Comparative evaluation of five needleless intravenous connectors.

Abstract:

AIM:The purpose of this study was to evaluate in vitro differences of colony forming units (CFUs), of four different bacteria (Staphylococcus epidermidis, Staphylococcus aureus, Pseudomonas aeruginosa, Escherichia coli), over 4 days, using bovine blood, in five intravenous needleless connectors (three negative, one positive, one zero). BACKGROUND:Availability of colony forming units creates a definitive environment for bloodstream infections and occlusions. Protection of the intraluminal pathway is one important way to help eliminate occlusions and catheter-related bloodstream infections and utilization of best available product(s) will aid in best patient outcomes. METHODS:Five different connectors evaluated in 2009 by an independent laboratory for in vitro differences about colony forming units of four different organisms over 4 days. RESULTS:The Q-Syte™ performed poorly on all organisms (P<0·0001). The MaxPlus(®) Clear and MicroCLAVE(®) fluctuated between high colony forming units (28·15 & 56·55 respectively) and zero colony forming units. The TKO™Clave(®) stayed increased (high of 50·8 colony forming units). The RyMed-5001(®) performed the best with very low colony forming units (2·25 CFUs to zero). CONCLUSIONS:Non-antimicrobial connectors differ on colony forming unit counts in vitro for four types of bacteria. Connectors with most colony forming units to least colony forming units included the Q-Syte™, TKO™Clave(®), MicroCLAVE(®), MaxPlus(®) Clear and RyMed-5001(®). Connectors are one statistically significant variable (50%) in the development of occlusions and infections. Staff nurses, managers, infection control specialists and vascular access specialists in all settings need to use technologies that invoke the least patient harm. The RyMed-5001(®) connector best protects the intraluminal pathway from bacteria compared with four other commonly used connectors in vitro.

journal_name

J Adv Nurs

authors

Chernecky C,Waller J

doi

10.1111/j.1365-2648.2010.05598.x

subject

Has Abstract

pub_date

2011-07-01 00:00:00

pages

1601-13

issue

7

eissn

0309-2402

issn

1365-2648

journal_volume

67

pub_type

杂志文章
  • Reflective journal writing in nurse education: whose interests does it serve?

    abstract::The use of reflective journal writing has become popularized in the past decade. This paper uses the experience of two university lecturers to problematize this practice. The practice of journal writing in nursing courses is explored firstly through the lens of critical theory and secondly that of post-structuralism. ...

    journal_title:Journal of advanced nursing

    pub_type: 杂志文章,评审

    doi:10.1111/j.1365-2648.1996.tb02946.x

    authors: Wellard SJ,Bethune E

    更新日期:1996-11-01 00:00:00

  • Hysterectomy: a case study of one woman's experience.

    abstract:BACKGROUND:There are many published qualitative studies in the large volume of literature about hysterectomy documenting themes common to the majority of participants, such as social support, feelings of illness and wellness, pain and resumption of normal life rather than events which were unique or exceptional. AIM:T...

    journal_title:Journal of advanced nursing

    pub_type: 杂志文章

    doi:10.1046/j.0309-2402.2003.02847.x

    authors: Fleming V

    更新日期:2003-12-01 00:00:00

  • A qualitative study of adolescent cancer survivors perspectives on social support from healthy peers - A RESPECT study.

    abstract:BACKGROUND:Adolescents' psychosocial development is generally influenced by their peers. Those facing hospital-based cancer treatment are particularly challenged as they are isolated from their social network and lack sufficient coping resources. AIM:This study explores the adolescent cancer survivor's perceptions and...

    journal_title:Journal of advanced nursing

    pub_type: 杂志文章

    doi:10.1111/jan.14732

    authors: Ingersgaard MV,Fridh MK,Thorsteinsson T,Adamsen L,Schmiegelow K,Baekgaard Larsen H

    更新日期:2021-01-20 00:00:00

  • What are the differences in body image between patients with a conventional stoma compared with those who have had a conventional stoma followed by a continent pouch?

