Factors associated with variability in management of vascular access ports

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Title: Factors associated with variability in management of vascular access ports
Authors: Fernández de Maya, José | Richart-Martínez, Miguel
Research Group/s: Calidad de Vida, Bienestar Psicológico y Salud
Center, Department or Service: Universidad de Alicante. Departamento de Enfermería
Keywords: Chemotherapy | Management | Cancer
Knowledge Area: Enfermería
Issue Date: Sep-2016
Publisher: John Wiley & Sons
Citation: European Journal of Cancer Care. 2016, 25(5): 871-882. doi:10.1111/ecc.12342
Abstract: Guidelines and clinical practice recommendations vary on the management of vascular access ports. Traditionally, patient, health system and healthcare professional's factors have been interrelated in studies of clinical practice variability. Understanding variation in the management of vascular access ports and to identify the influence of these factors in the compliance with the most common recommendations of vascular access guidelines, is an important first step for designing targeted improvement interventions. We analysed data from a survey sent to all Spanish outpatient clinics. Overall, 185 units at Spanish outpatients clinics out of a total of 256 completed the survey. Geographical region and unit size are the most common associated factors in the management of vascular access ports and there is a low level of compliance with many of the recommendations given by guidelines. Large outpatient chemotherapy units have been related to higher monitoring of the recommendations. Clinical practice and provided care to patients with vascular access ports are influenced by region and structural and organisational differences in the outpatient chemotherapy units. It is important to identify additional factors that may explain the variability.
URI: http://hdl.handle.net/10045/61935
ISSN: 0961-5423 (Print) | 1365-2354 (Online)
DOI: 10.1111/ecc.12342
Language: eng
Type: info:eu-repo/semantics/article
Rights: © 2015 John Wiley & Sons Ltd
Peer Review: si
Publisher version: http://dx.doi.org/10.1111/ecc.12342
Appears in Collections:INV - CV, BP Y S - Artículos de Revistas
INV - PCC-HOI - Artículos de Revistas

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