Infusion Survey #1: Visual ReportPrepared by Ben Pratt on ...

Infusion Survey #1: Visual ReportPrepared by Ben Pratt on ...

INFUSION SURVEY #1: VISUAL REPORT Prepared by Ben Pratt on behalf of Professor Ben Dunford RESPONDENT DEMOGRAPHICS* 1760 53 54 75.6% 69% Total Respondents Average Age Average years of infusion experience Clinically Active Work in Hospitals *While this summary contains many analyses of data from ANN members alone, these demographics represent all respondents. WHO PERFORMS INFUSION TASKS? INFUSION ASSESSMENTS/PREP All Respondents ANN Respondents Individual LPN/ Other ; 1.00% LVN; 1.00% Physician; 10.00% Physician

Individual LPN/ Assistant; 3.00% LVN; 4.00% Nurse Practitioner; Individual RNs; 50.00% 8.00% Nurse Infusion Team; 18.00% Physician; 16.00% Other ; 4.00% Other Type of Infusion Team; 3.00% Individual RNs; 51.00% Physician Assistant; 4.00% Nurse Practitioner; 19.00% Nurse Infusion Team; 7.00% Other Type of Infusion Team; 1.00% INFUSION INSERTION (STICKS) All Respondents Individual LPN/LVN; 2.00%

Other ; 6.00% Physician; 22.00% Physician Assistant; Individual RN; 28.00% 5.00% Other Type of Infusion Nurse Practitioner; Team; 5.00% 9.00% Nurse Infusion Team; 23.00% ANN Respondents Other; 2.00% Individual RN; 28.00% Physician; 24.00% Other Type of Infusion Physician Assistant; 4.00% Team; 3.00% Nurse Practitioner; 29.00% Nurse Infusion Team; 10.00% INFUSION ADMINISTRATION All Respondents Physician Nurse Practitioner; Other; 2.00%Physician; 2.00%Assistant; 1.00% 2.00% Nurse Infusion Team; Individual LPN/LVN; 14.00% 7.00% Other Type of Infusion Team; 3.00% Individual RN; 69.00%

ANN Respondents Individual LPN/LVN; 1.00% Other; 1.00%Nurse Practitioner; 2.00% Physician; 3.00% Physician Nurse Infusion Team; Assistant; 6.00% 5.00% Individual RN; 81.00% Other Type of Infusion Team; 1.00% MONITORING AND PATIENT FOLLOW UP All Respondents Physician Assistant; 2.00% Nurse Practitioner; Other; 3.00% Physician; 8.00% 7.00% Individual LPN/LVN; Nurse Infusion Team; 7.00% 15.00% Individual RN; 55.00%

Other Type of Infusion Team; 3.00% ANN Respondents Individual LPN/LVN; 2.00% Physician; 11.00% Physician Assistant; 3.00% Nurse Practitioner; 14.00% Individual RN; 64.00% Nurse Infusion Team; 6%; 6.00% INFUSION DRESSING CHANGES All Respondents Physician Physician; 2.00% Assistant; 1.00% Nurse Practitioner; 5.00%Other; 3.00% Nurse Infusion Individual LPN/ Team; 24.00% LVN; 6.00% Other Type of Infusion Team; Individual RN; 3.00% 56.00% ANN Respondents Other; 3.00% Physician; 7.00%

Physician Assistant; 3.00% Individual RN; Nurse Practitioner; 46.00% 22.00% Other Type of Infusion Nurse Infusion Team; 3.00% Team; 16.00% FLUSHING AND LOCKING LINES All Respondents Physician Assistant; Physician; 1.00%0.30% Nurse Practitioner; 2.00% Other;Infusion 3.00% Team; Nurse 18.00% Individual LPN/LVN; 7.60% Individual RN; 65.10% ANN Respondents Individual LPN/LVN;Physician Assistant; 1.50% 1.00% Nurse Practitioner; Physician; 8.00% 5.00% Nurse Infusion Team; 7.00%

Other Type of Infusion Team; 3.00% Individual RN; 76.00% Other Type of Infusion Team; 1.50% INFUSION DEVICE REMOVAL All Respondents ANN Respondents Other; 2.00% Other; 3.00% Physician; 10.00% Assistant; 3.00% Individual LPN/LVN; Physician 4.00% Individual RN; 49.00% Nurse Practitioner; 7.00% Nurse Infusion Team; 20.00% Physician; 15.00% Physician Assistant; 4.00% Individual RN; 44.00% Nurse Practitioner;

22.00% Nurse Infusion Team; 12.00% Other Type of Infusion Team; 4.00% Other Type of Infusion Team; 1.00% CHANGES IN INFUSION PRACTICE OVER THE LAST TEN YEARS ANN Respondents 70 60 All Respondents 600 500 400 300 200 100 0 50 Number of Respondents N u m b e r of R e sp o nd en ts REPORTED CHANGES IN INFUSION TASK-WORK 40

