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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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
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      dt: Jul-Sep2023
      vid: 38
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      pub: Lippincott Williams & Wilkins
      place: Baltimore, Maryland
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        10.1097/NCQ.0000000000000688
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        atl: Implementation of Evidence-Based Practice in Peripheral Intravenous Catheter Care.
      aug:
        au:
          Hontoria-Alcoceba, Rocío
          López-López, Candelas
          Hontoria-Alcoceba, Virginia
          Sánchez-Morgado, Ana Irene
        affil: Internal Medicine Service (Mss R. Hontoria-Alcoceba and Sánchez-Morgado) and Emergency and Trauma Intensive Care Unit (Dr López-López), Hospital Universitario 12 de Octubre, Madrid, Spain
      sug:
        subj:
          Catheterization, Peripheral Central Venous Standards
          Health Care Errors Prevention and Control
          Decision Making
          Guideline Adherence
          Program Implementation
          Nursing Practice, Evidence-Based
          Nursing Practice
          Human
          Tertiary Health Care
          Quasi-Experimental Studies
          Descriptive Statistics
          Data Analysis Software
          Algorithms
          Handwashing
          Implementation Science
          Quality Improvement
          Catheter-Related Complications Prevention and Control
          Treatment Outcomes Evaluation
          Aged
          Aged: 65+ years
      ab: 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.
      pubtype: Academic Journal
      doctype:
        algorithm
        research
        tables/charts
        Journal Article
      ougenre: Article
    language: English
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