Clinically-indicated replacement versus routine replacement of peripheral venous catheters

Article


Webster, Joan, Osborne, Sonya, Rickard, Claire M and Marsh, Nicole. 2019. "Clinically-indicated replacement versus routine replacement of peripheral venous catheters." Cochrane Database of Systematic Reviews. 2019 (1), pp. i-55. https://doi.org/10.1002/14651858.CD007798.pub5
Article Title

Clinically-indicated replacement versus routine replacement of peripheral venous catheters

ERA Journal ID15305
Article CategoryArticle
AuthorsWebster, Joan (Author), Osborne, Sonya (Author), Rickard, Claire M (Author) and Marsh, Nicole (Author)
Journal TitleCochrane Database of Systematic Reviews
Journal Citation2019 (1), pp. i-55
Number of Pages57
Year2019
Place of PublicationUnited Kingdom
ISSN1469-493X
Digital Object Identifier (DOI)https://doi.org/10.1002/14651858.CD007798.pub5
Web Address (URL)https://www.cochranelibrary.com/cdsr/doi/10.1002/14651858.CD007798.pub5/full
Abstract

Background
US Centers for Disease Control guidelines recommend replacement of peripheral intravenous catheters (PIVC) no more frequently than every 72 to 96 hours. Routine replacement is thought to reduce the risk of phlebitis and bloodstream infection. Catheter insertion is an unpleasant experience for patients and replacement may be unnecessary if the catheter remains functional and there are no signs of inflammation or infection. Costs associated with routine replacement may be considerable. This is the third update of a review first published in 2010.

Objectives
To assess the effects of removing peripheral intravenous catheters when clinically indicated compared with removing and re‐siting the catheter routinely.

Search methods
The Cochrane Vascular Information Specialist searched the Cochrane Vascular Specialised Register, CENTRAL, MEDLINE, Embase and CINAHL and World Health Organization International Clinical Trials Registry Platform and ClinicalTrials.gov trials registers to 18 April 2018. We also undertook reference checking, and contacted researchers and manufacturers to identify additional studies.

Selection criteria
We included randomised controlled trials that compared routine removal of PIVC with removal only when clinically indicated, in hospitalised or community‐dwelling patients receiving continuous or intermittent infusions.

Data collection and analysis
Three review authors independently reviewed trials for inclusion, extracted data, and assessed risk of bias using Cochrane methods. We used GRADE to assess the overall evidence certainty.

Main results
This update contains two new trials, taking the total to nine included studies with 7412 participants. Eight trials were conducted in acute hospitals and one in a community setting. We rated the overall certainty of evidence as moderate for most outcomes, due to serious risk of bias for unblinded outcome assessment or imprecision, or both. Because outcome assessment was unblinded in all of the trials, none met our criteria for high methodological quality.

Primary outcomes

Seven trials (7323 participants), assessed catheter‐related bloodstream infection (CRBSI). There is no clear difference in the incidence of CRBSI between the clinically indicated (1/3590) and routine change (2/3733) groups (risk ratio (RR) 0.61, 95% confidence interval (CI) 0.08 to 4.68), low‐certainty evidence (downgraded twice for serious imprecision).

All trials reported incidence of thrombophlebitis and we combined the results from seven of these in the analysis (7323 participants). We excluded two studies in the meta‐analysis because they contributed to high heterogeneity. There is no clear difference in the incidence of thrombophlebitis whether catheters were changed according to clinical indication or routinely (RR 1.07, 95% CI 0.93 to 1.25; clinically indicated 317/3590; 3‐day change 307/3733, moderate‐certainty evidence, downgraded once for serious risk of bias). The result was unaffected by whether the infusion was continuous or intermittent. Six trials provided thrombophlebitis rates by number of device days (32,709 device days). There is no clear difference between groups (RR 0.90, 95% CI 0.76 to 1.08; clinically indicated 248/17,251; 3‐day change 236/15,458; moderate‐certainty evidence, downgraded once for serious risk of bias).

One trial (3283 participants), assessed all‐cause blood stream infection (BSI). We found no clear difference in the all‐cause BSI rate between the two groups (RR 0.47, 95% CI 0.15 to 1.53; clinically indicated: 4/1593 (0.02%); routine change 9/1690 (0.05%); moderate‐certainty evidence, downgraded one level for serious imprecision).

