Dataset Information

Development of central venous access device-associated skin impairment assessment instrument.

ABSTRACT:

Aim

To develop an assessment tool to assess the severity and healing of skin impairment with the central venous access device.

Design

Delphi technique.

Methods

The instrument domain list was developed through a systematic literature review and semi-structured interviews. Experts from China evaluated the relevance and significance of these items in assessing the degree of skin impairment surrounding central venous access device sites through two Delphi rounds. The APA Style JARS checklist for this article was used.

Results

For the systematic literature review, 28 articles were included to develop the wound assessment instrument. From the articles and interview contents, 15 criteria were selected based on reporting frequency. After further screening via in-depth discussion, the central venous access devices associated with the skin impairment assessment tool were refined to include 14 major domains. Through a two-phase Delphi process, 71 items in 12 domains were ultimately retained.

SUBMITTER: Liu M

PROVIDER: S-EPMC9190675 | biostudies-literature | 2022 Jul

REPOSITORIES: biostudies-literature

ACCESS DATA

Publications

Development of central venous access device-associated skin impairment assessment instrument.

Liu Min M Zheng Chonghao C Guan Xiangyun X Ke Ziwei Z Zou Ping P Yang Yeqin Y

Nursing open 20220503 4

<h4>Aim</h4>To develop an assessment tool to assess the severity and healing of skin impairment with the central venous access device.<h4>Design</h4>Delphi technique.<h4>Methods</h4>The instrument domain list was developed through a systematic literature review and semi-structured interviews. Experts from China evaluated the relevance and significance of these items in assessing the degree of skin impairment surrounding central venous access device sites through two Delphi rounds. The APA Style ...[more]

PMID: 35502576

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Project description:BackgroundThe objective of this systematic review is to determine the extent and quality of evidence for use of different types of locking fluids to prevent central venous access device complications in adult critical care patients. Specifically, rates of catheter-related bloodstream infection, colonization, and occlusion were considered. All types of devices were included in the review: central venous catheters, peripherally- inserted central catheters and hemodialysis catheters.MethodsEligibility criteria. Papers had to include adult (>18 years old) critical care patients, be experimental trials, conducted in North America and Europe, and published in peer-reviewed journals from 2010 onwards. Information sources. A search of Medline and EMBASE databases was performed. The search is current as of November 28th, 2022. Risk of bias. The Cochrane Risk of Bias 2 and the Risk of Bias In Non-Randomized Studies of Intervention tools were used to assess the risk of bias in included studies.ResultsIncluded studies. A total of 240 paper titles and abstracts underwent review, of these seven studies met the final criteria for quality appraisal. A total of three studies earned a low risk of bias quality appraisal.DiscussionLimitations of evidence. Due to heterogeneity of types of locking fluids investigated and small number of studies identified, meta-analysis of results was not possible. Interpretation. Out of all fluids investigated, only citrate 46.7% was found to statistically reduce central venous access device complication rates. This systematic review has also identified a gap in the literature regarding studies of locking fluids that are adequately powered in this patient population.Future directionsFuture research should include investigations and use of novel locking fluids with more effective properties against complications. It is imperative that future studies are adequately powered, randomized controlled trials in this patient population to facilitate optimal evidence-based care.

Dataset Information

Development of central venous access device-associated skin impairment assessment instrument.

Aim

Design

Methods

Results

Publications

Development of central venous access device-associated skin impairment assessment instrument.

Similar Datasets

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