Pub Date : 2025-09-01Epub Date: 2025-02-15DOI: 10.1016/j.enfcle.2025.102154
Şahika Şimşek Çetinkaya, Canan Kaş, Demet Güney
Objective
The aim of this study was to investigate relation between ethnocentrism, professional attitudes and moral sensitivity of midwives and nurses working in Turkey using linear regression model.
Method
A descriptive and cross-sectional and correlational study was adopted. Data were collected online between 20/10/2023–25/12/2023. The study was completed with total of 400 nurses and midwives. Data were collected through a personal information form, the Generalised Ethnocentrism Scale (GENE), the Moral Sensitivity Questionnaire (MSQ) and Inventory of Professional Attitude at Occupation (IPAO).
Results
Nurses’ and midwives’ ethnocentric attitudes were high and their professional and moral sensitivity was moderate. A negative and statistically significant relationship was found between GENE and MSQ (r = −0.150 and p < 0.05). Moreover, it is concluded that ethnocentrism and professional attitudes have a negative effect on the moral sensitivity of nurses and midwives.
Conclusions
Based on these results, interventions aimed at improving the ethnocentric and professional attitudes of nurses and midwives will also contribute to improve their moral sensitivity.
{"title":"Effect of ethnocentrism and professional attitudes on moral sensitivity in midwives and nurses: A web-based cross-sectional and correlational study","authors":"Şahika Şimşek Çetinkaya, Canan Kaş, Demet Güney","doi":"10.1016/j.enfcle.2025.102154","DOIUrl":"10.1016/j.enfcle.2025.102154","url":null,"abstract":"<div><h3>Objective</h3><div>The aim of this study was to investigate relation between ethnocentrism, professional attitudes and moral sensitivity of midwives and nurses working in Turkey using linear regression model.</div></div><div><h3>Method</h3><div>A descriptive and cross-sectional and correlational study was adopted. Data were collected online between 20/10/2023–25/12/2023. The study was completed with total of 400 nurses and midwives. Data were collected through a personal information form, the Generalised Ethnocentrism Scale (GENE), the Moral Sensitivity Questionnaire (MSQ) and Inventory of Professional Attitude at Occupation (IPAO).</div></div><div><h3>Results</h3><div>Nurses’ and midwives’ ethnocentric attitudes were high and their professional and moral sensitivity was moderate. A negative and statistically significant relationship was found between GENE and MSQ (r<!--> <!-->=<!--> <!-->−0.150 and <em>p</em> <!--><<!--> <!-->0.05). Moreover, it is concluded that ethnocentrism and professional attitudes have a negative effect on the moral sensitivity of nurses and midwives.</div></div><div><h3>Conclusions</h3><div>Based on these results, interventions aimed at improving the ethnocentric and professional attitudes of nurses and midwives will also contribute to improve their moral sensitivity.</div></div>","PeriodicalId":72917,"journal":{"name":"Enfermeria clinica (English Edition)","volume":"35 5","pages":"Article 102154"},"PeriodicalIF":0.0,"publicationDate":"2025-09-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143442903","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
Pub Date : 2025-09-01Epub Date: 2025-09-30DOI: 10.1016/j.enfcle.2025.502365
Azucena Pedraz Marcos
{"title":"Patient and public involvement in nursing research: From theory to practice","authors":"Azucena Pedraz Marcos","doi":"10.1016/j.enfcle.2025.502365","DOIUrl":"10.1016/j.enfcle.2025.502365","url":null,"abstract":"","PeriodicalId":72917,"journal":{"name":"Enfermeria clinica (English Edition)","volume":"35 5","pages":"Article 502365"},"PeriodicalIF":0.0,"publicationDate":"2025-09-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"145183881","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
Pub Date : 2025-09-01Epub Date: 2025-04-25DOI: 10.1016/j.enfcle.2025.502164
Mónica Regalado Chamorro , Aldo Medina Gamero
{"title":"Mental health in nurses: Challenges and opportunities in the post-pandemic context","authors":"Mónica Regalado Chamorro , Aldo Medina Gamero","doi":"10.1016/j.enfcle.2025.502164","DOIUrl":"10.1016/j.enfcle.2025.502164","url":null,"abstract":"","PeriodicalId":72917,"journal":{"name":"Enfermeria clinica (English Edition)","volume":"35 5","pages":"Article 502164"},"PeriodicalIF":0.0,"publicationDate":"2025-09-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144057967","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
Pub Date : 2025-09-01Epub Date: 2025-04-23DOI: 10.1016/j.enfcle.2025.502189
Marta Sánchez-Zaballos , David Zuazua-Rico , Lucía Alonso-Méndez , Yolanda Queipo-Herías , María Pilar Mosteiro-Díaz , Alba Maestro-González
Objective
To analyse the attitude of health professionals towards influenza vaccination before and during the COVID-19 pandemic, as well as to identify differences between them and with respect to sociodemographic and occupational variables.
