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J Nurs Manag. 2017 Jul;25(5):339-345. doi: 10.1111/jonm.12470. Epub 2017 Apr 25.

Cost-effectiveness of introducing a nursing-based programme of ultrasound-guided peripheral venous access in a regional teaching hospital.

Author information

1
École des sciences infirmières, Faculté de médecine et des sciences de la santé, Université de Sherbrooke, Sherbrooke, QC, Canada.
2
Centre intégré de Santé et de Services Sociaux de l'Estrie, Centre hospitalier universitaire de Sherbrooke, Sherbrooke, QC, Canada.
3
Centre intégré de Santé et de Services Sociaux de la Montérégie-Centre, Hôpital Charles-Lemoyne, Greenfield Park, QC, Canada.
4
Département de médecine d'urgence, Université de Sherbrooke, QC, Canada.

Abstract

AIM:

To analyse the cost-effectiveness of care provided to patients in need of peripheral venous access by comparing the traditional approach with a nurse-based ultrasound-guided programme.

BACKGROUND:

Letting nurses insert ultrasound-guided catheters is a promising cost-saving approach, but there are few data available to document the efficiency of this type of programme.

METHOD:

A cost-efficiency evaluative research design was used. Data were collected over a 6-year timeframe, before and after the implementation of the nurse-based programme.

RESULTS:

Results show that the evaluation conducted by nurses ensures the right choice of catheter for each patient based on the patient's needs, which decreases costs. The programme also shortens the waiting period between consultation and insertion of the catheter, which reduces costs related to prolonged hospitalisation.

CONCLUSION:

The nurse-based programme puts nurses' skills to good use as part of a new practice and helps enhance the efficiency of care and services provided to patients.

IMPLICATIONS FOR NURSING MANAGEMENT:

In addition to the significant cost savings this programme offers, the evaluation leads to an effective use of resources while ensuring optimal care.

KEYWORDS:

cost-effectiveness analysis; nursing role; peripheral venous access; ultrasound; ultrasound-guided

PMID:
28439999
DOI:
10.1111/jonm.12470
[Indexed for MEDLINE]

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