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Updated: Sep 11, 2025

A Protocol to Set Up Needle-Free Connector with Positive Displacement on Central Venous Catheter in Intensive Care Unit
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Improving Peripherally Inserted Central Catheter Care in Patients With Pediatric Cancer Via a Medical Alliance

Juan Yao1, Lin Mo2

  • 1Juan Yao.

Clinical Journal of Oncology Nursing
|August 12, 2025
PubMed

Insights

A new medical alliance consortium (MAC) model improved peripherally inserted central catheter (PICC) care for pediatric cancer patients. The MAC network reduced complications and enhanced patient and nurse satisfaction.

Area of Science:

  • Oncology Nursing
  • Pediatric Cancer Care
  • Healthcare Network Models

Background:

  • Established a hospital-community-family network for pediatric cancer patients requiring peripherally inserted central catheter (PICC) management.
  • Enabled families to choose PICC nursing institutions based on location and insurance.
  • PICC family caregiving support during chemotherapy aimed to reduce patient discomfort.

Purpose of the Study:

  • To implement a medical alliance consortium (MAC) model for a PICC care network.
  • To evaluate the effectiveness of this MAC PICC care network in pediatric cancer outpatients in China.

Main Methods:

  • A MAC network was formed, linking a tertiary hospital with 26 regional community hospitals.
  • 180 children with leukemia undergoing PICC placement were randomized into routine care or MAC network care groups.
  • Evaluated nurse satisfaction, patient satisfaction, and patient outcomes.

Main Results:

  • The MAC group experienced significantly fewer complications compared to the control group (p < 0.05).
  • Children in the MAC group demonstrated improved self-management skills.
  • Both patients' families and nurses reported higher satisfaction levels with the MAC model.

Conclusions:

  • The MAC model represents an effective approach to PICC management in pediatric cancer outpatients.
  • This network model enhances patient outcomes, self-management, and satisfaction for families and healthcare providers.
  • The study highlights the benefits of integrated hospital-community care networks in specialized pediatric oncology.
Abstract

Keywords:
medical alliance consortiumpediatric oncologyperipherally inserted central catheter

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