Methods
Cross-sectional descriptive study comparing the results of the 2017−2018 and 2020−2021 influenza vaccination campaigns. Sociodemographic, occupational, and vaccination-related variables were collected. A descriptive and bivariate analysis were performed, as well as a binary logistic regression model.
Results
A total of 973 health professionals participated, with an average age of 41,13 (SD 11,16), showing a higher prevalence of vaccination during the 2020−2021 season (OR = 1,04; IC 95% 1,03−1,05; P < ,001). The percentage of men who were vaccinated was higher in the 2020−2021 campaign (P = .02), in which a greater number of professionals with a non-stable contract (P < .001) and lower mean age (P = .03) were also vaccinated. There were multiple statistical differences when comparing the reasons for accepting or refusing the vaccine, with more people being more likely to be vaccinated during the pandemic if there was a favourable atmosphere in the work or family environment (P < .001).
Conclusions
Health professionals’ attitude towards influenza vaccination during the COVID-19 pandemic showed better results than the previous campaign, with a higher number of professionals vaccinated and a better perception of immunisation. Differences were also found between the campaigns and socio-demographic variables (sex, age, and type of employment contract).
{"title":"Changes in the attitude of health care professionals towards influenza vaccination after the COVID-19 pandemic","authors":"Marta Sánchez-Zaballos , David Zuazua-Rico , Lucía Alonso-Méndez , Yolanda Queipo-Herías , María Pilar Mosteiro-Díaz , Alba Maestro-González","doi":"10.1016/j.enfcle.2025.502189","DOIUrl":"10.1016/j.enfcle.2025.502189","url":null,"abstract":"<div><h3>Objective</h3><div>To analyse the attitude of health professionals towards influenza vaccination before and during the COVID-19 pandemic, as well as to identify differences between them and with respect to sociodemographic and occupational variables.</div></div><div><h3>Methods</h3><div>Cross-sectional descriptive study<span><span> comparing the results of the 2017−2018 and 2020−2021 influenza vaccination<span> campaigns. Sociodemographic, occupational, and vaccination-related variables were collected. A descriptive and bivariate analysis were performed, as well as a binary </span></span>logistic regression model.</span></div></div><div><h3>Results</h3><div>A total of 973 health professionals participated, with an average age of 41,13 (SD 11,16), showing a higher prevalence of vaccination during the 2020−2021 season (OR<!--> <!-->=<!--> <!-->1,04; IC 95% 1,03−1,05; <em>P</em> <!--><<!--> <!-->,001). The percentage of men who were vaccinated was higher in the 2020−2021 campaign (<em>P</em> <!-->=<!--> <!-->.02), in which a greater number of professionals with a non-stable contract (<em>P</em> <!--><<!--> <!-->.001) and lower mean age (<em>P</em> <!-->=<!--> <!-->.03) were also vaccinated. There were multiple statistical differences when comparing the reasons for accepting or refusing the vaccine, with more people being more likely to be vaccinated during the pandemic if there was a favourable atmosphere in the work or family environment (<em>P</em> <!--><<!--> <!-->.001).</div></div><div><h3>Conclusions</h3><div>Health professionals’ attitude towards influenza vaccination during the COVID-19 pandemic showed better results than the previous campaign, with a higher number of professionals vaccinated and a better perception of immunisation. Differences were also found between the campaigns and socio-demographic variables (sex, age, and type of employment contract).</div></div>","PeriodicalId":72917,"journal":{"name":"Enfermeria clinica (English Edition)","volume":"35 5","pages":"Article 502189"},"PeriodicalIF":0.0,"publicationDate":"2025-09-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144000748","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
Pub Date : 2025-09-01Epub Date: 2025-09-09DOI: 10.1016/j.enfcle.2025.502305
Ana María Porcel-Gálvez , José Miguel Morales-Asencio
The nurse-to-patient ratio planning presents a global challenge in healthcare systems, with significant disparities across countries. It is a widely studied phenomenon, yet methodological and conceptual gaps persist. In Spain, the nurse-to-1000-inhabitant ratio (6.2) remains below the OECD average (8.8), resulting in an estimated shortage of 100,000 nurses. This issue is exacerbated by political decisions influenced by economic, cultural, and organisational factors.