Three trials (4244 participants), investigated costs; clinically indicated removal probably reduces device‐related costs by approximately AUD 7.00 compared with routine removal (MD −6.96, 95% CI −9.05 to −4.86; moderate‐certainty evidence, downgraded once for serious risk of bias).

Secondary outcomes

Six trials assessed infiltration (7123 participants). Routine replacement probably reduces infiltration of fluid into surrounding tissues compared with a clinically indicated change (RR 1.16 (95% CI 1.06 to 1.26; routine replacement 747/3638 (20.5%); clinically indicated 834/3485 (23.9%); moderate‐certainty evidence, downgraded once for serious risk of bias).

Meta‐analysis of seven trials (7323 participants), found that rates of catheter failure due to blockage were probably lower in the routine‐replacement group compared to the clinically indicated group (RR 1.14, 95% CI 1.01 to 1.29; routine‐replacement 519/3733 (13.9%); clinically indicated 560/3590 (15.6%); moderate‐certainty evidence, downgraded once for serious risk of bias).

Four studies (4606 participants), reported local infection rates. It is uncertain if there are differences between groups (RR 4.96, 95% CI 0.24 to 102.98; clinically indicated 2/2260 (0.09%); routine replacement 0/2346 (0.0%); very low‐certainty evidence, downgraded one level for serious risk of bias and two levels for very serious imprecision).

One trial (3283 participants), found no clear difference in the incidence of mortality when clinically indicated removal was compared with routine removal (RR 1.06, 95% CI 0.27 to 4.23; low‐certainty evidence, downgraded two levels for very serious imprecision).

One small trial (198 participants) reported no clear difference in device‐related pain between clinically indicated and routine removal groups (MD −0.60, 95% CI −1.44 to 0.24; low‐certainty evidence, downgraded one level for serious risk of bias and one level for serious imprecision).

The pre‐planned outcomes 'number of catheter re‐sites per patient', and 'satisfaction' were not reported by any studies included in this review.

Authors' conclusions
There is moderate‐certainty evidence of no clear difference in rates of CRBSI, thrombophlebitis, all‐cause BSI, mortality and pain between clinically indicated or routine replacement of PIVC. We are uncertain if local infection is reduced or increased when catheters are changed when clinically indicated. There is moderate‐certainty evidence that infiltration and catheter blockage is probably lower when PIVC are changed routinely; and moderate‐certainty evidence that clinically indicated removal probably reduces device‐related costs. The addition of two new trials for this update found no further evidence to support changing catheters every 72 to 96 hours. Healthcare organisations may consider changing to a policy whereby catheters are changed only if there is a clinical indication to do so, for example, if there were signs of infection, blockage or infiltration. This would provide significant cost savings, spare patients the unnecessary pain of routine re‐sites in the absence of clinical indications and would reduce time spent by busy clinicians on this intervention. To minimise PIVC‐related complications, staff should inspect the insertion site at each shift change and remove the catheter if signs of inflammation, infiltration, occlusion, infection or blockage are present, or if the catheter is no longer needed for therapy.

KeywordsCatheter-Related Infections; Catheterization, Peripheral; Catheters, Indwelling; Device Removal; Guideline Adherence; Humans; Incidence; Phlebitis; Randomized Controlled Trials as Topic; Thrombophlebitis; Time Factors
ANZSRC Field of Research 2020420599. Nursing not elsewhere classified
Public Notes