    abstract::This paper describes a qualitative study of seven patients which explored the perceptions of body image in patients with a conventional stoma, compared with those who have had a conventional stoma followed by a continent pouch. The operation of choice for patients with ulcerative colitis (the group of patients in the ...

    journal_title:Journal of advanced nursing

    pub_type: 杂志文章

    doi:10.1111/j.1365-2648.1992.tb02006.x

    authors: Salter MJ

    更新日期:1992-07-01 00:00:00

  • Self-harm in nurses: prevalence and correlates.

    abstract:AIMS:The aim of this study was to examine the weighed prevalence of self-harm and its correlates among Hong Kong nurses. BACKGROUND:Recent epidemiological data suggest that the weighted prevalence of past-year suicidality among Hong Kong nurses was found to be 14·9%. Deliberate self-harm was a significant correlate of...

    journal_title:Journal of advanced nursing

    pub_type: 杂志文章

    doi:10.1111/jan.12987

    authors: Cheung T,Yip PS

    更新日期:2016-09-01 00:00:00

  • Authority and responsibility delegation predicts quality of care.

    abstract::This study, conducted in acute care hospitals, supports and expands previous findings that delegation of responsibility and authority in the nursing service hierarchy is related to known factors affecting quality of patient care. Quality health care is improved if staff nurses are given autonomy and are expected to fu...

    journal_title:Journal of advanced nursing

    pub_type: 杂志文章

    doi:10.1111/j.1365-2648.1985.tb00829.x

    authors: Simpson K,Sears R

    更新日期:1985-07-01 00:00:00

  • Issues in educating health professionals to meet the diverse needs of patients and other service users from ethnic minority groups.

    abstract:AIM:The main aim of the study was to undertake training needs analysis among a multi-professional group for the purpose of improving care for ethnic minority patients and other service users. BACKGROUND:Evidence from the literature identifies that some of the explanations advanced for the failure of health professiona...

    journal_title:Journal of advanced nursing

    pub_type: 杂志文章

    doi:10.1046/j.1365-2648.2002.02276.x

    authors: Chevannes M

    更新日期:2002-08-01 00:00:00

  • Swiss Cancer League communication skills training programme for oncology nurses: an evaluation.

    abstract:AIM:This paper is a report of an evaluation of the effectiveness of a communication skills training programme for oncology nurses. BACKGROUND:Clinical care for patients with cancer is increasingly being divided between nurses and physicians, with nurses being responsible for the continuity of patient care, and oncolog...

    journal_title:Journal of advanced nursing

    pub_type: 杂志文章

    doi:10.1111/j.1365-2648.2010.05386.x

    authors: Langewitz W,Heydrich L,Nübling M,Szirt L,Weber H,Grossman P

    更新日期:2010-10-01 00:00:00

  • The cooling-suit: a study of ten multiple sclerosis patients' experiences in daily life.

    abstract::Approximately 60%-80% of all multiple sclerosis (MS) patients are heat sensitive. The aim of this study was to gain information on the effects of an assistive device, the cooling-suit, on MS-patients' self-care ability and also practical implications. A single-case approach was adopted in a quasi- experimental before-...

    journal_title:Journal of advanced nursing

    pub_type: 临床试验,杂志文章

    doi:10.1046/j.1365-2648.1999.01032.x

    authors: Flensner G,Lindencrona C

    更新日期:1999-06-01 00:00:00

  • Mindfulness-based stress reduction training yields improvements in well-being and rates of perceived nursing errors among hospital nurses.

    abstract:INTRODUCTION:This pilot study aims to further document mindfulness-based stress reduction (MBSR)'s effect on well-being while exploring its impact on errors among hospital nurses. BACKGROUND:The concept of mindfulness has been found to be highly relevant to holistic nursing practices but remains understudied and under...

    journal_title:Journal of advanced nursing

    pub_type: 杂志文章,随机对照试验

    doi:10.1111/jan.13729

    authors: Daigle S,Talbot F,French DJ

    更新日期:2018-10-01 00:00:00

  • Premature menopause: multiple disruptions between the woman's biological body experience and her lived body.