This work aims to review existing methodological approaches for determining nurse staffing levels, identifying their strengths, limitations, and potential improvements to ensure the efficient and safe allocation of resources.
Five methodological approaches are analysed: expert judgement, distribution-based methods, time measurement, correlation between staffing levels and adverse events, and stratification by patient complexity. National and international data are compared, and their impact on safety, efficiency, and costs is assessed.
The study confirms that higher nurse staffing levels reduce mortality and adverse events. Models based on patient complexity, such as INICIARE, provide a more precise and adaptable approach.
In conclusion, nurse staffing planning should be based on a model that stratifies patient complexity levels according to care dependency while minimising institutional variability. It should be linked to clinical outcomes, patient safety, staff competencies, and workforce stability. Additionally, research should extend to primary and social care settings, where evidence remains limited.
{"title":"Methodological approaches to nurse-to-patient ratio planning in healthcare systems: What we know and what remains to be known","authors":"Ana María Porcel-Gálvez , José Miguel Morales-Asencio","doi":"10.1016/j.enfcle.2025.502305","DOIUrl":"10.1016/j.enfcle.2025.502305","url":null,"abstract":"<div><div>The nurse-to-patient ratio planning presents a global challenge in healthcare systems, with significant disparities across countries. It is a widely studied phenomenon, yet methodological and conceptual gaps persist. In Spain, the nurse-to-1000-inhabitant ratio (6.2) remains below the OECD average (8.8), resulting in an estimated shortage of 100,000 nurses. This issue is exacerbated by political decisions influenced by economic, cultural, and organisational factors.</div><div>This work aims to review existing methodological approaches for determining nurse staffing levels, identifying their strengths, limitations, and potential improvements to ensure the efficient and safe allocation of resources.</div><div>Five methodological approaches are analysed: expert judgement, distribution-based methods, time measurement, correlation between staffing levels and adverse events, and stratification by patient complexity. National and international data are compared, and their impact on safety, efficiency, and costs is assessed.</div><div>The study confirms that higher nurse staffing levels reduce mortality and adverse events. Models based on patient complexity, such as INICIARE, provide a more precise and adaptable approach.</div><div>In conclusion, nurse staffing planning should be based on a model that stratifies patient complexity levels according to care dependency while minimising institutional variability. It should be linked to clinical outcomes, patient safety, staff competencies, and workforce stability. Additionally, research should extend to primary and social care settings, where evidence remains limited.</div></div>","PeriodicalId":72917,"journal":{"name":"Enfermeria clinica (English Edition)","volume":"35 5","pages":"Article 502305"},"PeriodicalIF":0.0,"publicationDate":"2025-09-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"145042439","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
The issue of quality of life and its relationship with learning motivation is very important in different sections of the society, especially people who have special physical, mental and psychological conditions. The aim of this study was to determine the status of the health-related quality of life and its relationship with students' learning motivation during the Covid-19 era.
Methods
In this cross-sectional descriptive analytical study, 63 students of Chabahar nursing faculty participated in the study. Data collection tools were demographic information, SF-36 health related quality of life questionnaire and learning motivation questionnaire. Data analysis was done in SPSS version 16 statistical software. Descriptive (mean, standard deviation, and percentage) and analytical (Spearman, Mann-Whitney, and Kruskal-Wallis tests) tests were used to analyze the data.