© Authors

Byline AffiliationsGriffith University
Queensland University of Technology
Institution of OriginUniversity of Southern Queensland
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Stevenson, Johanna, Anderson, Susan, Veach, Kate, Hine, Bette-Anne, Webster, Joan, Fleming, Lesley and Osborne, Sonya. 2011. "Occupancy data: unravelling the mystery." Australian Journal of Advanced Nursing. 29 (2), pp. 5-12.
QCAT guardianship process initiative. Phase 2. Final evaluation report for Queensland Health (QH), Clinical Excellence Division
Barnett, Adrian, Osborne, Sonya, Borkoles, Erika, Humphrey, Mary, Potts, Mitchell and Hewson, Kaye. 2017. QCAT guardianship process initiative. Phase 2. Final evaluation report for Queensland Health (QH), Clinical Excellence Division. Brisbane, Australia. Queensland University of Technology.
Establishment of a sustainable process for pressure injury prevention across Canberra in the Australian Capital Territory
Dunk, A. M., Gardner, A., Gardner, G. and Osborne, S.. 2005. "Establishment of a sustainable process for pressure injury prevention across Canberra in the Australian Capital Territory." Wound Repair and Regeneration. 3 (3), p. A50. https://doi.org/10.1111/j.1067-1927.2004.130321.x
Phlebitis associated with peripheral intravenous catheters [Letter to the Editor]
Webster, Joan and Osborne, Sonya. 2007. "Phlebitis associated with peripheral intravenous catheters [Letter to the Editor]." American Journal of Infection Control. 35 (4), p. 287. https://doi.org/10.1016/j.ajic.2006.09.013
Model of care for people in Darling Downs Hospital & Health Service (DDHHS) regions with diabetes. Final evaluation report for Queensland Health (QH), Clinical Excellence Division
Brain, David, Blythe, Robin, Osborne, Sonya, Moran, Louise, Higgins, Tracy and McQueen, Liam. 2018. Model of care for people in Darling Downs Hospital & Health Service (DDHHS) regions with diabetes. Final evaluation report for Queensland Health (QH), Clinical Excellence Division. Brisbane, Australia. Queensland University of Technology.
Improving care of patients with back and neck pain through innovative pathways. Final evaluation report for Queensland Health (QH), Clinical Excellence Division
Blythe, Robin, Graves, Nicholas, Osborne, Sonya, Davies, Elizabeth, Endicott, Louise and McQueen, Liam. 2019. Improving care of patients with back and neck pain through innovative pathways. Final evaluation report for Queensland Health (QH), Clinical Excellence Division. Brisbane, Australia. Queensland University of Technology.
Compliance with standard precautions and occupational exposure reporting among operating room nurses in Australia
Osborne, Sonya. 2002. Compliance with standard precautions and occupational exposure reporting among operating room nurses in Australia. Masters Thesis Master of Nursing. University of Canberra.
Testing the effectiveness of a Practice Development intervention on changing the culture of evidence based practice in an acute care environment (Volumes 1 and 2)
Osborne, Sonya Ranee. 2009. Testing the effectiveness of a Practice Development intervention on changing the culture of evidence based practice in an acute care environment (Volumes 1 and 2). PhD Thesis Doctor of Philosophy. Queensland University of Technology.
Effectiveness of clinical criteria in directing patient flow from the emergency department to a medical assessment unit in Queensland, Australia: a retrospective chart review of hospital administrative data
Osborne, Sonya, Cleak, Helen, White, Nicole, Lee, Xing, Deacon, Anthony and de Looze, Julian W. M.. 2021. "Effectiveness of clinical criteria in directing patient flow from the emergency department to a medical assessment unit in Queensland, Australia: a retrospective chart review of hospital administrative data." BMC Health Services Research. 21 (1). https://doi.org/10.1186/s12913-021-06537-7
Implementation and evaluation of a standardized nurse‐administered assessment of functional and psychosocial issues for patients in acute care
