{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,8,11]],"date-time":"2026-08-11T05:28:53Z","timestamp":1786426133507,"version":"build-2736575974"},"reference-count":20,"publisher":"Wiley","license":[{"start":{"date-parts":[[2026,8,10]],"date-time":"2026-08-10T00:00:00Z","timestamp":1786320000000},"content-version":"vor","delay-in-days":0,"URL":"http:\/\/creativecommons.org\/licenses\/by\/4.0\/"},{"start":{"date-parts":[[2026,8,10]],"date-time":"2026-08-10T00:00:00Z","timestamp":1786320000000},"content-version":"tdm","delay-in-days":0,"URL":"http:\/\/doi.wiley.com\/10.1002\/tdm_license_1.1"}],"content-domain":{"domain":["onlinelibrary.wiley.com"],"crossmark-restriction":true},"short-container-title":["Journal of Clinical Nursing"],"abstract":"ABSTRACT<\/jats:title>\n \n Background<\/jats:title>\n Difficult peripheral intravenous cannulation affects a substantial proportion of hospitalized patients, yet factors associated with cannulation failure among cases assisted by a dedicated intravenous therapy team on general wards remain poorly characterized.<\/jats:p>\n <\/jats:sec>\n \n Aim<\/jats:title>\n To identify patient\u2010related, operator\u2010related, and procedural factors independently associated with non\u2010first\u2010attempt success in peripheral intravenous cannulation performed by an intravenous therapy team on general medical and surgical wards.<\/jats:p>\n <\/jats:sec>\n \n Design<\/jats:title>\n Prospective observational study and secondary analysis of prospectively collected clinical data.<\/jats:p>\n <\/jats:sec>\n \n Methods<\/jats:title>\n Cannulation events recorded by an intravenous therapy team over a 1\u2010year period were analysed. The primary outcome was non\u2010first\u2010attempt success, defined as requiring two or more insertion attempts. A generalized linear mixed model accounted for repeated events within hospitalizations. Three sensitivity analyses assessed robustness.<\/jats:p>\n <\/jats:sec>\n \n Results<\/jats:title>\n Approximately one in five events required two or more attempts. Five factors were independently associated with non\u2010first\u2010attempt success: lower nurse experience, reduced patient mobility, smaller catheter gauge, replacement prompted by difficult access, and lower\u2010limb or trunk insertion sites. Patient age, sex, comorbidity burden, and body mass index were not independently associated. Findings were robust across all sensitivity analyses.<\/jats:p>\n <\/jats:sec>\n \n Conclusion<\/jats:title>\n Nurse experience, catheter gauge, and insertion site are modifiable factors associated with first\u2010attempt success. Patient mobility emerged as a novel, easily assessable risk indicator.<\/jats:p>\n <\/jats:sec>\n \n Implications for the Profession and\/or Patient Care<\/jats:title>\n Findings can inform intravenous therapy team training priorities, catheter gauge and insertion\u2010site selection protocols, and prospective bedside risk screening to reduce repeated cannulation attempts.<\/jats:p>\n <\/jats:sec>\n \n Impact<\/jats:title>\n This study clarified which factors drive cannulation failure on general wards, identifying five independently associated factors\u2014three of them modifiable\u2014and highlighting patient mobility as a novel indicator relevant to intravenous therapy teams, ward nurses, and hospitalized adults internationally.<\/jats:p>\n <\/jats:sec>\n \n Reporting Method<\/jats:title>\n This study adhered to the STROBE reporting guideline for observational studies.<\/jats:p>\n <\/jats:sec>\n \n Patient or Public Contribution<\/jats:title>\n No patient or public contribution.<\/jats:p>\n <\/jats:sec>","DOI":"10.1111\/jocn.70498","type":"journal-article","created":{"date-parts":[[2026,8,11]],"date-time":"2026-08-11T04:52:12Z","timestamp":1786423932000},"update-policy":"https:\/\/doi.org\/10.1002\/crossmark_policy","source":"Crossref","is-referenced-by-count":0,"title":["Factors Associated With Non\u2010First\u2010Attempt Success in Peripheral Intravenous Cannulation by an Intravenous Therapy Team: A Prospective Observational Study"],"prefix":"10.1111","author":[{"ORCID":"https:\/\/orcid.org\/0009-0006-4749-971X","authenticated-orcid":false,"given":"Mei\u2010Jung","family":"Wu","sequence":"first","affiliation":[{"name":"Research Center in Nursing Clinical Practice, Wan Fang Hospital Taipei Medical University Taipei Taiwan"},{"name":"Department of Nursing, Wan Fang Hospital Taipei Medical University Taipei Taiwan"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0000-0001-9624-9705","authenticated-orcid":false,"given":"Ming\u2010Chin","family":"Lin","sequence":"additional","affiliation":[{"name":"Graduate Institute of Biomedical Informatics, College of Medical Science and Technology Taipei Medical University Taipei Taiwan"},{"name":"Department of Neurosurgery, Wan Fang Hospital Taipei Medical University Taipei Taiwan"},{"name":"Department of Neurosurgery, Shuang Ho Hospital