{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,10,14]],"date-time":"2026-10-14T21:37:04Z","timestamp":1792013824202,"version":"4.4.0"},"reference-count":23,"publisher":"Wiley","issue":"11-12","license":[{"start":{"date-parts":[[2019,3,13]],"date-time":"2019-03-13T00:00:00Z","timestamp":1552435200000},"content-version":"vor","delay-in-days":0,"URL":"http:\/\/onlinelibrary.wiley.com\/termsAndConditions#vor"}],"content-domain":{"domain":["onlinelibrary.wiley.com"],"crossmark-restriction":true},"short-container-title":["Journal of Clinical Nursing"],"published-print":{"date-parts":[[2019,6]]},"abstract":"<jats:title>Abstract<\/jats:title><jats:sec><jats:title>Aims and objectives<\/jats:title><jats:p>To determine the factors affecting the first\u2010attempt success of peripheral intravenous catheter (PIVC) placement in older emergency department patients.<\/jats:p><\/jats:sec><jats:sec><jats:title>Background<\/jats:title><jats:p>In older patients who require intravenous treatment, establishing a PIVC as fast as possible is clinically important.<\/jats:p><\/jats:sec><jats:sec><jats:title>Design<\/jats:title><jats:p>This is a prospective, observational, descriptive study.<\/jats:p><\/jats:sec><jats:sec><jats:title>Methods<\/jats:title><jats:p>Using a data collection form, researchers questioned both the patient and the nurse performing the procedure in terms of patient\u2010 and operator\u2010related factors. This study followed the Strengthening the Reporting of Observational Studies in Epidemiology (STROBE) guidelines (See Supporting Information Appendix ).<\/jats:p><\/jats:sec><jats:sec><jats:title>Results<\/jats:title><jats:p>A total of 472 patients were included in the final analyses. According to the logistic regression analysis, independent factors which affected first\u2010attempt failure were found to be: choosing a nonupper extremity site for PIVC (OR: 4.72, 95% CI: 1.35\u201316.45, <jats:italic>p<\/jats:italic>\u2010value: 0.015), history of difficult intravenous access (OR: 3.02, 95% CI: 1.72\u20135.29, <jats:italic>p<\/jats:italic>\u2010value: &lt;0.001), nurse having less than 2\u00a0years of professional experience (OR: 3.45, 95% CI: 2.00\u20135.97, <jats:italic>p<\/jats:italic>\u2010value: &lt;0.001), nonpalpable veins observed after the application of tourniquet (OR: 2.21, 95% CI: 1.10\u20134.41, <jats:italic>p<\/jats:italic>\u2010value: 0.025), a moderate degree of difficulty anticipated by the nurse prior to the procedure (OR: 4.32, 95% CI: 2.31\u20138.08, <jats:italic>p<\/jats:italic>\u2010value: &lt;0.001) and a high degree of difficulty anticipated by the nurse prior to the procedure (OR: 8.41, 95% CI: 4.10\u201317.24, <jats:italic>p<\/jats:italic>\u2010value: &lt;0.001).<\/jats:p><\/jats:sec><jats:sec><jats:title>Conclusion<\/jats:title><jats:p>Factors affecting first\u2010attempt success rates in peripheral intravenous catheter placement in older emergency department patients may be listed as follows: the anticipated difficulty of the procedure rated by the nurse, previous history of a difficult intravenous cannulation, choosing a nonupper extremity site for cannulation, the level of experience of the nurse and the palpability of the vein.<\/jats:p><\/jats:sec><jats:sec><jats:title>Relevance to clinical practice<\/jats:title><jats:p>Healthcare providers should consider alternative methods in the presence of factors affecting first\u2010attempt success in older emergency department patients.<\/jats:p><\/jats:sec>","DOI":"10.1111\/jocn.14816","type":"journal-article","created":{"date-parts":[[2019,2,20]],"date-time":"2019-02-20T22:51:50Z","timestamp":1550703110000},"page":"2206-2213","update-policy":"https:\/\/doi.org\/10.1002\/crossmark_policy","source":"Crossref","is-referenced-by-count":29,"title":["Factors affecting the first\u2010attempt success rate of intravenous cannulation in older people"],"prefix":"10.1111","volume":"28","author":[{"ORCID":"https:\/\/orcid.org\/0000-0003-1780-8391","authenticated-orcid":false,"given":"Sercan","family":"Yal\u00e7\u0131nl\u0131","sequence":"first","affiliation":[{"name":"Department of Emergency Medicine Ege University Izmir Turkey"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Funda Karbek","family":"Akarca","sequence":"additional","affiliation":[{"name":"Department of Emergency Medicine Ege University Izmir Turkey"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"\u00d6zge","family":"Can","sequence":"additional","affiliation":[{"name":"Department of Emergency Medicine Ege University Izmir Turkey"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Alper","family":"\u015eener","sequence":"additional","affiliation":[{"name":"Department of Emergency Medicine Fatsa State Hospital Fatsa\/Ordu Turkey"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Cemile","family":"Akbinar","sequence":"additional","affiliation":[{"name":"Department of Emergency Medicine Ege University Izmir Turkey"}],"role":[{"vocabulary":"crossref","role":"author"}]}],"member":"311","published-online":{"date-parts":[[2019,3,13]]},"reference":[{"key":"e_1_2_11_2_1","unstructured":"Agency for Health Care Policy and Research (US). 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