Results
The physical function subscale related to physical health had a significant relationship with all the mental health subscales (role disruption due to emotional health (r = 0.4, P = .001), energy/fatigue (r = 0.3, P = .013), emotional well-being (r = 0.3, P = .019), social functioning (r = 0.2, P = .05)) and learning motivation (r = 0.3, P = .029) in the students participating in the study. There was no significant relationship between learning motivation and general physical health (r = 0.2, P = .113).
Conclusion
The findings of the present study showed that there is a strong and significant relationship between students' mental health and their motivation to learn. In this way, increasing students' mental health has a positive effect on their motivation to learn. Therefore, in order to increase the motivation to learn among students, providing special care in the field of mental health can be useful for this group and provide a basis for improving their quality of life.
{"title":"Investigating the relationship between the health-related quality of life and learning motivation of nursing students in the era of covid-19: A cross-sectional study","authors":"Fatemeh Dadashzadeh , Tayebeh Samieizadeh-toosi , Hosein Hoseini , Mohammad Saeed Jadgal , Khaled Badpa","doi":"10.1016/j.enfcle.2025.502192","DOIUrl":"10.1016/j.enfcle.2025.502192","url":null,"abstract":"<div><h3>Introduction and objective</h3><div>The issue of quality of life and its relationship with learning motivation is very important in different sections of the society, especially people who have special physical, mental and psychological conditions. The aim of this study was to determine the status of the health-related quality of life and its relationship with students' learning motivation during the Covid-19 era.</div></div><div><h3>Methods</h3><div>In this cross-sectional descriptive analytical study, 63 students of Chabahar nursing faculty participated in the study. Data collection tools were demographic information, SF-36 health related quality of life questionnaire and learning motivation questionnaire. Data analysis was done in SPSS version 16 statistical software. Descriptive (mean, standard deviation, and percentage) and analytical (Spearman, Mann-Whitney, and Kruskal-Wallis tests) tests were used to analyze the data.</div></div><div><h3>Results</h3><div><span>The physical function subscale related to physical health had a significant relationship with all the mental health subscales (role disruption due to emotional health (r</span> <!-->=<!--> <!-->0.4, <em>P</em> <!-->=<!--> <!-->.001), energy/fatigue (r<!--> <!-->=<!--> <!-->0.3, <em>P</em> <!-->=<!--> <!-->.013), emotional well-being (r<!--> <!-->=<!--> <!-->0.3, <em>P</em> <!-->=<!--> <!-->.019), social functioning (r<!--> <!-->=<!--> <!-->0.2, <em>P</em> <!-->=<!--> <!-->.05)) and learning motivation (r<!--> <!-->=<!--> <!-->0.3, <em>P</em> <!-->=<!--> <!-->.029) in the students participating in the study. There was no significant relationship between learning motivation and general physical health (r<!--> <!-->=<!--> <!-->0.2, <em>P</em> <!-->=<!--> <!-->.113).</div></div><div><h3>Conclusion</h3><div>The findings of the present study showed that there is a strong and significant relationship between students' mental health and their motivation to learn. In this way, increasing students' mental health has a positive effect on their motivation to learn. Therefore, in order to increase the motivation to learn among students, providing special care in the field of mental health can be useful for this group and provide a basis for improving their quality of life.</div></div>","PeriodicalId":72917,"journal":{"name":"Enfermeria clinica (English Edition)","volume":"35 5","pages":"Article 502192"},"PeriodicalIF":0.0,"publicationDate":"2025-09-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144060730","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
Pub Date : 2025-09-01Epub Date: 2025-05-22DOI: 10.1016/j.enfcle.2025.502200
Ana Magdalena Vargas-Martínez , Daniel Guillén-Martínez , Tamara Domingo Pérez , Alba Soilán Enríquez , José Antonio Zafra-Agea , Itziar Hoyos Cillero , Marta Lima-Serrano , Lorena Tarriño-Concejero
Aim
To analyse the managerial function of school nurses in Spain.
Method
A cross-sectional descriptive study with a sample of 376 school nurses from non-university public, private, and charter educational centres, as well as special education centres nationwide. Data collection was conducted through a self-administered and anonymous questionnaire designed by experts in school nursing, carried out from March to June 2023 via an online platform.
Results
The managerial function of school nurses in Spain is evident in their interaction with both educational and healthcare domains. The results underscore the importance of intersectoral collaboration. 96.28% of nurses maintain clinical records. The integration of school nurses into primary care is significantly associated with the service that employs the nurse, contract type, contractual situation, type of educational centre, and membership in rural or socially transformative areas.
