https://orcid.org/0000-0001-8369-3970
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ABSTRACT
Background: A vascular access registry is a key strategy proposed to improve patient safety and quality, but its impact will be shaped by the attitudes, experience and resources of end-user stakeholders. This study aimed to examine stakeholders’ perspectives and experiences regarding the feasibility and utility of a standardized platform to collect vascular access data and to identify potential barriers and facilitators of a vascular access clinical quality registry.
Methods: Individual (n = 17) and group (n = 1) semi-structured interviews were conducted between October–December 2018 with directors from various healthcare disciplines and policy makers in Australian healthcare facilities. Interviews were recorded, transcribed and analysed using inductive thematic analysis.
Results: Overall, participants supported the idea of a standardized platform to capture vascular access data. Three main themes were identified: (1) data challenges (sub themes: standardized data capture, data quality and data sharing); (2) staff capability (lack of resources and feeling unsupported); and (3) logistics (resource capacity and implementation challenges).
Conclusion: Stakeholder engagement and universal agreement on standardized vocabulary and data items are vital to registry development, implementation and sustainability. Continuous iterative cycles will be required to reflect upon, review and improve the processes around vascular access data collection using a standardized registry software platform.
Acknowledgements
The authors gratefully acknowledge the clinicians and vascular access specialists who participated in this study. We also thank Associate Professor Amanada Ullman for providing content expertise.
Disclosure statement
No potential conflict of interest was reported by the author(s).
Contributors: JS and CW conceived the study, developed the protocol, completed data collection and analysis, and drafted and revised the final manuscript. MC and CR, conceived the study, developed the protocol, assisted with data analysis and revised and approved the final manuscript. TK, NM and GRB assisted with protocol development and revised and approved the final manuscript.
Jessica Schults reports investigator-initiated research grants from Becton Dickinson unrelated to this project.
Christine Woods reports no conflicts of interest.
Marie Cooke reports investigator-initiated research grants and speaker fees provided to Griffith University by vascular access product manufacturers (Baxter, Becton Dickinson, Entrotech Life Sciences), unrelated to this project.
Tricia Kleidon reports investigator-initiated research grants and speaker fees provided to Griffith University from vascular access product manufacturers (3M, Angiodynamics; Baxter; BBraun; BD-Bard; Cardinal Health; Cook Medical; Medical Specialties Australia; Smiths Medical), unrelated to this project.
Nicole Marsh reports investigator-initiated research grants provided to Griffith University by vascular access product manufacturers Becton Dickinson and Cardinal Health and a consultancy payment provided to Griffith University from Becton Dickinson for clinical feedback related to catheter placement and maintenance (unrelated to the current project).
Gillian Ray-Barruel reports investigator-initiated research grants, speaker fees and consultancy payments provided to Griffith University by product manufacturers (3M, Becton Dickinson, Medline) and education providers (Ausmed, Wolters Kluwer), unrelated to this project.
Claire Rickard reports investigator-initiated research grants and speaker fees provided to Griffith University from vascular access product manufacturers (3M, Angiodynamics; Baxter; BBraun; BD-Bard; Medtronic; ResQDevices; Smiths Medical), unrelated to this project.
Ethical Approval: Ethics approval was obtained from the University Human Research Ethics Committee (GU2019/329/HREC).
Additional information
Notes on contributors
Jessica A. Schults
Ms Jessica Schults is a paediatric critical care nurse and researcher with Griffith University School of Nursing and Midwifery and Queensland Children’s Hospital, Australia.
Christine Woods
Ms Christine Woods is a research manager within the department of anaesthetics at Royal Brisbane and Women’s Hospital, Australia, responsible for project deliverables and research outcomes and a Research Assistant with Griffith University School of Nursing and Midwifery.
Marie Cooke
Dr Marie Cooke is a Professor of Nursing in the SoNM at GU. She also has visiting scholar appointments with a number of tertiary hospitals in SE Queensland. She has extensive experience in research related to vascular access devices, qualitative research and quality and safety projects.
Tricia Kleidon
Ms Tricia Kleidon is a paediatric vascular access nurse practitioner at Queensland Children’s Hospital and research fellow with Griffith University. Tricia is an experienced vascular access clinician involved in insertion and care and maintenance of all vascular access devices and has been involved in various vascular access research projects focused on reducing catheter failure and improving first time insertion success.
Nicole Marsh
Dr Nicole Marsh is the Nursing and Midwifery Director, Research at the Royal Brisbane and Women’s Hospital. The focus of her research has been on improving the insertion and maintenance of peripheral intravenous catheters.
Gillian Ray-Barruel
Dr Gillian Ray-Barruel is a Senior Research Fellow in the School of Nursing and Midwifery at Griffith University and Queen Elizabeth II Jubilee Hospital, Brisbane, Australia. Her research focuses on improving assessment and decision-making by bedside clinicians to prevent patient complications and improve healthcare outcomes.
Claire M. Rickard
Dr Claire Rickard is a Professor of Nursing in the School of Nursing and Midwifery at Griffith University. She is the co-lead of the Alliance for Vascular Access Teaching and Research at Menzies health Institute Queensland, and a Visiting Scholar with a number of Queensland hospitals. She is an expert in the prevention of complications in vascular access devices.