Venous pathway selection decision in tumor patients:an evidence review
TANG Shuhui
QIAN Huohong
CAO Jie
CHEN Jiayun
ZHOU Ruzhen
Abstract：Objective:To develop a review index for the assessment and selection of intravenous access for oncology patients based on an evidence-based approach,and to conduct a clinical review.Barriers and facilitators were further analyzed to provide references for standardized management of clinical venous access selection.Methods:The best evidence was developed based on an evidence-based approach,and review indicators were developed and reviewed among 164 oncology patients and 168 healthcare professionals in our hospital.The i-PARIHS framework was used to analyze the barriers and facilitators and to develop appropriate responses.Results:A total of 26 pieces of best evidence were summarized and 16 review indicators were developed.Evidence was reviewed in 164 tumor patients,there were 7 indicators with adherence＜60％;62.20％of patients had decision-making conflicts,and 46.34％of patients had delayed decision-making status.Conclusion:Clinical training related to the assessment and selection of intravenous access should be increased,the selection process of intravenous access should be optimized,the elements of assessment and selection should be refined,and the quality control supervision of the selection process of intravenous access should be increased.We should optimize the patient follow-up system,build an information system for decision-making assistance,and promote the clinical translation of evidence.
Keywords：tumorvascular pathwaysevaluationevidence-based nursingclinical practiceobstacle factorspromoting factorsevidence review
Publication Date：2024-08-31
Online Publishing Date：2025-08-15(First online date of this platform, not the publication date of the document)
Pages：6( 2857-2862 )