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Patients' experiences of the PICC insertion procedure
Jackie Nicholson1, Louise Davies
1Royal Surrey County Hospital (RSCH) NHS Foundation Trust, Guildford.
Patients undergoing peripherally inserted central catheter (PICC) insertion for chemotherapy experience distinct themes, including pain, anxiety, and expectations. Understanding these patient experiences can improve care during the PICC procedure.
Area of Science:
- Medical Devices
- Patient Experience
- Oncology Nursing
Background:
- Peripherally inserted central catheters (PICCs) are crucial central venous access devices for therapies like chemotherapy.
- Placement is performed by various specialists, with increasing involvement of nurses.
- Limited understanding exists regarding patient perspectives on the PICC insertion process.
Purpose of the Study:
- To explore and identify patient experiences with PICC insertion in a chemotherapy day unit.
- To gather qualitative data on patient feelings and perceptions during the procedure.
Main Methods:
- Semi-structured interviews were conducted with patients recently undergoing PICC insertion.
- Qualitative data analysis was employed to identify emergent themes.
Main Results:
- Five key themes emerged: the context of cancer, patient expectations, pain and anxiety levels, coping strategies, and the quality of explanation received.
- Findings align with existing knowledge but offer new insights into managing patient expectations and anxiety.
- The study highlights the importance of tailored explanations and support for individual coping mechanisms.
Conclusions:
- Patient experiences with PICC insertion are significantly influenced by the cancer context.
- Implications for practice include enhancing patient education, anxiety management, and support for coping strategies.
- Further research with diverse patient populations is recommended to validate these findings.
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