    abstract:AIM OF THE STUDY:The aim of this phenomenological study was to find out what menopause was like as an experience for women who were not yet 40 years old. BACKGROUND:Women's bodies have naturally occurring rhythms and expected transitions related to their menstrual cycle. One transition that all women will experience, ...

    journal_title:Journal of advanced nursing

    pub_type: 杂志文章

    doi:10.1046/j.1365-2648.2002.02114.x

    authors: Boughton MA

    更新日期:2002-03-01 00:00:00

  • Lifestyle modification as an intervention for inner city women at high risk for preterm birth.

    abstract::This study details a programme which emphasized nursing interventions for women at high risk for preterm birth. Preterm birth continues to be a major health problem, with ongoing research being conducted both in the United States and internationally in an effort to find causative factors. Programmes designed to preven...

    journal_title:Journal of advanced nursing

    pub_type: 杂志文章

    doi:10.1111/j.1365-2648.1990.tb01824.x

    authors: Freda MC,Andersen HF,Damus K,Poust D,Brustman L,Merkatz IR

    更新日期:1990-03-01 00:00:00

  • Learning for holistic care: addressing practical wisdom (phronesis) and the spiritual sphere.

    abstract:AIM:This paper is a discussion of practical wisdom (phronesis) and spirituality in holistic caring and strategies to facilitate their application in nurse education. BACKGROUND:Phronesis, with its inherent spiritual qualities, is an established aspect of the persona of excellent clinical leaders. There is a strong cas...

    journal_title:Journal of advanced nursing

    pub_type: 杂志文章

    doi:10.1111/j.1365-2648.2008.04949.x

    authors: Leathard HL,Cook MJ

    更新日期:2009-06-01 00:00:00

  • Factors affecting job satisfaction among acute care nurses working in rural and urban settings.

    abstract:AIMS:To: (a) identify the differences and similarities in the extrinsic and intrinsic factors that influence job satisfaction among nurses in urban and rural Ontario; and (b) determine the impact of job satisfaction on nurses' turnover intention among nurses working in rural and urban settings in Ontario. DESIGN:Cross...

    journal_title:Journal of advanced nursing

    pub_type: 杂志文章

    doi:10.1111/jan.14449

    authors: Yasin YM,Kerr MS,Wong CA,Bélanger CH

    更新日期:2020-09-01 00:00:00

  • Stigma, AIDS and quality of nursing care: state of the science.

    abstract::Reports of fear and psychological distress on the part of nurses when caring for AIDS patients have drawn attention to the real possibility that care for this very sick group of patients may be less than adequate. This paper reviews what is currently known about the attitudes of nurses and the care provided to HIV-inf...

    journal_title:Journal of advanced nursing

    pub_type: 杂志文章,评审

    doi:10.1111/j.1365-2648.1991.tb01648.x

    authors: Siminoff LA,Erlen JA,Lidz CW

    更新日期:1991-03-01 00:00:00

  • An evaluative study of a community health service development.

    abstract::This paper describes a research study designed to evaluate a community health service development in one health authority in rural England. The study compared two types of primary care teams working towards the same objectives. Surveys of patients and staff in the health authority were conducted about a range of issue...

    journal_title:Journal of advanced nursing

    pub_type: 杂志文章

    doi:10.1111/j.1365-2648.1994.tb01051.x

    authors: Young KR

    更新日期:1994-01-01 00:00:00

  • An investigation into the validity of specifying 5 "O' levels in the General Certificate of Education as an entry requirement for the education and training of district nurses.

    abstract::District nursing, like many other professionalizing occupations, has stipulated that possession of five ordinary level GCE passes might constitute one criterion of entry. This paper reports a longitudinal study over four intakes of district nurse students in one teaching centre and examines the relationship between se...

    journal_title:Journal of advanced nursing

    pub_type: 杂志文章

    doi:10.1111/j.1365-2648.1981.tb03251.x

    authors: Jarvis P,Gibson SJ

    更新日期:1981-11-01 00:00:00

  • Reconceptualizing children's complex discharge with health systems theory: novel integrative review with embedded expert consultation and theory development.