Conclusions
School nurses play a crucial role in promoting a healthy and safe educational environment. Clinical data recording is essential for monitoring and ensuring care quality. The data highlight the need to implement policies that provide legal assurance for the activities of school nurses and ensure safety for students and the entire educational community.
{"title":"Analysis of the management function of the school nurse in Spain: use of records and interaction with primary care, the educational community and other institutions","authors":"Ana Magdalena Vargas-Martínez , Daniel Guillén-Martínez , Tamara Domingo Pérez , Alba Soilán Enríquez , José Antonio Zafra-Agea , Itziar Hoyos Cillero , Marta Lima-Serrano , Lorena Tarriño-Concejero","doi":"10.1016/j.enfcle.2025.502200","DOIUrl":"10.1016/j.enfcle.2025.502200","url":null,"abstract":"<div><h3>Aim</h3><div>To analyse the managerial function of school nurses in Spain.</div></div><div><h3>Method</h3><div>A cross-sectional descriptive study with a sample of 376 school nurses from non-university public, private, and charter educational centres, as well as special education centres nationwide. Data collection was conducted through a self-administered and anonymous questionnaire designed by experts in school nursing, carried out from March to June 2023 via an online platform.</div></div><div><h3>Results</h3><div>The managerial function of school nurses in Spain is evident in their interaction with both educational and healthcare domains. The results underscore the importance of intersectoral collaboration. 96.28% of nurses maintain clinical records. The integration of school nurses into primary care is significantly associated with the service that employs the nurse, contract type, contractual situation, type of educational centre, and membership in rural or socially transformative areas.</div></div><div><h3>Conclusions</h3><div>School nurses play a crucial role in promoting a healthy and safe educational environment. Clinical data recording is essential for monitoring and ensuring care quality. The data highlight the need to implement policies that provide legal assurance for the activities of school nurses and ensure safety for students and the entire educational community.</div></div>","PeriodicalId":72917,"journal":{"name":"Enfermeria clinica (English Edition)","volume":"35 5","pages":"Article 502200"},"PeriodicalIF":0.0,"publicationDate":"2025-09-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144144735","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
Pub Date : 2025-06-01Epub Date: 2025-06-16DOI: 10.1016/j.enfcle.2025.502256
Orlaith Hernon , Edel McSharry , Caitríona Duggan , Iain MacLaren , Peter J. Carr
Objective
This study explores final-year nursing students’ experiences with venepuncture and peripheral intravenous cannulation, focusing on both educational and clinical practice settings.
Methods
This study is qualitative descriptive design. Data were collected from three focus group sessions using a semi-structured interview approach. Interviews were transcribed verbatim, and data analysis was guided by Braun and Clarke’s six-step model for thematic analysis.
Results
Eight final-year nursing students participated, with each student attending one focus group session. Data analysis resulted in four main themes 1) Practice, practice, practice 2) Not the way it’s done here 3) Luck of the draw and 4) Experiential learning. The results highlight what hindered and helped students learn these skills in both the educational and clinical environment.
Conclusion
Improvements are recommended which can be made to the teaching of nursing students on these skills. The findings of this study can inform educational programmes which incorporate these types of skills.