Peel, Nancye M., Hornby-Turner, Yvonne C., Osborne, Sonya R., Henderson, Amanda, Hubbard, Ruth E. and Gray, Leonard C.. 2021. "Implementation and evaluation of a standardized nurse‐administered assessment of functional and psychosocial issues for patients in acute care." Worldviews on Evidence-Based Nursing. 18 (3), pp. 161-169. https://doi.org/10.1111/wvn.12490
Improving care of COPD diagnosis, rehab access, and care planning. Final evaluation report for Queensland Health (QH), Clinical Excellence Division
Blythe, Robin, Graves, Nicholas, Dyer, Carly, Osborne, Sonya, Hodby, Sharon and McQueen, Liam. 2019. Improving care of COPD diagnosis, rehab access, and care planning. Final evaluation report for Queensland Health (QH), Clinical Excellence Division. Brisbane, Australia. Queensland University of Technology.
Older persons enablement and rehabilitation for complex health conditions (OPEN ARCH). Final evaluation report for Queensland Health (QH), Clinical Excellence Division
Osborne, Sonya and Carter, Hannah E.. 2019. Older persons enablement and rehabilitation for complex health conditions (OPEN ARCH). Final evaluation report for Queensland Health (QH), Clinical Excellence Division. Brisbane, Australia. Queensland University of Technology.
Prevention of Occlusion of cEnTral lInes for Children with cancer: An implementation study
Ullman, Amanda J., Condon, Paula, Edwards, Rachel, Gibson, Victoria, Takashima, Mari, Schults, Jessica, Dean, Anna, Cattanach, Paula, Nicholls, Wayne, Osborne, Sonya, Rickard, Claire M., Cooke, Marie and Kleidon, Tricia. 2020. "Prevention of Occlusion of cEnTral lInes for Children with cancer: An implementation study." Journal of Paediatrics and Child Health. 56 (12), pp. 1875-1884. https://doi.org/10.1111/jpc.15067
The effectiveness and cost effectiveness of a hospital avoidance program in a residential aged care facility: a prospective cohort study and modelled decision analysis
Carter, Hannah E., Lee, Xing J., Dwyer, Trudy, O'Neill, Barbara, Jeffrey, Dee, Doran, Christopher M., Parkinson, Lynne, Osborne, Sonya R., Reid-Searl, Kerry and Graves, Nicholas. 2020. "The effectiveness and cost effectiveness of a hospital avoidance program in a residential aged care facility: a prospective cohort study and modelled decision analysis." BMC Geriatrics. 20, pp. 1-9. https://doi.org/10.1186/s12877-020-01904-1
Oral nutritional supplements for preventing surgical site infections: protocol for a systematic review and meta-analysis
Ralph, Nicholas, Brown, Lindsay, McKillop, Kristy L., Duff, Jed, Osborne, Sonya, Terry, Victoria R., Edward, Karen-Leigh, King, Rachel and Barui, Edward. 2020. "Oral nutritional supplements for preventing surgical site infections: protocol for a systematic review and meta-analysis." Systematic Reviews. 9, pp. 1-10. https://doi.org/10.1186/s13643-020-01293-x
The standard you walk past is the standard you accept
Osborne, Sonya, Gore, Amanda, Ireland, Sue, Johnson, Julie, Lavada, Lilliana and Nicholson, Pat. 2015. "The standard you walk past is the standard you accept." ACORN: the journal of perioperative nursing in Australia. 28 (2), pp. 26-27.
Standards are living documents ...
Osborne, Sonya, Levada, Lilliana, Johnson, Julie, Gore, Amanda and Ireland, Sue. 2015. "Standards are living documents ..." ACORN: the journal of perioperative nursing in Australia. 28 (1 - Autumn), pp. 25-27.
Evaluation of the efficacy of 3D total-body photography with sequential digital dermoscopy in a high-risk melanoma cohort: Protocol for a randomised controlled trial
Primiero, Claire Amy, McInerney-Leo, Aideen M., Betz-Stablein, Brigid, Whiteman, David C., Gordon, Louisa, Caffery, Liam, Aitken, Joanne F., Eakin, Elizabeth, Osborne, Sonya, Gray, Len, Smithers, B. Mark, Janda, Monika, Soyer, H. Peter, Finnane, Anna, Primiero C.A., McInerney-Leo A.M., Betz-Stablein B., Whiteman D.C., Gordon L., ..., Finnane A.. 2019. "Evaluation of the efficacy of 3D total-body photography with sequential digital dermoscopy in a high-risk melanoma cohort: Protocol for a randomised controlled trial." BMJ Open. 9 (11). https://doi.org/10.1136/bmjopen-2019-032969
Retained Surgical Items: Lessons from Australian Case Law of Items Unintentionally Left Behind in Patients after Surgery
