ORIGINAL RESEARCH article
Front. Health Serv.
Sec. Patient Centered Health Systems
Volume 5 - 2025 | doi: 10.3389/frhs.2025.1680673
This article is part of the Research TopicPerson-Centered Care: Challenges and Opportunities in a Technological EraView all articles
The practical effect of "standardized mode" in the construction of community venous catheter maintenance specialty nursing clinics
Provisionally accepted
- 1Department of Nursing, Shanghai General Hospital, Shanghai Jiao Tong University School of Medicine,, shanghai, China
- 2School of Medicine, Tongji University, Shanghai, China
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[Abstract] Objective: To evaluate the impact of establishing standardized community-based venous catheter maintenance nursing clinics, leveraging the training resources and expertise of tertiary general hospitals and following specialized nursing protocols.Methods: This retrospective before–after study examined the implementation of a standardized peripherally inserted central catheter (PICC) maintenance model across 45 community clinics in Shanghai. The intervention included structured training, supervision, and quality control led by a tertiary hospital vascular access nursing team. Clinical outcomes before (n=831) and after (n=984) the intervention were compared using statistical analysis.Results: After implementation, the incidence of PICC-related complications decreased significantly (from 7.82% to 0.71%, P<0.001), missed maintenance appointments were reduced (from 2.78 to 0.88, P<0.001), and patient satisfaction improved (from 69.33±7.02 to 88.30±6.92, P<0.001). Moreover, patients experienced decreased travel time, transportation costs, and work absences.Conclusion: The standardized community-based PICC maintenance model significantly improved care quality, reduced complication rates, and enhanced patient experience. It offers a scalable framework for expanding specialist nursing services within primary care settings.
Keywords: standardized care model, Community Health Services, PICC maintenance, specialist nursing clinics, clinical outcomes
Received: 06 Aug 2025; Accepted: 18 Sep 2025.
Copyright: © 2025 Yang, Fang, WAN, Gu, Xu, Sheng and Xing. This is an open-access article distributed under the terms of the Creative Commons Attribution License (CC BY). The use, distribution or reproduction in other forums is permitted, provided the original author(s) or licensor are credited and that the original publication in this journal is cited, in accordance with accepted academic practice. No use, distribution or reproduction is permitted which does not comply with these terms.
* Correspondence: Hong Xing, xinghongvip@163.com
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