Impact of Implementing the Modified A-DIVA Scale on Successful Access to a Venous Line on the First Attempt
This study is exploring a new method to make getting a drip (also known as a cannula or IV line) easier and more successful for patients. Often, finding a good vein can be tricky, especially for people with long-term health issues. When it takes several attempts, it can cause pain, anxiety, and delays in treatment. This research focuses on a scoring system called A-DIVA, which helps nurses predict how difficult it might be to insert a drip. By using this score, nurses could choose techniques that give them a better chance of success on the first try. The goal is to reduce discomfort for patients and protect their veins, ultimately improving the quality of care.
At a glance
What is this study about?
Imagine needing a drip for your treatment, but the nurse struggles to find a good vein, leading to several attempts. This can be painful, make you anxious, and delay your care. This study is all about making that experience better and smoother right from the start.
Researchers are looking into a tool called the A-DIVA scale. Think of it like a checklist or a scoring system that helps nurses figure out, before they even start, how easy or difficult it might be to put in a drip. This system looks at things related to your veins to give a prediction. If the score suggests it might be tricky, the nurse could then use different techniques or prepare in a way that gives them the best chance of success on their very first try.
The main idea behind this study is to empower nurses with information so they can make the best choices for you. By reducing the number of attempts needed to insert a drip, the study hopes to lessen your pain and anxiety. This also helps to protect your veins, which is especially important if you have a long-term condition and might need drips often. Ultimately, it's about making your hospital experience as comfortable and efficient as possible.
Key takeaways
- Aims to make getting a drip easier for patients.
- Uses a tool (A-DIVA scale) to help nurses find the best vein first time.
- Could reduce pain and anxiety during drip insertions.
- Helps protect patient's veins, especially for those needing regular drips.
- Focuses on improving nursing techniques, not new treatments.
Who may be eligible?
To be able to take part in this study, you need to be an adult (18 years or older) and be receiving care that requires you to have a drip (like an IV line). You should also be able to understand and speak French fluently and be covered by a social security plan, which is common for most people in France.
There are some reasons why you might not be able to join the study. For example, if you don't have an upper arm or if there's a medical reason why a drip can't be put into your arm, you wouldn't be able to participate. This is because the A-DIVA scale specifically looks at veins in the upper arm.
Other reasons for not being able to join include if you're being treated for an emergency, if you have difficulty understanding or communicating due to language barriers or certain health conditions, or if you are under legal protection like guardianship. Pregnant or breastfeeding women also wouldn't be able to take part.
Could this study suit you?
Answer these quick questions to see if you may be eligible. This is a guide only — the research team makes the final call.
- Are you 18 years or older?
- Do you need to have a drip (IV line) as part of your care?
- Do you understand and speak French fluently?
- Are you able to have a drip placed in your upper arm?
- Are you NOT being treated for an emergency?
What does participation involve?
This study is about how nurses use a new tool, not about giving you new treatments or medicines. If you join, the nurses caring for you will use the A-DIVA scoring system before they try to insert a drip. This doesn't change the drip you need or how it's inserted, only how the nurses plan it.
There are no extra visits or assessments just for this study. The researchers will simply be looking at information gathered during your regular care, such as how many attempts it took to put in your drip and if the A-DIVA score helped. The study is part of your usual care, so there isn't a specific 'total duration' or follow-up that's different from your ongoing treatment.
Potential risks and benefits
Locations (3)
- CHU Gabriel MontpiedVerified postcodeClermont-Ferrand, France· Not yet recruiting
- Centre Jean PERRINVerified postcodeClermont-Ferrand, France· Recruiting
- Hôpital de la Croix RousseVerified postcodeLyon, France· Not yet recruiting
Common questions
What is a 'venous line'?
A venous line, or drip, is a small tube put into a vein, usually in your arm, to give you fluids, medicines, or draw blood.
What is the A-DIVA scale?
It's a scoring system that helps nurses predict how difficult it might be to put a drip into your vein by looking at certain features of your veins.
Will I get different medical treatment if I join?
No, your medical treatment will remain the same. This study is about improving how nurses insert drips, not changing your therapy.
Will this study hurt?
No, the study itself doesn't cause pain. In fact, a goal of the study is to reduce discomfort by making drip insertions more successful on the first try.
Can I change my mind after joining?
Yes, you can withdraw from the study at any time without it affecting your medical care.
How to find out more
Judith PASSILDAS JAHANMOHAN, PhD
Always speak to your GP or specialist before deciding to take part in a study.
Interested in taking part?
Discussion
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