‘Pinholes in my arms’: the vicious cycle of vascular access
Kelly, Linda; Snowden, Austyn
Vascular access devices (VADs) are essential for delivery of intravenous therapies. There are notable gaps in the literature regarding a focus on patient experience and meaning-making related to living with a VAD, specifically a central venous access device (CVAD).
To explore how patients make sense of living with a CVAD.
This study followed an interpretive phenomenological analysis (IPA) approach. Purposive sampling was used to identify 11 cancer patients who had a CVAD in situ. One-to-one semi-structured interviews were performed. Interviews were digitally recorded, transcribed and analysed by the lead author.
Four superordinate themes were identified: the self under attack; being rescued/being robbed; protection of others/protection of self; bewilderment and dismay at lack of staff competence.
Having a CVAD affects the psychological, social, and personal self and impacts on self-esteem and self-image. Despite this, CVADs are accepted by patients and are eventually ‘embodied’ by them.
Kelly, L., & Snowden, A. (2021). ‘Pinholes in my arms’: the vicious cycle of vascular access. British Journal of Nursing, 30(14), https://doi.org/10.12968/bjon.2021.30.14.S4
|Journal Article Type||Article|
|Acceptance Date||Apr 6, 2021|
|Online Publication Date||Jul 21, 2021|
|Deposit Date||Apr 7, 2021|
|Publicly Available Date||Jul 21, 2021|
|Publisher||Mark Allen Healthcare|
|Peer Reviewed||Peer Reviewed|
|Keywords||Central venous access devices, Patient experience, Peripherally inserted central catheter (PICC), Tunneled central venous catheter, Totally implanted vascular access device|
The Vicious Cycle Of Vascular Access: An Interpretative Phenomenological Study (accepted version)
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