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Challenges for Nurses Caring for Individuals with Peripherally Inserted Central Catheters in Skilled Nursing
Molly Harrod1, Ana Montoya2,3, Lona Mody2,3
1Center for Clinical Management Research, VA Ann Arbor Health Care System, Ann Arbor, Michigan.
Journal of the American Geriatrics Society
|September 8, 2016
Summary
Frontline nurses and SNF staff need better training and resources for peripherally inserted central catheter (PICC) care. Improved communication during care transitions is crucial for enhancing patient safety and quality of life.
Area of Science:
- Healthcare quality improvement
- Nursing practice
- Geriatric care
Background:
- Skilled nursing facilities (SNFs) face challenges in managing patients with peripherally inserted central catheters (PICCs).
- Assessing the preparedness of SNF staff for PICC care is essential for patient safety.
Purpose of the Study:
- To evaluate the perceived preparedness of frontline nurses, nurse managers, and SNF administrators in providing PICC care.
- To identify barriers and facilitators to effective PICC management in SNFs.
Main Methods:
- An exploratory, qualitative pilot study was conducted in two SNFs.
- Data collection involved observations, informal interviews, focus groups, and semistructured interviews over 36 weeks.
- Participants included residents with PICCs, frontline nurses (RNs, LPNs), unit nurse managers, and SNF administrators.
Main Results:
- Observed documentation inconsistencies and discrepancies between resident and nurse-reported concerns.
- Identified communication gaps between hospitals and SNFs regarding PICC care details.
- Highlighted inadequate training, limited resources, and insufficient information during care transitions as key barriers.
Conclusions:
- PICC care practices in SNFs require improvement.
- Multimodal strategies including enhanced staff education, better information exchange, and increased resource availability are necessary.
- These interventions are vital for improving PICC care and patient safety in SNF settings.
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