Near-Infrared Technology for Improved PIVC Placement: A Clinical Technology Implementation Model

Author:

Hart Charlotte1,Weathers Elizabeth2

Affiliation:

1. Registered Nurse, DIVA Team, Trinity Health Ann Arbor, Ann Arbor, Michigan, USA, and at the time of writing was a Registered Nurse at Swedish Medical Center First Hill Campus, Marysville, Washington, USA, Charlottehart2002@gmail.com

2. Associate Professor in General Nursing, University College Dublin, Ireland, and former Director of Medical and Clinical Affairs, AccuVein Inc, USA

Abstract

ABSTRACT Aims: To share lessons learned from an evidence-based practice (EBP) initiative that implemented near-infrared (NIR) technology in a large US hospital system. A Clinical Technology Implementation Model (CTIM©) that can be adapted for use in other health institutions is presented. Background: EBP implementation, including the adoption of new cutting-edge technologies, is crucial to improving patient care. Yet there are significant delays in changes to clinical practice, often due to organisational challenges that stifle the implementation process. The evidence−practice gap is increasingly evident in peripheral intravenous access (PIV). Implementation science offers new insights into the challenges of updating clinical practice, which can support EBP implementation. Evaluation: Recent literature on implementation science, change theory, PIV access, NIR technology, and patient outcomes were reviewed. A model that can help nurse managers implement technology that aligns with EBP is presented, drawing on experience from the adoption of NIR vein visualisation to enhance PIV access in a large US hospital system. Key issue: A pervasive hesitancy in healthcare to embrace technology, coupled with the challenges of implementing a change to practice, has led to limited application of EBP PIV access guidelines and a stagnant standard of care. Conclusion: This article provides nurse managers with the tools necessary to successfully implement EBP, drawing on the experience from implementing NIR in a large US hospital. Nurse managers are uniquely positioned to lead the way in embracing technology to improve care and reduce the evidence−practice gap.

Publisher

Association for Vascular Access

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