Implementation contexts and strategies for alternative peripherally inserted central catheter material and design...

Area of Science:

• Medical Devices
• Healthcare Implementation Science
• Vascular Access Devices

Background:

• Peripherally inserted central catheters (PICCs) are crucial for long-term vascular access.
• Exploring alternative PICC materials and designs is essential for improving patient outcomes and device longevity.
• Implementation science frameworks are vital for understanding the adoption of new medical technologies.

Purpose of the Study:

• To investigate the contextual factors and strategies influencing the adoption and selection of alternative PICC materials and designs.
• To identify barriers and facilitators for implementing novel PICC technologies in clinical practice.

Main Methods:

• Qualitative evaluation of end-user perspectives within a randomized controlled trial.
• Semi-structured interviews with key stakeholders using an adapted rapid-analytic approach.
• Application of the Consolidated Framework for Implementation Research (CFIR) and Expert Recommendations for Implementing Change (ERIC) tool.

Main Results:

• Dominant themes influencing PICC implementation included intervention characteristics, inner setting, and individual self-efficacy.
• Key strategies for successful adoption involved promoting adaptability, including diverse perspectives, and ensuring adequate funding.
• Implementation contexts significantly impacted PICC success, highlighting barriers and facilitators.

Conclusions:

• While trial evidence is important, local healthcare contexts and resourcing are critical for decision-making regarding PICC materials.
• A practical, strategic toolkit is needed for implementing alternative PICC materials and designs in Australian healthcare settings.