Determinants of the optimal selection of vascular access devices: a systematic review underpinned by the COM-B behavioural model
Author(s)
Fernandez-Fernandez, Ismael
Castro-Sanchez, Enrique
Blanco-Mavillard, Ian
Type
Journal Article
Abstract
Background
Optimal selection of vascular access devices is based on multiple factors and is the first strategy to reduce vascular access device-related complications. This process is dependent on behavioural and human factors. The COM-B (Capability, Opportunity, Motivation, Behaviour) model was used as a theoretical framework to organize the findings of this systematic review.
Methods/Aims
To synthesize the evidence on determinants shaping the optimal selection of vascular access devices, using the COM-B behavioural model as the theoretical framework.
Design
Systematic review of studies which explore decision-making at the time of selecting vascular access devices.
Data Sources
The Medline, Web of Science, Scopus and EbscoHost databases were interrogated to extract manuscripts published up to 31 December 2021, in English or Spanish.
Results
Among 16 studies included in the review, 8/16 (50%) focused on physical capability, 8/16 (50%) psychological capability, 15/16 (94%) physical opportunity, 12/16 (75%) social opportunity, 1/16 (6%) reflective motivation and 0/16 (0%) automatic motivation. This distribution represents a large gap in terms of interpersonal and motivational influences and cultural and social environments. Specialist teams (teams created for the insertion or maintenance of vascular access devices) are core for the optimal selection of vascular access devices (75% physical capability, 62% psychological capability, 80% physical opportunity and 100% social opportunity).
Conclusion
Specialist teams predominantly lead all actions undertaken towards the optimal selection of vascular access devices. These actions primarily centre on assessing opportunity and capability, often overlooking motivational influences and social environments.
Implications for the Profession and/or Patient Care
A more implementation-focused professional approach could decrease inequity among patients and complications associated with vascular access devices.
Optimal selection of vascular access devices is based on multiple factors and is the first strategy to reduce vascular access device-related complications. This process is dependent on behavioural and human factors. The COM-B (Capability, Opportunity, Motivation, Behaviour) model was used as a theoretical framework to organize the findings of this systematic review.
Methods/Aims
To synthesize the evidence on determinants shaping the optimal selection of vascular access devices, using the COM-B behavioural model as the theoretical framework.
Design
Systematic review of studies which explore decision-making at the time of selecting vascular access devices.
Data Sources
The Medline, Web of Science, Scopus and EbscoHost databases were interrogated to extract manuscripts published up to 31 December 2021, in English or Spanish.
Results
Among 16 studies included in the review, 8/16 (50%) focused on physical capability, 8/16 (50%) psychological capability, 15/16 (94%) physical opportunity, 12/16 (75%) social opportunity, 1/16 (6%) reflective motivation and 0/16 (0%) automatic motivation. This distribution represents a large gap in terms of interpersonal and motivational influences and cultural and social environments. Specialist teams (teams created for the insertion or maintenance of vascular access devices) are core for the optimal selection of vascular access devices (75% physical capability, 62% psychological capability, 80% physical opportunity and 100% social opportunity).
Conclusion
Specialist teams predominantly lead all actions undertaken towards the optimal selection of vascular access devices. These actions primarily centre on assessing opportunity and capability, often overlooking motivational influences and social environments.
Implications for the Profession and/or Patient Care
A more implementation-focused professional approach could decrease inequity among patients and complications associated with vascular access devices.
Date Issued
2025-11-01
Date Acceptance
2024-04-06
Citation
Journal of Advanced Nursing, 2025, 81 (11), pp.6990-7006
ISSN
0309-2402
Publisher
Wiley
Start Page
6990
End Page
7006
Journal / Book Title
Journal of Advanced Nursing
Volume
81
Issue
11
Copyright Statement
© 2024 The Authors. Journal of Advanced Nursing published by John Wiley & Sons Ltd. This is an open access article under the terms of the Creative Commons Attribution License, which permits use, distribution and reproduction in any medium, provided the original work is properly cited.
License URL
Identifier
https://www.ncbi.nlm.nih.gov/pubmed/38698552
Subjects
CATHETERS
CHEMOTHERAPY
choice behaviour
COMPLICATIONS
DIAGNOSIS
INTRAVENOUS THERAPY TEAM
Life Sciences & Biomedicine
MANAGEMENT
MICHIGAN APPROPRIATENESS GUIDE
nurse specialists
Nursing
OUTCOMES
PREVENTION
psychological models
Science & Technology
specialization
vascular access devices
vascular access specialist team
vascular access team
Publication Status
Published
Coverage Spatial
England
Date Publish Online
2024-05-02