Implementation of Evidence-Based Practice in Peripheral Intravenous Catheter Care.

Background: Inserting a peripheral intravenous (PIV) catheter is a common health care procedure; however, risks include phlebitis, extravasation, and accidental dislodgement. Using evidence-based practices (EBPs) can reduce these risks. Purpose: The purpose of this study was to implement an evidence...

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Detalles Bibliográficos
Publicado en:Journal of Nursing Care Quality Vol. 38; no. 3; pp. 226 - 234
Autores principales: Hontoria-Alcoceba, Rocío, López-López, Candelas, Hontoria-Alcoceba, Virginia, Sánchez-Morgado, Ana Irene
Formato: algorithm research tables/charts Journal Article
Publicado: Lippincott Williams & Wilkins Jul-Sep2023
Acceso en línea:Ver este registro en EBSCOhost
Descripción
Sumario:Background: Inserting a peripheral intravenous (PIV) catheter is a common health care procedure; however, risks include phlebitis, extravasation, and accidental dislodgement. Using evidence-based practices (EBPs) can reduce these risks. Purpose: The purpose of this study was to implement an evidence-based PIV catheter care bundle and a decision-making algorithm. Methods: A quasi-experimental study design was used. A care bundle and an evidence-based decision-making algorithm were implemented on a medical unit. Outcomes included length of PIV catheter dwell time, phlebitis and other complications, and health professionals' adherence to the interventions. Results: A total of 364 PIV catheters were assessed. PIV catheter dwell time decreased from 3.6 to 2.9 days (P <.001), and phlebitis rates decreased from 14.8% to 4.9% (P <.05). Health professionals' adherence increased from 84.3% to 91.8%. Conclusions: Implementing EBPs can improve care provided to patients with PIV catheters.