Browsing by Author "Salgueiro-Oliveira, Anabela"
Now showing 1 - 10 of 10
Results Per Page
Sort Options
- Brief report on double-chamber syringes patents and implications for infusion therapy safety and efficiencyPublication . Sousa, Liliana B.; Santos-Costa, Paulo; Marques, Inês A.; Cruz, Arménio; Salgueiro-Oliveira, Anabela; Parreira, PedroThis review aimed to map the existing patents of double-chamber syringes that can be used for intravenous drug administration and catheter flush. A search was conducted in the Google patents database for records published prior to 28 October 2020, using several search terms related to double-chamber syringes (DCS). Study eligibility and data extraction were performed by two independent reviewers. Of the initial 26,110 patents found, 24 were included in this review. The 24 DCS that were found display two or more independent chambers that allow for the administration of multiple solutions. While some of the DCS have designated one of the chambers as the flushing chamber, most patents only allow for the sequential use of the flushing chamber after intravenous drug administration. Most DCS were developed for drug reconstitution, usually with a freeze-dried drug in one chamber. Some patents were designed for safety purposes, with a parallel post-injection safety sheath chamber for enclosing a sharpened needle tip. None of the DCS found allow for a preand post-intravenous drug administration flush. Given the current standards of care in infusion therapy, future devices must allow for the sequential use of the flushing chamber to promote a pre-administration patency assessment and a post-administration device flush.
- Evidence-informed development of a bundle for peripheral intravenous catheterization in Portugal: a delphi consensus studyPublication . Santos-Costa, Paulo; Paiva-Santos, Filipe; Sousa, Liliana B.; Bernardes, Rafael A.; Ventura, Filipa; Salgueiro-Oliveira, Anabela; Parreira, Pedro; Vieira, Margarida; Graveto, JoãoContrary to many international settings, there are no clinical guidelines for peripheral intravenous catheter (PIVC) insertion and maintenance in Portugal. We sought to derive an international consensus on a PIVC bundle that could guide Portuguese nurses’ clinical decision-making in this scope. Methods: Two international vascular access specialist groups participated in an online Delphi panel. During the first round, specialists (n = 7) were sent a summary report from a previous observational study conducted in a surgical ward in Portugal. Based on the report findings, specialists were asked to provide five to eight PIVC insertion and maintenance interventions. Then, another set of specialists (n = 7) scored and revised the recommendations until a consensus was reached (≥70% agreement). The PIVC bundle was made available and discussed with the surgical ward’s nurses. Results: After three rounds, a consensus was achieved for five evidence-informed interventions: (i) involve the person and assess the peripheral venous network; (ii) maintain an aseptic no-touch technique; (iii) ensure proper catheter dressing and fixation; (iv) perform catheter flush & lock; (v) test the peripheral venous catheter’s functionality and performance at each shift. Conclusion: The final version of the PIVC bundle achieved consensus among international experts. Despite the positive feedback provided by the ward nurses, future studies are warranted to assess its effectiveness in standardizing PIVC care delivery and its potential implications for care outcomes in Portuguese clinical settings.
- Improving peripheral venous catheterization-related outcomes in oncology patients: an action research study in PortugalPublication . Santos-Costa, Paulo; Sousa, Liliana B.; Costeira, Cristina; Santos, Filipe; Salgueiro-Oliveira, Anabela; Parreira, Pedro; Vieira, Margarida; Graveto, João
- Nurses' involvement in the development and usability assessment of an innovative peripheral intravenous catheterisation pack: a mix-method studyPublication . Santos-Costa, Paulo; Alves, Mariana; Sousa, Carolina; Sousa, Liliana B.; Paiva-Santos, Filipe; Bernardes, Rafael A.; Ventura, Filipa; Salgueiro-Oliveira, Anabela; Parreira, Pedro; Vieira, Margarida; Graveto, JoãoGuaranteeing peripheral venous access is one of the cornerstones of modern healthcare. Recent evidence shows that the lack of adequate clinical devices can result in the provision of substandard care to patients who require peripheral intravenous catheterization (PIVC). To address this challenge, we aimed to develop a PIVC pack for adult patients and assess the usability of this new device. Methods: Following a mix-method design, the PIVC pack development and usability assessment were performed in two phases with the involvement of its potential end-users (nurses). In phase one (concept and semi-functional prototype assessment), focus group rounds were conducted, and a usability assessment questionnaire was applied at each stage. In phase two (pre-clinical usability assessment), a two-arm crossover randomised controlled trial (PIVC pack versus traditional material) was conducted with nurses in a simulated setting. Final interviews were conducted to further explore the PIVC pack applicability in a real-life clinical setting. Results: High average usability scores were identified in each study phase. During the pre-clinical usability assessment, the PIVC pack significantly reduced procedural time (Z = −2.482, p = 0.013) and avoided omissions while preparing the required material (Z = −1.977, p = 0.048). The participating nurses emphasised the pack’s potential to standardise practices among professionals, improve adherence to infection control recommendations, and enhance stock management. Conclusions: The developed pack appears to be a promising device that can assist healthcare professionals in providing efficient and safe care to patients requiring a PIVC. Future studies in real clinical settings are warranted to test its cost-effectiveness.