Cockburn, Tina, Davis, Juliet and Osborne, Sonya. 2019. "Retained Surgical Items: Lessons from Australian Case Law of Items Unintentionally Left Behind in Patients after Surgery." Journal of Law and Medicine. 26 (4), pp. 841-848.
Implementation of simulation modelling to improve service planning in specialist orthopaedic and neurosurgical outpatient services
Moretto, Nicole, Comans, Tracy A., Chang, Angela T., O'Leary, Shaun P., Osborne, Sonya, Carter, Hannah E., Smith, David, Cavanagh, Tania, Blond, Dean and Raymer, Maree. 2019. "Implementation of simulation modelling to improve service planning in specialist orthopaedic and neurosurgical outpatient services." Implementation Science. 14 (1), pp. 1-11. https://doi.org/10.1186/s13012-019-0923-1
Reviewing ACORN nursing role ‘anaesthetic nurse'
Ireland, Sue and Osborne, Sonya. 2016. "Reviewing ACORN nursing role ‘anaesthetic nurse'." Journal of Perioperative Nursing. 29 (4), pp. 54-57.
Surgical hand antisepsis, gowning and gloving — not necessarily the way it has always been done
Johnson, Julie and Osborne, Sonya. 2016. "Surgical hand antisepsis, gowning and gloving — not necessarily the way it has always been done." Journal of Perioperative Nursing. 29 (2), pp. 52-54.
Recent updates to our national standards
Osborne, Sonya. 2016. "Recent updates to our national standards." Journal of Perioperative Nursing. 29 (1), pp. 54-55.
Candida albicans colonisation, continence status and incontinence-associated dermatitis in the acute care setting: a pilot study
Campbell, Jill L., Coyer, Fiona M., Mudge, Alison M., Robertson, Ivan M. and Osborne, Sonya R.. 2016. "Candida albicans colonisation, continence status and incontinence-associated dermatitis in the acute care setting: a pilot study." International Wound Journal. 14 (3), pp. 488-495. https://doi.org/10.1111/iwj.12630
Nursing and medical perceptions of a hospital rapid response system new process but same old game?
Douglas, Clint, Osborne, Sonya, Windsor, Carol, Fox, Robyn, Booker, Catriona, Jones, Lee and Gardner, Glenn. 2016. "Nursing and medical perceptions of a hospital rapid response system new process but same old game?" Journal of Nursing Care Quality. 31 (2), pp. E1-E10. https://doi.org/10.1097/NCQ.0000000000000139
A point about sharps safety
Osborne, Sonya. 2014. "A point about sharps safety." ACORN: the journal of perioperative nursing in Australia. 27 (1), pp. 8-9.
Author response: NPO practices and preoperative oral carbohydrate intake
Webster, Joan and Osborne, Sonya Ranee. 2014. "Author response: NPO practices and preoperative oral carbohydrate intake." AORN Journal. 99 (6), p. 673. https://doi.org/10.1016/j.aorn.2014.03.007
Incontinence-associated dermatitis: a cross-sectional prevalence study in the Australian acute care hospital setting
Campbell, Jill L., Coyer, Fiona M. and Osborne, Sonya R.. 2014. "Incontinence-associated dermatitis: a cross-sectional prevalence study in the Australian acute care hospital setting." International Wound Journal. 13 (3), pp. 403-411. https://doi.org/10.1111/iwj.12322
What factors influence nurses’ assessment practices? Development of the Barriers to Nurses’ use of Physical Assessment Scale
Douglas, Clint, Osborne, Sonya, Reid, Carol, Batch, Mary, Hollingdrake, Olivia and Gardner, Glenn. 2014. "What factors influence nurses’ assessment practices? Development of the Barriers to Nurses’ use of Physical Assessment Scale." Journal of Advanced Nursing. 70 (11), pp. 2683-2694. https://doi.org/10.1111/jan.12408
An integrated educational model for continuing nurse education
Duff, Beverley, Gardner, Glenn and Osborne, Sonya. 2014. "An integrated educational model for continuing nurse education." Nurse Education Today. 34 (1), pp. 104-111. https://doi.org/10.1016/j.nedt.2012.11.022
The primacy of vital signs – Acute care nurses’ and midwives’ use of physical assessment skills: a cross sectional study
Osborne, Sonya, Douglas, Clint, Reid, Carol, Jones, Lee and Gardner, Glenn. 2015. "The primacy of vital signs – Acute care nurses’ and midwives’ use of physical assessment skills: a cross sectional study." International Journal of Nursing Studies. 52 (5), pp. 951-962. https://doi.org/10.1016/j.ijnurstu.2015.01.014
