Nursing experts warn of content accuracy on social media

by Kerry Faulkner
Nursing experts warn of content accuracy on social media
The channel features submissions that are peer reviewed by clinicians and academic members and reflect all the correct procedural steps for insertion. Credit: iStock

YouTube videos showing poor hygiene and safety procedures for inserting catheters could be teaching techniques that put patients at risk, according to a study by nursing teachers.

A team of four researchers including Notre Dame University School of Nursing and Midwifery's lecturer Peter Carr viewed 50 YouTube videos which gave instructions on central venous cannulation and peripherally inserted central catheters.

Mr Carr says YouTube has become a readily accessible learning resource with many benefits including students being able to watch as often as they needed.

But clinicians are concerned that some videos present information that hasn't been peer reviewed and teaches the wrong methods.

Mr Carr says many of the procedures filed on YouTube failed to adhere to acceptable standards and urges students to use The Association of Vascular Access YouTube channel.

The channel features submissions that are peer reviewed by clinicians and academic members and reflect all the correct procedural steps for insertion.

The findings of the research have been reported in the article Assessing the Quality of Central Venous Catheter and Peripherally Inserted Central Catheter Videos on the YouTube Video Sharing Web Site and published in the Journal of the Association for Vascular Access.

The 50 YouTube videos were critiqued and scored on criteria determined by the researchers, based around evidence–based guidelines from the Centres for Disease Control and Prevention, the Australian Clinical Excellence Commission and the UK National Institute for Health and Clinical Excellence.

The criteria covered ten points including hand hygiene, use of sterile gloves, skin antisepsis and ultrasound pre-assessment.

Mr Carr says among the most significant findings was the high percentage of videos where clinicians 'operated blind', without real-time ultrasound, which is a proven way of reducing insertion related complications and incorrect positioning.

Real-time ultrasound can prevent accidental arterials puncture and possible intravascular infection which can cause death.

Mr Carr says blind insertion is a technical skill that superior surgeons have mastered over time but even they now recognised the important benefits of using ultrasound to visualise the anatomy before inserting.

"If we are going to have good ethics and advocacy, we've got to be using these technologies," Mr Carr says.

He says the YouTube investigation has resulted in further research, in collaboration with UWA Associate Professor James Rippey, investigating if using ultrasound to identify vessels has better outcomes for all vascular access devises.

More information: "Assessing the Quality of Central Venous Catheter and Peripherally Inserted Central Catheter Videos on the YouTube Video-Sharing Web site." Peter J. Carr, Evan Alexandrou, Gavin M. Jackson, Timothy R. Spencer. The Journal of the Association for Vascular Access - September 2013 (Vol. 18, Issue 3, Pages 177-182, DOI: 10.1016/j.java.2013.06.001)

add to favorites email to friend print save as pdf

Related Stories

'Sesame Street' back online after porn hacking

Oct 17, 2011

"Sesame Street" returned to cyberspace on Monday after its YouTube channel was targeted by unknown hackers who replaced Ernie, Abby, Big Bird and the Cookie Monster with hardcore porn.

YouTube adds online video editing tool

Jun 17, 2010

YouTube users can now edit their own videos online. The Google-owned video-sharing site added an online editing tool this week that allows YouTube users to combine multiple videos, shorten a video or add soundtracks ...

YouTube seeking education video 'gurus'

Sep 22, 2012

YouTube on Friday was searching for education "gurus" with knowledge to impart to fast-growing ranks of students turning to online videos for lessons.

Recommended for you

Suddenly health insurance is not for sale

Apr 18, 2014

(HealthDay)— Darlene Tucker, an independent insurance broker in Scotts Hill, Tenn., says health insurers in her area aren't selling policies year-round anymore.

Study: Half of jailed NYC youths have brain injury (Update)

Apr 18, 2014

About half of all 16- to 18-year-olds coming into New York City's jails say they had a traumatic brain injury before being incarcerated, most caused by assaults, according to a new study that's the latest in a growing body ...

Autonomy and relationships among 'good life' goals

Apr 18, 2014

Young adults with Down syndrome have a strong desire to be self-sufficient by living independently and having a job, according to a study into the meaning of wellbeing among young people affected by the disorder.

User comments