- Nurses’ practices in the peripheral intravenous catheterization of adult oncology patients: a mix-method studyPublication . Santos-Costa, Paulo; Paiva-Santos, Filipe; Sousa, Liliana B.; Bernardes, Rafael A.; Ventura, Filipa; Fearnley, William David; Salgueiro-Oliveira, Anabela; Parreira, Pedro; Vieira, Margarida; Graveto, JoãoA significant number of adult oncology patients require at least one peripheral intravenous catheter to fulfill their therapeutic plan. Recent evidence indicates that catheter failure rates are high in this cohort, impacting care outcomes and patient experience during cancer treatment. This reality represents a challenge to nurses worldwide since in most international settings they are responsible for delivering quality care during the insertion and maintenance of such devices. This study aims to explore current nursing practices regarding the insertion, maintenance, and surveillance of peripheral intravenous catheters in oncology patients. A two-phase mix-method study was conducted with the nursing team from the surgical ward of a large oncology hospital in Portugal. In phase one (observational prospective study), nurses’ practices during catheter insertion and maintenance were observed by the research team and recorded using standardized instruments and validated scales. In phase two, three online focus groups were conducted with the nursing team to present the results observed in phase one and explore their perceptions of current practices. All ethical principles were assured throughout the study. Significant divergent practices were observed and identified by the nurses, especially concerning patient involvement, nurses’ adherence to the aseptic, non-touch technique, catheter stabilization and dressing, and catheter flushing and locking. Such practices may partially explain the high complication rate found (26%) and substantiate the need for future intervention in this field.
- Peripheral venipuncture in elderly patients: is near-infrared light technology an option to avoid vein depletion?Publication . Santos-Costa, Paulo; Sousa, Liliana B.; Serambeque, Beatriz; Bernardes, Rafael; Parreira, Pedro; Salgueiro-Oliveira, Anabela; Vieira, Margarida; Graveto, JoãoBackground: Peripheral venipuncture is the minimal invasive procedure most commonly performed in acute settings. However, several publications report that health professionals perform multiple puncture attempts until a successful catheterization or blood draw is achieved. Among the patients most affected by this reality are the elderly patients, who often display a number of factors that increase difficulty. In recent years, several recent technological aids, such as the Near-Infrared Light, have emerged in the medical devices market as potential facilitators of vein selection and puncture. However, while Near-Infrared Light devices are widely studied in pediatric settings, there are no known reviews of its use and applicability with elderly patients. Methods: A scoping review of the literature was conducted following the Joanna Briggs Institute method. Study relevance, data extraction, and synthesis were performed by two independent reviewers. Results: Three studies were included in this review. The use of NIR technology may improve the number of peripheral veins located in elderly patients, as well as reduce hematoma development and patient anxiety before, during and after the procedure. Moreover, one study briefly explored health professionals’ usability and technology acceptance related outcomes. Conclusions: While peripheral venipuncture of elderly patients assisted by NIR devices is still an understudied area, the studies found indicated results favorable to its clinical application. However, such results should be carefully analyzed, since potential bias and lack of larger study samples may prevent the generalization of the results.
- Referenciação para a rede nacional de cuidados integrados: a percepção dos enfermeirosPublication . Fonseca-Teixeira, Susana Alexandra; Parreira, Pedro; Mónico, Lisete; Salgueiro-Oliveira, Anabela; Amado, João CostaObjective: to understand the referral to the National Network of Integrated Continuous Care, from the perspective of nurses who work in this care context. Method: an exploratory and descriptive study with a qualitative approach, with data collection between July and September 2019 through interviews with 12 nurses who work in Integrated Continuous Care Teams, in Northern Portugal. The content analysis technique was used to analyze the statements. Results: the professionals revealed that there are difficulties and constraints in the process of referring users to the National Network of Integrated Continuous Care. The process is bureaucratic, complex, and time-consuming, conditioning user accessibility to timely care. Conclusion: the referral process is a very bureaucratic and time-consuming procedure, which not only conditions and delays users’ access to the National Network of Integrated Continuous Care network, contributing to the worsening of the clinical status of some patients. The number of professionals is insufficient, inducing the demand for services through urgency. The focus on primary care should seek to improve inequalities in access, compete for more equitable and accessible care, generating more quality in health care.