    abstract:AIM:To report a novel review to develop a health systems model of successful transition of children with complex healthcare needs from hospital to home. BACKGROUND:Children with complex healthcare needs commonly experience an expensive, ineffectual and prolonged nurse-led discharge process. Children gain no benefit fr...

    journal_title:Journal of advanced nursing

    pub_type: 杂志文章,评审

    doi:10.1111/jan.12278

    authors: Noyes J,Brenner M,Fox P,Guerin A

    更新日期:2014-05-01 00:00:00

  • Meta-analysis of the effectiveness of nursing discharge planning interventions for older inpatients discharged home.

    abstract:AIM:To determine the effectiveness of nursing discharge planning interventions on health-related outcomes for older inpatients discharged home. BACKGROUND:Inadequate discharge planning for the ageing population poses significant challenges for health services. Effective discharge planning interventions have been exami...

    journal_title:Journal of advanced nursing

    pub_type: 杂志文章,meta分析,评审

    doi:10.1111/jan.13475

    authors: Mabire C,Dwyer A,Garnier A,Pellet J

    更新日期:2018-04-01 00:00:00

  • Nurse practitioners' perceptions and participation in pharmaceutical marketing.

    abstract:AIM:This paper reports on a study conducted to describe family nurse practitioners' perceptions towards and participation in pharmaceutical marketing and to explore the relationships among related variables. BACKGROUND:The pharmaceutical industry's intense global marketing strategies have resulted in widespread concer...

    journal_title:Journal of advanced nursing

    pub_type: 杂志文章

    doi:10.1111/j.1365-2648.2008.04911.x

    authors: Crigger N,Barnes K,Junko A,Rahal S,Sheek C

    更新日期:2009-03-01 00:00:00

  • The intention to continue nursing: work variables affecting three nurse generations in Australia.

    abstract:AIMS:The aims of the study were to examine how seven variables impacted upon the intention of hospital nurses to continue working as nurses and to investigate whether there are generational differences in these impacts. BACKGROUND:There is a critical shortage of trained nurses working as nurses in Australia, as in man...

    journal_title:Journal of advanced nursing

    pub_type: 杂志文章

    doi:10.1111/j.1365-2648.2011.05709.x

    authors: Shacklock K,Brunetto Y

    更新日期:2012-01-01 00:00:00

  • The effects of self-management intervention among middle-age adults with knee osteoarthritis.

    abstract:AIM:The aim of this study was to explore the effects of a self-management intervention for middle-aged adults with knee osteoarthritis. BACKGROUND:Knee osteoarthritis is a common cause of lower limb disability in middle-aged and older adults. Use of self-management interventions that apply the self-regulation theory h...

    journal_title:Journal of advanced nursing

    pub_type: 杂志文章

    doi:10.1111/jan.12956

    authors: Kao MH,Tsai YF,Chang TK,Wang JS,Chen CP,Chang YC

    更新日期:2016-08-01 00:00:00

  • Determining the motivations of family members to undertake cardiopulmonary resuscitation training through grounded theory.

    abstract:AIMS:To explore the motivation of family members of patients at high risk for sudden cardiac death for undertaking cardiopulmonary resuscitation (CPR) training. BACKGROUND:Home cardiac arrests are associated with poor outcomes because few family members learn CPR. Little is known about factors that motivate family mem...

    journal_title:Journal of advanced nursing

    pub_type: 杂志文章

    doi:10.1111/jan.13923

    authors: Yue P,Zhu Z,Wang Y,Xu Y,Li J,Lamb KV,Xu Y,Wu Y

    更新日期:2019-04-01 00:00:00

  • Caring and cancer nursing: framing the reality using selected social science theory.

    abstract::Despite the recent interest in caring for both academic and clinical nursing, the theoretical basis of this concept may appear somewhat elusive as the research and debate vary widely in their focus. As a result, the available literature may fail to consider the specific contextual issues which characterize caring as i...

