Related Experiment Video
Updated: Feb 13, 2026
07:47
The Supraclavicular Fossa Ultrasound View for Central Venous Catheter Placement and Catheter Change Over Guidewire
Published on: December 23, 2014
20.2K
Barriers and Facilitators to Central Venous Catheter Insertion: A Qualitative Study
Kenzie A Cameron1, Elaine R Cohen1, Joelle R Hertz2
1From the Department of Medicine, Northwestern University Feinberg School of Medicine, Chicago, Illinois.
Journal of Patient Safety
|March 16, 2018
Summary
Simulation-Based Mastery Learning (SBML) programs can improve central venous catheter (CVC) insertion by addressing provider barriers and leveraging facilitators. Enhancing SBML with explicit nurse involvement can boost team efficiency and safety.
Area of Science:
- Medical Education
- Patient Safety
- Surgical Skills Training
Background:
- Central venous catheter (CVC) insertion is a critical medical procedure.
- Identifying barriers and facilitators to CVC insertion is essential for improving training and patient outcomes.
- Simulation-Based Mastery Learning (SBML) offers a structured approach to skill acquisition.
Purpose of the Study:
- To identify perceived barriers and facilitators to CVC insertion among healthcare providers.
- To assess the extent to which an existing SBML program addresses these barriers and leverages facilitators.
- To inform improvements in CVC insertion training and practice.
Main Methods:
- Semistructured interviews were conducted with 28 providers and nurse managers at six Veterans Administration Medical Centers.
- Grounded theory and constant comparative methods were used to analyze interview transcripts.
- Identified barriers and facilitators were mapped to an existing SBML curriculum.
Main Results:
- Five overarching barriers to CVC insertion were identified: equipment, personnel, setting/organizational context, patient/provider factors, and time.
- Three overarching facilitators emerged: equipment, personnel, and setting/organizational context.
- The SBML curriculum addressed most barriers and leveraged many facilitators, with potential for improvement through explicit nurse involvement.
Conclusions:
- SBML programs can effectively address barriers and amplify facilitators in CVC insertion.
- Integrating nurse contributions more explicitly into SBML can enhance team efficiency and safety culture.
- Practice and mastery of CVC insertion skills through SBML are key to improving procedural competence.
More Related Videos
09:57A Protocol to Set Up Needle-Free Connector with Positive Displacement on Central Venous Catheter in Intensive Care Unit
Published on: July 13, 2019
13.8K
09:17Use of a Central Venous Line for Fluids, Drugs and Nutrient Administration in a Mouse Model of Critical Illness
Published on: May 2, 2017
9.4K
Related Concept Videos
03:46Qualitative Analysis
24.9K
For solutions containing mixtures of different cations, the identity of each cation can be determined by qualitative analysis. This technique involves a series of selective precipitations with different chemical reagents, each reaction producing a characteristic precipitate for a specific group of cations. Metal ions within a group are further separated by varying the pH, heating the mixture to redissolve a precipitate, or adding other reagents to form complex ions.
For instance, group IV...
For instance, group IV...
24.9K
01:10Qualitative Analysis
1.5K
Qualitative analysis is the process of identifying elements, ions, or compounds in an unknown sample. It is the first and most fundamental type of analysis based on the hierarchy of analytical goals. This hierarchy is significant as it provides a structured approach to scientific research, with qualitative analysis serving as the initial step, providing essential information before moving on to quantitative or other forms of analysis.
There are two main approaches to qualitative analysis:...
There are two main approaches to qualitative analysis:...
1.5K
01:19Facilitated Transport
151.4K
The chemical and physical properties of plasma membranes cause them to be selectively permeable. Since plasma membranes have both hydrophobic and hydrophilic regions, substances need to be able to transverse both regions. The hydrophobic area of membranes repels substances such as charged ions. Therefore, such substances need special membrane proteins to cross a membrane successfully. In facilitated transport, also known as facilitated diffusion, molecules and ions travel across a...
151.4K
01:19Facilitated Transport
18.8K
The chemical and physical properties of plasma membranes cause them to be selectively permeable. Since plasma membranes have both hydrophobic and hydrophilic regions, substances need to be able to transverse both regions. The hydrophobic area of membranes repels substances such as charged ions. Therefore, such substances need special membrane proteins to cross a membrane successfully. In facilitated transport, also known as facilitated diffusion, molecules and ions travel across a...
18.8K
01:04Social Facilitation
36.6K
Not all intergroup interactions lead to negative outcomes. Sometimes, being in a group situation can improve performance. Social facilitation occurs when an individual performs better when an audience is watching than when the individual performs the behavior alone. This typically occurs when people are performing a task for which they are skilled.
36.6K
01:20Venous Thrombosis II: Clinical Manifestations and Diagnostic Studies
354
The key difference between Superficial Vein Thrombosis (SVT) and Deep Vein Thrombosis (DVT) lies in their location and severity.Clinical ManifestationsSVT typically presents with localized pain, tenderness, and redness along the course of a superficial vein, often accompanied by a palpable, cord-like structure under the skin. This condition is usually less dangerous than DVT but can be uncomfortable and may lead to complications such as cellulitis or, rarely, a clot extension into the deep...
354