- Referral to the national network of integrated care: the nurses' perceptionPublication . Fonseca-Teixeira, Susana Alexandra; Parreira, Pedro; Mónico, Lisete; Salgueiro-Oliveira, Anabela; Amado, João CostaOBJECTIVE: to understand the referral to the National Network of Integrated Continuous Care, from the perspective of nurses who work in this care context. METHOD: an exploratory and descriptive study with a qualitative approach, with data collection between July and September 2019 through interviews with 12 nurses who work in Integrated Continuous Care Teams, in Northern Portugal. The content analysis technique was used to analyze the statements. RESULTS: the professionals revealed that there are difficulties and constraints in the process of referring users to the National Network of Integrated Continuous Care. The process is bureaucratic, complex, and time-consuming, conditioning user accessibility to timely care. CONCLUSION: the referral process is a very bureaucratic and time-consuming procedure, which not only conditions and delays users' access to the National Network of Integrated Continuous Care network, contributing to the worsening of the clinical status of some patients. The number of professionals is insufficient, inducing the demand for services through urgency. The focus on primary care should seek to improve inequalities in access, compete for more equitable and accessible care, generating more quality in health care.
- Translation and validation of the modified A-DIVA scale to european portuguese: dicult intravenous access scale for adult patientsPublication . Santos-Costa, Paulo; Sousa, Liliana B.; Loon, Fredericus H.J. van; Salgueiro-Oliveira, Anabela; Parreira, Pedro; Vieira, Margarida; Graveto, JoãoAbstract: (1) Background: In Portugal, no accurate and reliable predictive instruments are known that could assist healthcare professionals in recognizing patients with diffcult venous access. Thus, this study aimed to translate and validate the Modified A-DIVA scale to European Portuguese. (2) Methods: A methodological and cross-sectional study was conducted in two phases: translation of the Modified A-DIVA scale to European Portuguese following six stages proposed by Beaton and collaborators, and assessment of its psychometric properties in a non-probability sample of 100 patients who required peripheral intravenous catheterization in a Portuguese hospital. (3) Results: The European version of the Modified A-DIVA scale (A-DM scale) showed excellent inter-rater accordance scores, k = 0.593 (95% CI, 0.847 to 0.970), p < 0.0005. The A-DM scale’s criterion and construct validity was assessed through predictive, convergent, and correlational analysis with variables identified in the literature as associated with diffcult peripheral intravenous access, with moderate to large magnitudes and statistical significance. (4) Conclusions: The A-DM scale is a reliable and valid instrument that can support healthcare professionals and researchers in the early identification of patients at risk of diffcult peripheral intravenous access. Future validation studies are needed to test the A-DM scale’s applicability across clinical settings and in different patient cohorts.
- Translation, cultural adaptation, and validation of the Venous International Assessment Scale to European PortuguesePublication . Santos-Costa, Paulo; Sousa, Liliana B.; de La Torre-Montero, Julio C.; Salgueiro-Oliveira, Anabela; Parreira, Pedro; Vieira, Margarida; Graveto, JoãoBackground: A significant number of adult patients experience difficult peripheral intravenous ac-cess, leading to multiple puncture attempts and venous network depletion. The Venous International Assessment (VIA) Scale is referenced internationally as a reliable instrument that classifies patients’ peripheral intravenous accesses and determines the risk of related complications. Objectives: To translate, culturally adapt and validate the VIA Scale to European Portuguese. Methodology: Study of the translation, cultural adaptation, and evaluation of the psychometric prop-erties of the VIA Scale in a nonprobability sample with 100 patients in need of peripheral intravenous catheterization. Results: The Portuguese version of the VIA Scale (EARV) revealed moderate inter-rater reliability scores (k = 0.490; p < 0.0005). The criterion and construct validity of the EARV were assessed through predictive, convergent, and correlational analysis, with moderate to large magnitudes, and statistical significance. Conclusion: The EARV is a reliable and valid instrument that can assist Portuguese health professionals in determining and categorizing difficult peripheral intravenous access. Further studies are recommended to test the transversal applicability of the scale.