{"title":"Transition to practice: Student nurses’ experience of venepuncture and peripheral intravenous cannulation learning","authors":"Orlaith Hernon , Edel McSharry , Caitríona Duggan , Iain MacLaren , Peter J. Carr","doi":"10.1016/j.enfcle.2025.502256","DOIUrl":"10.1016/j.enfcle.2025.502256","url":null,"abstract":"<div><h3>Objective</h3><div>This study explores final-year nursing students’ experiences with venepuncture and peripheral intravenous cannulation, focusing on both educational and clinical practice settings.</div></div><div><h3>Methods</h3><div>This study is qualitative descriptive design. Data were collected from three focus group sessions using a semi-structured interview approach. Interviews were transcribed verbatim, and data analysis was guided by Braun and Clarke’s six-step model for thematic analysis.</div></div><div><h3>Results</h3><div>Eight final-year nursing students participated, with each student attending one focus group session. Data analysis resulted in four main themes 1) Practice, practice, practice 2) Not the way it’s done here 3) Luck of the draw and 4) Experiential learning. The results highlight what hindered and helped students learn these skills in both the educational and clinical environment.</div></div><div><h3>Conclusion</h3><div>Improvements are recommended which can be made to the teaching of nursing students on these skills. The findings of this study can inform educational programmes which incorporate these types of skills.</div></div>","PeriodicalId":72917,"journal":{"name":"Enfermeria clinica (English Edition)","volume":"35 4","pages":"Article 502256"},"PeriodicalIF":0.0,"publicationDate":"2025-06-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144327973","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
Pub Date : 2025-06-01Epub Date: 2025-07-03DOI: 10.1016/j.enfcle.2025.502302
Nancy Moureau
Vascular access is the most common invasive procedure in hospitalized patients, with over 90% requiring intravenous therapy. Despite its routine nature, improper selection and management of acceso vascular devices (VADs) can lead to complications such as infections, thrombosis, and device failure. Preserving the integrity of the vascular system is essential for ensuring safe and effective treatment delivery across healthcare settings.
This paper describes the key principles of the Vessel Health and Preservation (VHP) model, highlighting its implementation as a structured, evidence-based clinical pathway for optimizing vascular access outcomes, preserving vascular integrity, and reducing complications. It also outlines a stepwise approach to vascular access planning, device selection, management, and escalation based on patient-specific factors and risk profiles.
The VHP model is structured around four main stages: assessment and device selection, insertion, management, and outcome evaluation. Key findings and recommendations include early device planning within 24 h of admission and placement within 48 h, daily reassessment to align access with evolving treatment needs, use of clinical pathways to guide device selection based on diagnosis, therapy type, and duration, emphasis on minimizing the number of device lumens, choosing the least invasive device, and using vascular access teams for assessment and the identification of high-risk patients requiring specialty placement and escalation to interventional radiology or surgical teams.
Implementing a VHP program across institutions requires leadership support, interprofessional education, and integration into electronic health records. Adopting this proactive model improves first-attempt insertion success, reduces delays in therapy, and lowers complication rates. In complex cases, timely advancement to specialty placement ensures continued vascular health while maintaining access to essential treatments.
{"title":"Vessel health and preservation: Vascular access key risk considerations","authors":"Nancy Moureau","doi":"10.1016/j.enfcle.2025.502302","DOIUrl":"10.1016/j.enfcle.2025.502302","url":null,"abstract":"<div><div>Vascular access is the most common invasive procedure in hospitalized patients, with over 90% requiring intravenous therapy. Despite its routine nature, improper selection and management of acceso vascular devices (VADs) can lead to complications such as infections, thrombosis, and device failure. Preserving the integrity of the vascular system is essential for ensuring safe and effective treatment delivery across healthcare settings.</div><div>This paper describes the key principles of the Vessel Health and Preservation (VHP) model, highlighting its implementation as a structured, evidence-based clinical pathway for optimizing vascular access outcomes, preserving vascular integrity, and reducing complications. It also outlines a stepwise approach to vascular access planning, device selection, management, and escalation based on patient-specific factors and risk profiles.</div><div>The VHP model is structured around four main stages: assessment and device selection, insertion, management, and outcome evaluation. Key findings and recommendations include early device planning within 24<!--> <!-->h of admission and placement within 48<!--> <!-->h, daily reassessment to align access with evolving treatment needs, use of clinical pathways to guide device selection based on diagnosis, therapy type, and duration, emphasis on minimizing the number of device lumens, choosing the least invasive device, and using vascular access teams for assessment and the identification of high-risk patients requiring specialty placement and escalation to interventional radiology or surgical teams.</div><div>Implementing a VHP program across institutions requires leadership support, interprofessional education, and integration into electronic health records. Adopting this proactive model improves first-attempt insertion success, reduces delays in therapy, and lowers complication rates. In complex cases, timely advancement to specialty placement ensures continued vascular health while maintaining access to essential treatments.</div></div>","PeriodicalId":72917,"journal":{"name":"Enfermeria clinica (English Edition)","volume":"35 4","pages":"Article 502302"},"PeriodicalIF":0.0,"publicationDate":"2025-06-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144565493","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
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