Peripheral intravenous cannulas for blood drawing: Nurses' views through content analysis |
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| Affiliation: | 1. School of Nursing, Midwifery and Paramedicine, Australian Catholic University, 8-14 Brunswick Street, Fitzroy 3065 Victoria, Australia;2. School of Nursing & Midwifery, Edith Cowan University, 270 Joondalup Drive, Joondalup 6027 Western Australia, Australia;3. University of Newcastle, Widderson St, Port Macquarie, 2444 New South Wales, Australia;4. Bairnsdale Regional Health Service, Day Street, Bairnsdale, Victoria 3075, Australia;1. School of Nursing, Faculty of Science, Medicine & Health, University of Wollongong, Northfields Ave, Wollongong, NSW 2522, Australia;2. Centre for Research in Nursing and Health, Level 1 Research and Education Building, St George Hospital, South Street, Kogarah, NSW 2217, Australia;3. Illawarra Health & Medical Research Institute, Keiraville, Australia;1. Melbourne Ageing Research Collaboration, National Ageing Research Institute, Parkville, VIC, 3052, Australia;2. Melbourne School of Psychological Science, University of Melbourne, Parkville, VIC, 3010, Australia;3. Department of Geriatric Medicine, Austin Health, Heidelberg, VIC, 3084, Australia;1. School of Nursing and Midwifery, Edith Cowan University, 270 Joondalup Dr, Joondalup, WA, 6027, Australia;2. Sir Charles Gairdner Hospital, Centre for Nursing Research, Hospital Ave, Nedlands, WA 6009, Australia;3. Institute for Health Research, The University of Notre Dame Australia, 32 Mouat St, Fremantle, WA, 6160, Australia;4. School of Medical and Health Sciences, Edith Cowan University, 270 Joondalup Dr, Joondalup, WA, 6027, Australia;1. School of Nursing and Midwifery, Monash University, Melbourne, Australia;2. School of Nursing and Midwifery, University of South Australia, Adelaide, Ausralia |
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| Abstract: | BackgroundPeripheral intravenous cannulas are commonly used for blood sampling. Conflicting evidence on the safety and reliability of blood sampling from peripheral intravenous cannulas provides little support to guide practice of clinicians.AimTo elicit views of nurses working in acute care of their opinions on the safety and efficacy of obtaining blood samples from peripheral intravenous cannulas.MethodsA cross-sectional electronic survey was utilised. Participants included nurses working in Australian acute care services nationally. The STROBE checklist was followed. The survey was distributed by two professional nursing bodies to their members between September and December 2017. Content analysis was used to analyse open-ended responses.FindingsOf the 338 participants who completed the survey, 269 provided comments. Themes supporting the use of peripheral intravenous cannulas for blood sampling included ‘efficiency’, ‘patient care’, ‘last resort’, and ‘other’. Reasons for not using a peripheral intravenous cannula for sampling provided themes of ‘PIVC use’, ‘dwell time’, ‘test type required’, ‘patency/insertion site care’, ‘preference’, and ‘other’.DiscussionThe choice regarding method of blood sampling is left to the discretion of individual practitioners. Diverse rationales were provided by respondents to support their practice in sampling blood. This may be influenced by variations in hospital policies and conflicting research evidence to support or refute the practice.ConclusionBlood sampling from peripheral intravenous cannulas or venepuncture is practiced differently between nurses based on multiple rationales. Research is needed to provide evidence for safe practice and support hospital policies. |
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