Construction of an Appropriate Needs Assessment Indicator System for Venous Access Devices in Patients With Septic Shock Based on Fluid Treatment Characteristics: A Delphi Study.
Chao Yu, Chunhua Gao, Ke Geng and 2 others
PMID 42708356WHAT IT FOUND
Experts agreed on a staged venous access assessment system for ICU nurses treating septic shock: match devices to resuscitation, optimization, stabilization, and evacuation needs.
It is not tested in patients.
Key findings
01The final assessment system contained 4 first-level, 11 second-level and 42 third-level indicators.
02Experts rated high-flow fluid resuscitation capability and hemodynamic monitoring suitability highly for the resuscitation phase.
03Experts rated removal of unnecessary central venous catheters highest in the evacuation phase.
STILL TO COME
How it was doneWhat they foundWhat it means for RNs
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What it does not show
This is expert consensus, not a patient study, so it reports no clinical outcomes. The panel was small and from one Chinese province, mostly tertiary hospitals. Expert agreement was not high, and experts rated their own authority. The indicator system has not been tested for reliability, validity, or real-world clinical use. The indicators focus on fluid therapy and infusion safety, not all factors that affect vascular access choice.
Declared interests
The authors declare no conflicts of interest. Funding came from a Chinese Journal of Nursing special project on intravenous therapy nursing and a Zhejiang Education Department general scientific research project.
The easy way to misread this
Do not treat this as evidence that the indicator system reduces infections or improves outcomes. It was built from expert ratings and has not been tested in patients.