30 20 10 0 l ss es ep on ng ng va i i i r e t g r k o c n ra to t/P oc Ac st em ha ni i L

/ en r o R n C i g a m l M m in ng ss cu i d e s sh s A s s a u V re Fl As D DIRECTION OF CHANGES IN TASK-WORK

A 0.1 change on this scale represents reports from 10% of respondents that an infusion task has been reassigned from one occupational level to anothereither up or down the occupational ladderduring the last 10 years. Occupational Levels 7-Physician 6-Physicians Asst. 5-Nurse Practitioner 4-Infusion Team 3-Other type of Inf. Team (Vascular Access) 2-Individual RN 1-Individual LPN/LVN O c c u p a tio n a l L e v e ls (For example, the -.51 score for vascular access means that 51% percent of respondents indicated that the task had been reassigned one full level down the occupational scale over the last 10 years) 0.2 0.1 0 -0.1 -0.2 -0.3 -0.4 -0.5 -0.6 Assessment/Prep Administration Dressing Changes Vascular Access

Monitoring Flushing/Locking REDUCTION/DISBANDING OF INFUSION TEAMS 30.9% Of respondents indicate that infusion teams have been disbanded or reduced in their place of work. 11.4% Of ANN respondents indicate that infusion teams have been disbanded or reduced in their place of work. 350 All Respondents N u m b e r o f R e s p o n d e n ts N u m b e r o f R e s p o n d e n ts REASONS 14 300

12 250 10 200 8 150 6 100 4 50 2 0 0 ANN Respondents To reduce costs To reduce costs Technology makes them unnecessary Technology makes them unnecessary

Regulatory/reimbursement pressures Regulatory/reimbursement pressures Lack of organizational resources Lack of organizational resources Individual nurses perform them just as well Individual nurses perform them just as well Other (lack of administrative understanding) Other (lack of administrative understanding) INFUSION TEAMS: MISCELLANEOUS INFORMATION 79% of all respondents say infusion teams are a good idea 46.51% work in facilities with an infusion team 8.2 Average FTE on infusion teams 77 Respondents reported more than 1 infusion team in organization ORGANIZATIONS WITH AND WITHOUT INFUSION TEAMS: NURSE PERCEPTIONS AND EFFECTS SUPPORT AND INDEPENDENCE

5.6 5.2 5.2 4.8 4.8 4.4 4.4 4 4 fe ty gi lo yc ho Ps So ci a ca l lS Sa

up po m y to no al gi c Ps yc h So ol o ci a Au fe ty Sa up po lS With Infusion Team

Without Infusion Team to no 5.6 rt 6 rt 6 m y ANN Respondents Au All Respondents With Infusion Team Without Infusion Team TRUST AND SATISFACTION All Respondents ANN Respondents 5.8 5.8

5.6 5.6 5.4 5.4 5.2 5.2 5 5 4.8 4.8 4.6 4.6 4.4 4.4 4.2 4.2 4 Organizational Trust Satisfaction

With Infusion Team Without Infusion Team 4 Organizational Trust Satisfaction With Infusion Team Without Infusion Team PERCEIVED RESOURCES AND BURNOUT All Respondents ANN Respondents 4.5 4 3.5 3 2.5 2 4.5 4 3.5 3 2.5 s ou rc e

Tu rn ov er ut rn o tt o R es In te n tt o In te n Bu fo rI nf us io ns er

Tu rn ov rn ou t Bu R es ou rc es fo r In fu si on s 2 With Infusion Team Without Infusion Team With Infusion Team Without Infusion Team PERCEIVED SAFETY AND QUALITY All Respondents

ANN Respondents 6 5.6 6 5.6 5.2 4.8 4.4 4 S y et f a 5.2 4.8 4.4 t en em v o pr m I ty fe a

S C pa m o With Infusion Team ris on an rg O io at z i l na C pa m o 4 on ris

Without Infusion Team S y et f a en m e ov r p Im t Sa ty fe C p om With Infusion Team on is r a

an rg O io at z i l na C on is r pa m o Without Infusion Team IMPLICATIO NS PSYCHOLOGICAL SAFETY: A MEDIATING LINK The presence of an infusion team is associated with a 4% increase in nurse psych. safety scores. A 1-unit increase in psych. safety

scores is associated with a .36 unit increase in perceptions of organizational safety The presence of an infusion team is associated with a 3.4% increase in nurse perceptions of safety in the organization in which they work, as compared with safety in peer institutions. TAKEAWAYS Decreased use of infusion teams Increased reliance on bedside nurses Infusion teams affect key nurse outcomes NEXT STEPS Publication of Findings from Survey #1 Finalization of Survey #2 Draws on findings from survey #1 New opportunity for collaboration More specific and refined survey A shorter survey!

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