Preoperative bathing or showering with skin antiseptics to prevent surgical site infection (Review)
Webster, Joan and Osborne, Sonya. 2015. "Preoperative bathing or showering with skin antiseptics to prevent surgical site infection (Review)." Cochrane Database of Systematic Reviews. https://doi.org/10.1002/14651858.CD004985.pub5
Perioperative nursing
Sutherland-Fraser, Sally, Osborne, Sonya and Bryant, Kim. 2016. "Perioperative nursing." Hamlin, Lois, Davies, Menna, Richardson-Tench, Marilyn and Sutherland-Fraser, Sally (ed.) Perioperative nursing: an introduction. Marrickville, Australia. Elsevier. pp. 1-29
Author response: missed opportunity related to statistical methods
Osborne, Sonya Ranee, Jones, Lee and Webster, Joan. 2014. "Author response: missed opportunity related to statistical methods." AORN Journal. 99 (6), pp. 675-677. https://doi.org/10.1016/j.aorn.2014.04.002
A theoretical framework to support research of health service innovation
Fox, Amanda, Gardner, Glenn and Osborne, Sonya. 2015. "A theoretical framework to support research of health service innovation." Australian Health Review. 39 (1), pp. 70-75. https://doi.org/10.1071/AH14031
Incidence and predictors of lower limb split-skin graft failure and primary closure dehiscence in day-case surgical patients
Stankiewicz, Monica, Coyer, Fiona, Webster, Joan and Osborne, Sonya. 2015. "Incidence and predictors of lower limb split-skin graft failure and primary closure dehiscence in day-case surgical patients." Dermatologic Surgery. 41 (7), pp. 775-783. https://doi.org/10.1097/DSS.0000000000000391
The skin safety model: reconceptualizing skin vulnerability in older patients
Campbell, Jill L, Coyer, Fiona M. and Osborne, Sonya R.. 2016. "The skin safety model: reconceptualizing skin vulnerability in older patients." Journal of Nursing Scholarship. 48 (1), pp. 14-22. https://doi.org/10.1111/jnu.12176
Skin preparation of the patient – more than skin deep
Levada, Lilliana and Osborne, Sonya. 2017. "Skin preparation of the patient – more than skin deep." Journal of Perioperative Nursing. 30 (2), pp. 57-59.
Making evidence-based perioperative practices stick: an introduction to an implementation science approach
Osborne, Sonya. 2017. "Making evidence-based perioperative practices stick: an introduction to an implementation science approach." Journal of Perioperative Nursing. 30 (4), pp. 53-55.
New ACORN guideline: perioperative nursing management of posthumous organ procurement
Gore, Amanda and Osborne, Sonya. 2017. "New ACORN guideline: perioperative nursing management of posthumous organ procurement." Journal of Perioperative Nursing. 30 (1 - Autumn), pp. 56-59.
Nursing physical assessment for patient safety in general wards: reaching consensus on core skills
Douglas, Clint, Booker, Catriona, Fox, Robyn, Windsor, Carol, Osborne, Sonya and Gardner, Glenn. 2016. "Nursing physical assessment for patient safety in general wards: reaching consensus on core skills." Journal of Clinical Nursing. 25 (13-14), pp. 1890-1900. https://doi.org/10.1111/jocn.13201
Intrathecal morphine–related perioperative hypothermia in women undergoing cesarean delivery: a retrospective case-control study
Munday, Judy, Osborne, Sonya and Yates, Patsy. 2018. "Intrathecal morphine–related perioperative hypothermia in women undergoing cesarean delivery: a retrospective case-control study." Journal of PeriAnesthesia Nursing. 33 (1), pp. 3-12. https://doi.org/10.1016/j.jopan.2016.04.142
Preoperative warming versus no preoperative warming for maintenance of normothermia in women receiving intrathecal morphine for cesarean delivery: a single-blinded, randomized controlled trial
Munday, Judy, Osborne, Sonya, Yates, Patsy, Jones, Lee and Gosden, Edward. 2018. "Preoperative warming versus no preoperative warming for maintenance of normothermia in women receiving intrathecal morphine for cesarean delivery: a single-blinded, randomized controlled trial." Anesthesia and Analgesia. 126 (1), pp. 183-189. https://doi.org/10.1213/ANE.0000000000002026