    journal_title:Journal of advanced nursing

    pub_type: 杂志文章

    doi:10.1046/j.1365-2648.1998.00807.x

    authors: Kelly D

    更新日期:1998-10-01 00:00:00

  • Effect of an intensive intervention on the increase of physical activity and the decrease of sedentary lifestyle in inactive postmenopausal.

    abstract:BACKGROUND:During the transition to menopause, women experience different psychological, hormonal, and physical alterations that can affect their health. Physical activity is considered an important strategy in the prevention and control of such changes. AIM:To evaluate the short-term effect of an intensive interventi...

    journal_title:Journal of advanced nursing

    pub_type: 杂志文章

    doi:10.1111/jan.14737

    authors: Alonso-Domínguez R,Sánchez-Aguadero N,Llamas-Ramos I,Lugones-Sánchez C,González-Sánchez S,Gómez-Marcos MA,García-Ortiz L,Ewomen Investigators.

    更新日期:2021-01-22 00:00:00

  • The effects of work factors on nurses' job satisfaction, quality of care and turnover intentions in oncology.

    abstract:AIMS:We examined the effects of perceived supervisor support, value congruence and hospital nurse staffing on nurses' job satisfaction through the satisfaction of the three psychological needs for autonomy, competence and relatedness. Then, we examined the links between job satisfaction and quality of care as well as t...

    journal_title:Journal of advanced nursing

    pub_type: 杂志文章

    doi:10.1111/jan.13524

    authors: Gillet N,Fouquereau E,Coillot H,Cougot B,Moret L,Dupont S,Bonnetain F,Colombat P

    更新日期:2018-05-01 00:00:00

  • Tracheal suctioning: an exploration of nurses' knowledge and competence in acute and high dependency ward areas.

    abstract:BACKGROUND AND RATIONALE:With an increasing demand for intensive care beds more nurses in acute and high dependency wards will be expected to care competently for patients with tracheostomy tubes. Tracheal suctioning is an essential aspect of effective airway management. However, this has many associated risks and comp...

    journal_title:Journal of advanced nursing

    pub_type: 杂志文章

    doi:10.1046/j.1365-2648.2002.02240.x

    authors: Day T,Farnell S,Haynes S,Wainwright S,Wilson-Barnett J

    更新日期:2002-07-01 00:00:00

  • Gaining access to the life-world of women suffering from stroke: methodological issues in empirical phenomenological studies.

    abstract:AIM:First to give a brief introduction to some dimensions of phenomenology as philosophy, and then to discuss some problems related to empirical research. The objectives of the discussion are: (1) to show what is involved in investigating changes in the life-world caused by illness and (2) to show what must be taken in...

    journal_title:Journal of advanced nursing

    pub_type: 杂志文章,评审

    doi:10.1046/j.1365-2648.2002.02340.x

    authors: Kvigne K,Gjengedal E,Kirkevold M

    更新日期:2002-10-01 00:00:00

  • Preparing teachers for the performance and evaluation of gaming-simulation in experiential learning climates.

    abstract::Gaming-simulation exercises have become an established teaching strategy for nursing education. This paper suggests that nurse educators must now attempt to evaluate their effect on learning. Problems of evaluation are discussed and alternative approaches critically considered. The dominant 'classical' approach is rej...

    journal_title:Journal of advanced nursing

    pub_type: 杂志文章

    doi:10.1111/j.1365-2648.1989.tb00913.x

    authors: Barber P,Norman I

    更新日期:1989-02-01 00:00:00

  • The experience of people awaiting coronary artery bypass graft surgery: the Icelandic experience.

    abstract::Prolonged waiting for major elective surgery has been a problem in several Western countries for many years. In Iceland coronary artery bypass graft (CABG) surgery was installed in 1986 and this descriptive study was conducted to describe systematically the experience of Icelandic people waiting for CABG surgery with ...

    journal_title:Journal of advanced nursing

    pub_type: 杂志文章

    doi:10.1046/j.1365-2648.1998.00497.x

    authors: Jónsdóttir H,Baldursdóttir L

    更新日期:1998-01-01 00:00:00