertion with the new device. Inductive content analysis was used to analyse the qualitative data.
Results: Ten participants (ED doctors and nurses) were interviewed. Five key themes include diverse experience, barriers related to the learning process, factors influencing insertion success, and recommendations to enhance clinicians’ acceptance.
Conclusion: ED nurses and doctors prefer simplicity, safety, and familiarity when it comes to new devices. Several strategies could be implemented to facilitate the successful adoption of new devices in ED settings.

Biography

Dr Grace (Hui) Xu is a Nurse Practitioner at QEII Hospital Emergency Department and an Implementation Science Research Fellow at the Queensland University of Technology. As a Clinician-Researcher, Grace is dedicated to the core belief that patients in emergency departments should receive medical treatment without any associated harm. Her work focuses on advocating and promoting evidence-based practices in patient care, with a particular emphasis on optimising insertions and preventing complications associated with vascular access devices in emergency settings.
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