Nursing service innovation: a case study examining emergency nurse practitioner service sustainability
Fox, Amanda, Gardner, Glenn and Osborne, Sonya. 2018. "Nursing service innovation: a case study examining emergency nurse practitioner service sustainability." Journal of Advanced Nursing. 74 (2), pp. 454-464. https://doi.org/10.1111/jan.13454
Cohort study of a specialist social worker intervention on hospital use for patients at risk of long stay
Osborne, Sonya, Harrison, Gai, O'Malia, Angela, Barnett, Adrian Gerard, Carter, Hannah E. and Graves, Nicholas. 2018. "Cohort study of a specialist social worker intervention on hospital use for patients at risk of long stay." BMJ Open. 8 (12), pp. 1-6. https://doi.org/10.1136/bmjopen-2018-023127
Does preoperative oral carbohydrate reduce hospital stay? A randomized trial
Webster, Joan, Osborne, Sonya Ranee, Gill, Richard, Chow, Carina Faran Kalan, Wallin, Siobhan, Jones, Lee and Tang, Annie. 2014. "Does preoperative oral carbohydrate reduce hospital stay? A randomized trial." AORN Journal. 99 (2), pp. 233-242. https://doi.org/10.1016/j.aorn.2013.12.003
Quantitative data collection and study validity
Osborne, Sonya and Schneider, Zevia. 2013. "Quantitative data collection and study validity." Schneider, Zevia, Whitehead, Dean, LoBiondo-Wood, Geri and Haber, Judith (ed.) Nursing and midwifery research: methods and appraisal for evidence-based practice. Australia. Elsevier - Mosby. pp. 200-217
Infection control
Osborne, Sonya. 2013. "Infection control." Crisp, Jackie, Potter, Patricia Ann, Taylor, Catherine, Rebeiro, Geraldine and Douglas, Clint (ed.) Potter and Perry's fundamentals of nursing. Chatswood, NSW, Australia. Elsevier - Mosby. pp. 703-752
The ACORN standards - our aide-memoire to professional practice
Osborne, Sonya. 2013. "The ACORN standards - our aide-memoire to professional practice." ACORN: the journal of perioperative nursing in Australia. 26 (4), pp. 14-15.
Clinically-indicated replacement versus routine replacement of peripheral venous catheters [Review]
Webster, Joan, Osborne, Sonya, Rickard, Clare M. and New, Karen. 2013. "Clinically-indicated replacement versus routine replacement of peripheral venous catheters [Review]." Cochrane Database of Systematic Reviews. https://doi.org/10.1002/14651858.CD007798.pub3
Nursing management: intraoperative care
Shoup, Anita, Reilly, Maureen, Kless, Jack and Osborne, Sonya. 2012. "Nursing management: intraoperative care." Brown, Diane and Edwards, Helen (ed.) Lewis's medical surgical nursing: assessment and management of clinical problems. Australia. Elsevier. pp. 402-420
Exploring the culture of non-reporting in the perioperative environment
Marshall, J. and Osborne, Sonya. 2007. "Exploring the culture of non-reporting in the perioperative environment." ACORN: the journal of perioperative nursing in Australia. 20 (2), pp. 10-21.
Imperatives and strategies for developing an evidence-based practice in perioperative nursing
Osborne, Sonya and Gardner, Glenn. 2004. "Imperatives and strategies for developing an evidence-based practice in perioperative nursing." ACORN: the journal of perioperative nursing in Australia. 17 (1), pp. 18-24.
Occupational exposures: balancing the costs of prevention vs treatment in operating theatres, with particular focus on double gloving practices
Osborne, Sonya. 2001. "Occupational exposures: balancing the costs of prevention vs treatment in operating theatres, with particular focus on double gloving practices." ACORN: the journal of perioperative nursing in Australia. 14 (2), pp. 16-21.
Care and preventative maintenance of surgical instrumentation: the scrub nurse's responsibility
Osborne, Sonya R.. 1999. "Care and preventative maintenance of surgical instrumentation: the scrub nurse's responsibility." ACORN: the journal of perioperative nursing in Australia. 12 (4), pp. 10-13.
Latex allergy: a perioperative environmental hazard
Osborne, Sonya R.. 1998. "Latex allergy: a perioperative environmental hazard." ACORN: the journal of perioperative nursing in Australia. 11 (4), pp. 26-28.