RNOtherJournal of advanced nursing2026

'Living Well With a PICC at Home': Co-Design and Evaluation of a Peripherally Inserted Central Catheter (PICC) Booklet.

Rebecca Sharp, Qunyan Xu, Robyn Pumpa and 8 others

PMID 40831049

WHAT IT FOUND

Adults living with a PICC described practical ways to shower, do housework, dress and care for children, and asked for a plain language booklet that also explains clinical risks.

A consumer-designed home PICC resource was produced, but its effect on outcomes is untested.

Key findings

01People living with a PICC wanted education that combined clinical safety information with practical advice for everyday tasks at home.

02The co-designed booklet was rated as highly relevant and comprehensive, and its readability was about seven years of education.

03The study did not test whether the booklet improves PICC knowledge, self-efficacy, wellbeing or clinical outcomes.

STILL TO COME

How it was doneWhat they foundWhat it means for RNs

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What it does not show

The interviews were meant to inform booklet design, not to capture every experience, so some experiences may be missing. Participants came from one hospital and were self-selected, so they may have had higher education or confidence than some people who need a PICC. People who could not speak, read or understand English were excluded. Only two consumer participants evaluated the prototype, and both were middle-aged Caucasian males, so their feedback may not represent a wider group. The booklet's effect on PICC knowledge, self-efficacy, wellbeing or clinical outcomes has not been evaluated. Readability was assessed with a built-in word processor formula, and the paper notes there is no gold standard readability algorithm. One interview recording failed, but the researcher's notes were included.

Declared interests

The work was funded by the Nurses’ Memorial Foundation of South Australia. Author A.U. reported investigator-initiated research grants paid to her employer from BD, 3M, Medline and Biolife, unrelated to this study. All other authors declared no competing interests.

The easy way to misread this

Do not read this as evidence that the booklet prevents PICC complications, improves knowledge or reduces anxiety. The paper reports co-design and ratings of relevance, comprehensiveness and readability, but it did not test the booklet against any patient outcome.

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