Taipei Medical University New Taipei Taiwan"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0009-0004-1398-1669","authenticated-orcid":false,"given":"Chi\u2010Ming","family":"Yang","sequence":"additional","affiliation":[{"name":"Department of Nursing, Wan Fang Hospital Taipei Medical University Taipei Taiwan"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0009-0006-3795-2939","authenticated-orcid":false,"given":"Yi\u2010Chun","family":"Lin","sequence":"additional","affiliation":[{"name":"Department of Nursing, Wan Fang Hospital Taipei Medical University Taipei Taiwan"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0000-0001-8194-9784","authenticated-orcid":false,"given":"Made Satya Nugraha","family":"Gautama","sequence":"additional","affiliation":[{"name":"Department of Nursing, Faculty of Medicine Universitas Pendidikan Ganesha Singaraja Indonesia"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0000-0002-6722-1153","authenticated-orcid":false,"given":"Tsai\u2010Wei","family":"Huang","sequence":"additional","affiliation":[{"name":"Research Center in Nursing Clinical Practice, Wan Fang Hospital Taipei Medical University Taipei Taiwan"},{"name":"Department of Nursing, Wan Fang Hospital Taipei Medical University Taipei Taiwan"},{"name":"School of Nursing, College of Nursing Taipei Medical University Taipei Taiwan"}],"role":[{"vocabulary":"crossref","role":"author"}]}],"member":"311","published-online":{"date-parts":[[2026,8,10]]},"reference":[{"key":"e_1_2_14_2_1","doi-asserted-by":"publisher","DOI":"10.1002\/jhm.2389"},{"key":"e_1_2_14_3_1","doi-asserted-by":"publisher","DOI":"10.1111\/jocn.13750"},{"key":"e_1_2_14_4_1","doi-asserted-by":"publisher","DOI":"10.1097\/NAN.0000000000000560"},{"key":"e_1_2_14_5_1","doi-asserted-by":"publisher","DOI":"10.1177\/1129729818804994"},{"key":"e_1_2_14_6_1","doi-asserted-by":"publisher","DOI":"10.1371\/journal.pone.0193436"},{"key":"e_1_2_14_7_1","doi-asserted-by":"publisher","DOI":"10.1097\/NAN.0000000000000100"},{"key":"e_1_2_14_8_1","doi-asserted-by":"publisher","DOI":"10.1007\/s00134\u2010007\u20100634\u2010y"},{"key":"e_1_2_14_9_1","doi-asserted-by":"publisher","DOI":"10.1097\/NAN.0000000000000532"},{"key":"e_1_2_14_10_1","doi-asserted-by":"publisher","DOI":"10.1111\/1742\u20106723.14069"},{"key":"e_1_2_14_11_1","doi-asserted-by":"publisher","DOI":"10.1111\/jocn.13444"},{"key":"e_1_2_14_12_1","doi-asserted-by":"publisher","DOI":"10.1177\/11297298211023274"},{"key":"e_1_2_14_13_1","doi-asserted-by":"publisher","DOI":"10.1097\/NAN.0000000000000460"},{"key":"e_1_2_14_14_1","doi-asserted-by":"publisher","DOI":"10.2147\/RMHP.S500340"},{"key":"e_1_2_14_15_1","doi-asserted-by":"publisher","DOI":"10.3233\/BME\u2010120735"},{"key":"e_1_2_14_16_1","doi-asserted-by":"publisher","DOI":"10.1016\/j.pmn.2023.07.010"},{"key":"e_1_2_14_17_1","doi-asserted-by":"publisher","DOI":"10.1016\/j.bja.2018.04.047"},{"key":"e_1_2_14_18_1","doi-asserted-by":"publisher","DOI":"10.1097\/MD.0000000000003428"},{"key":"e_1_2_14_19_1","doi-asserted-by":"publisher","DOI":"10.1177\/1129729819832707"},{"key":"e_1_2_14_20_1","doi-asserted-by":"publisher","DOI":"10.1177\/1129729820937736"},{"key":"e_1_2_14_21_1","doi-asserted-by":"publisher","DOI":"10.1016\/S0924\u20108579(09)70565\u20105"}],"container-title":["Journal of Clinical Nursing"],"original-title":[],"language":"en","link":[{"URL":"https:\/\/onlinelibrary.wiley.com\/doi\/pdf\/10.1111\/jocn.70498","content-type":"application\/pdf","content-version":"vor","intended-application":"text-mining"},{"URL":"https:\/\/onlinelibrary.wiley.com\/doi\/full-xml\/10.1111\/jocn.70498","content-type":"application\/xml","content-version":"vor","intended-application":"text-mining"},{"URL":"https:\/\/onlinelibrary.wiley.com\/doi\/pdf\/10.1111\/jocn.70498","content-type":"unspecified","content-version":"vor","intended-application":"similarity-checking"}],"deposited":{"date-parts":[[2026,8,11]],"date-time":"2026-08-11T04:52:17Z","timestamp":1786423937000},"score":1,"resource":{"primary":{"URL":"https:\/\/onlinelibrary.wiley.com\/doi\/10.1111\/jocn.70498"}},"subtitle":[],"short-title":[],"issued":{"date-parts":[[2026,8,10]]},"references-count":20,"alternative-id":["10.1111\/jocn.70498"],"URL":"https:\/\/doi.org\/10.1111\/jocn.70498","archive":["Portico"],"relation":{},"ISSN":["0962-1067","1365-2702"],"issn-type":[{"value":"0962-1067","type":"print"},{"value":"1365-2702","type":"electronic"}],"subject":[],"published":{"date-parts":[[2026,8,10]]},"assertion":[{"value":"2026-06-16","order":0,"name":"received","label":"Received","group":{"name":"publication_history","label":"Publication History"}},{"value":"2026-07-20","order":2,"name":"accepted","label":"Accepted","group":{"name":"publication_history","label":"Publication History"}},{"value":"2026-08-10","order":3,"name":"published","label":"Published","group":{"name":"publication_history","label":"Publication History"}}],"article-number":"jocn.70498"}}