Near-infrared technology for improved PIVC placement: a clinical technology implementation model.

Area of Science:

• Healthcare technology adoption
• Evidence-based practice (EBP) implementation science
• Clinical innovation management

Background:

• Healthcare often faces delays in adopting new practices due to organizational hurdles, widening the evidence-practice gap.
• Peripheral intravenous access (PIV) exemplifies the challenges in translating evidence into routine clinical practice.
• Implementation science provides frameworks to overcome barriers in updating clinical practices and integrating new technologies.

Purpose of the Study:

• To share lessons learned from implementing near-infrared (NIR) technology for evidence-based practice (EBP) in a large US hospital system.
• To present a Clinical Technology Implementation Model (CTIM©) adaptable for other healthcare institutions.
• To equip nurse managers with tools for successful technology implementation aligned with EBP.

Main Methods:

• Review of recent literature on implementation science, change theory, PIV access, NIR technology, and patient outcomes.
• Development of a model based on the practical experience of adopting NIR vein visualization technology.
• Focus on the role of nurse managers in leading technology integration for EBP.

Main Results:

• The study details the process and outcomes of integrating NIR technology to enhance PIV access.
• A practical model (CTIM©) is proposed to guide technology implementation in healthcare settings.
• Identified challenges and facilitators in adopting new clinical technologies.

Conclusions:

• Nurse managers play a pivotal role in driving the adoption of technology to improve patient care.
• Successful implementation of EBP, supported by technology like NIR, can reduce the evidence-practice gap.
• The CTIM© offers a structured approach for healthcare organizations to implement new technologies effectively.