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Challenges in venepuncture skill acquisition and performance: An integrative review
Rajarajeswari Rajasekaran1, Amir Andargoli1, Panneer Ponnusamy1
1Swinburne University of Technology, Melbourne, Australia.
Nurse Education in Practice
|July 9, 2026
Summary
Learners face challenges in mastering venepuncture due to cognitive, technical, and confidence issues. Integrated training models with deliberate practice and simulation are recommended to improve skill transfer and patient safety.
Area of Science:
- Medical Education
- Clinical Skills Training
- Nursing Practice
Background:
- Venepuncture is a core healthcare skill.
- Learners struggle with technical and psychosocial aspects of venepuncture.
- Difficulties impact confidence, patient safety, and skill transfer.
Purpose of the Study:
- To analyze challenges faced by students and novice practitioners in venepuncture.
- To inform improved venepuncture training approaches.
Main Methods:
- Integrative review following Whittemore and Knafl (2005).
- Searched six databases (CINAHL, MEDLINE, Scopus, Web of Science, Embase, ERIC) for studies (2000-2025).
- Included studies on venepuncture learning/performance challenges; appraised quality using JBI tools; synthesized findings narratively.
Main Results:
- Twenty-seven studies met inclusion criteria.
- Identified six domains: cognitive, psychomotor, affective, practice limitations, skill transfer issues, and system constraints.
- Fragmented learning results from inconsistent supervision, variable curricula, and limited deliberate practice.
Conclusions:
- Venepuncture competency involves cognitive, technical, affective, experiential, and organizational factors.
- Recommend integrated training models: structured knowledge, supervised practice, simulation, mentorship, and alignment.
- Strategies aim to boost confidence, enhance skill transfer, and improve patient safety.
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