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    A review of the nursing role in central venous cannulation: implications for practice policy and research

    Access Status
    Fulltext not available
    Authors
    Alexandrou, Evan
    Spencer, T.
    Frost, S.
    Parr, M.
    Davidson, Patricia
    Hillman, K.
    Date
    2009
    Type
    Journal Article
    
    Metadata
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    Citation
    Alexandrou, Evan and Spencer, Tim and Frost, Steven and Parr, Michael and Davidson, Patricia and Hillman, Ken. 2009. A review of the nursing role in central venous cannulation: implications for practice policy and research. Journal of Clinical Nursing.
    Source Title
    Journal of Clinical Nursing
    DOI
    10.1111/j.1365-2702.2009.02910.x
    ISSN
    1365-2702
    Faculty
    Faculty of Health Sciences
    Centre for Cardiovascular and Chronic Care
    Nursing and Midwifery Sydney
    URI
    http://hdl.handle.net/20.500.11937/41157
    Collection
    • Curtin Research Publications
    Abstract

    Aims and objectives. The aim of this article is to review published studies about central vein cannulation to identify implications for policy, practice and research in an advanced practice nursing role.Design. Modified integrative literature review.Methods. Searches of the electronic databases: Cumulative Index of Nursing and Allied Health Literature (CINAHL); Medline, Embase, and the World Wide Web were undertaken using MeSH key words. Hand searching for relevant articles was also undertaken. All studies relating to the nurses role inserting central venous cannulae in adult populations met the search criteria and were reviewed by three authors using a critical appraisal tool.Results. Ten studies met the inclusion criteria for the review, all reported data were from the UK. There were disparate models of service delivery and study populations and the studies were predominantly non experimental in design. The results of this review need to be considered within the methodological caveats associated with this approach. The studies identified did not demonstrate differences in rates of adverse events between a specialist nurse and a medical officer.Conclusions. There were only a small number of studies found in the literature review and the limited availability of clinical outcome data precluded formal analysis from being generated.Relevance to clinical practice. Central vein cannulation is potentially an emerging practice area with important considerations for policy practice and research. Training specialist nurses to provide such a service may facilitate standardising of practice and improving surveillance of lines, and possibly improve the training and accreditation process for CVC insertions for junior medical officers. For this to occur, there is a need to undertake well-conducted clinical studies to clearly document the value and efficacy of this advanced practice nursing role.

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