The patient experience of a peripherally inserted central catheter (PICC): A qualitative descriptive study.

Sharp, Rebecca, Grech, Carol, Fielder, Andrea, Mikocka-Walus, Antonina, Cummings, Melita and Esterman, Adrian 2014, The patient experience of a peripherally inserted central catheter (PICC): A qualitative descriptive study., Contemporary nurse, vol. 48, no. 1, pp. 26-35, doi: 10.1080/10376178.2014.11081923.

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Title The patient experience of a peripherally inserted central catheter (PICC): A qualitative descriptive study.
Author(s) Sharp, Rebecca
Grech, Carol
Fielder, Andrea
Mikocka-Walus, AntoninaORCID iD for Mikocka-Walus, Antonina
Cummings, Melita
Esterman, Adrian
Journal name Contemporary nurse
Volume number 48
Issue number 1
Start page 26
End page 35
Total pages 10
Publisher eContent Management Pty Ltd.
Place of publication Maleny, Qld.
Publication date 2014-07
ISSN 1037-6178
Keyword(s) PICC
elastomeric infusion pump
patient experience
peripheral intravenous catheter
peripherally inserted central catheter
qualitative description
vascular access
Summary UNLABELLED: Abstract Aim: To investigate the patient experience of Peripherally Inserted Central Catheter (PICC) insertion, the significance of arm choice and the impact of the device on activities of daily living. BACKGROUND: Arm choice for PICC insertion is often determined by PICC nurses with little input from consumers. There are few studies that have investigated the patient experience of living with a PICC and none that have examined the impact of arm choice from the consumer's perspective. METHOD: Participants were recruited in a hospital whilst they waited for PICC insertion. A purposeful sampling approach was used to select participants based on diagnosis types. Semi-structured telephone interviews were conducted November 2012-August 2013. Transcripts of the interviews were analysed using thematic analysis. FINDINGS: Ten participants were interviewed. Four themes were identified: (i) apprehension/adaptation/acceptance, (ii) impact of treatment, (iii) asking questions (trusting doctors) and (iv) freedom. Although initially apprehensive, participants adapted to the PICC and came to accept that the device allowed convenient access for treatment. This allowed them the freedom to receive treatment at home. The use of the dominant or non-dominant arm for PICC insertion had marginal impact on activities of daily living for participants. Auxiliary factors such as the infusion pump had a significant impact for those who received outpatient treatment. For those participants who did not understand the procedure, many did not seek clarification and trusted medical and nursing staff to make decisions for them. CONCLUSION: Nurses should involve consumers in clinical decision-making and provide individualised information and support that facilitates adaptation for patients living with a PICC.
Language eng
DOI 10.1080/10376178.2014.11081923
Indigenous content off
Field of Research 111099 Nursing not elsewhere classified
Socio Economic Objective 920499 Public Health (excl. Specific Population Health) not elsewhere classified
HERDC Research category C1.1 Refereed article in a scholarly journal
ERA Research output type C Journal article
Copyright notice ©2014, eContent Management Pty Ltd.
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Document type: Journal Article
Collections: Faculty of Health
School of Psychology
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