Abstract
Objectives: This study explored nurses. experiences in learning and applying ultrasound-guided peripheral venous catheters, focusing on practical encounters. Methods: This qualitative investigation used interview data from clinical nurses at a metropolitan university hospital in Japan. Semi-structured interviews were conducted with five consenting nurses trained and experienced in ultrasound-guided peripheral intravenous cahteter placement. Qualitative inductive analysis interpreted their experiences with ultrasound-guided peripheral intravenous catheter placement and patient responses. Based on response commonality, “Subcategory” and “Category” concepts are indicated by “‹ ›” and “« »,” respectively. Results: During training, nurses experienced «Difficulty mastering the skills within a specific timeframe» and «Anxiety regarding practice in clinical settings». In clinical practice, the ultrasound device provided objective insights into vessel diameter and depth, resulting in «Relief due to visualization through ultrasound». Additionally, nurses reported «Experiencing success in difficult vascular access cases» and «Experience of shared happiness with a patient». However, they also reported «Experiencing strong patient pressure» and «A gap between success and failure expectations when personally using ultrasonography». These factors contributed to «Changes in techniques and consciousness regarding catheter placement». Conclusions: The adoption of ultrasound-guided peripheral venous catheter placement led to notable changes in nurses′ techniques and consciousness, enhancing ultrasound education.
