The recent study by Goossens et al. (2012) concluded that, “By means of an Advanced Practice Nursing (APN) team, malfunctions can be effectively managed, giving staff nurses more time but less stress in their daily care for patients with TIVADs [totally implantable venous access devices]”. However, that conclusion is not supported by their study because there was not a control group and no data was provided that had any bearing on whether the malfunctions were effectively managed or whether the staff nurses had more time or less stress.